Thirty-four medical professional societies have called for The BMJ to retract a recently published guideline recommending against the use of interventional procedures, such as steroid or anaesthetic injections, to treat chronic back pain.
The journal published the guideline in February as part of its Rapid Recommendations program alongside a meta-analysis and systematic review of published research on the procedures, which the guideline panel used to inform its recommendations. The publications received international news coverage and enough chatter on social media platforms such as X and Bluesky to place them in the top 5 percent of all articles scored by Altmetric, a data company that tracks digital mentions of research.
The societies, led by the International Pain and Spine Intervention Society, represent clinicians who prescribe or perform the interventional spine procedures the guideline recommends against. The groups “have serious concerns about the methodology and conclusions drawn in these publications and their potential impact on patient care,” they wrote in a statement dated March 18, and summarized in a rapid response on the BMJ’s website. The statement has since been published in The Spine Journal and Interventional Pain Medicine.
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