Objective  To evaluate the methodological quality of clinical practice guidelines and expert consensus for cervical and lumbar chronic muscle and bone injury.

Methods  China National Knowledge Network, VIP, Wanfang, China Biomedical Literature Database, PubMed, International Guidelines Network, National Institute for Health and Clinical Excellence, International Guidelines Center Network were searched to collect clinical practice guidelines and expert consensus related to cervical and lumbar chronic muscle and bone diseases. The search period is from the establishment of the databases to July 31, 2022. The guidelines were independently screened by two researchers according to in-clusion and exclusion criteria and relevant information was extracted. The AGREE II evaluation tool was used by four reseachers to evaluate the guidelines' quality, and the intra-group correlation coefficient (ICC) was used to evaluate their consistency.

Results  A total of 23 clinical practice guidelines and expert consensus were included in this study, of which 21 were clinical practice guidelines and 2 were expert consensus.  The median and interquartile spacing of score rates for the six fields of AGREE II were: range and purpose 84.72% (69.44%, 88.89%), participants 59.72% (38.89%, 75.00%), rigor 71.88%(45.83%, 81.77%), clarity 81.94% (73.61%, 87.50%), application 56.25% (30.21%, 65.63%), in-dependence 79.17% (30.25%, 85.42%). The overall evaluation consistency ICC was 0.769.

Conclusions  The existing evidence shows that the overall quality of domestic clinical guidelines related to cervical and lumbar chronic muscle and bone injury is relatively general compared with that of foreign countries, so it is necessary to further improve the construction of clinical problems, evidence retrieval and synthesis, as well as the value and willingness of patients and interest statement, and it is suggested to construct clinical guidelines for bone injury diseases based on the evidence of traditional Chinese medicine.

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