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The Nonsurgical Management of Acute Low Back Pain Michael J Crotty in a frank discussion intended"Practice guidelines have recently become prominent as a response to rising health care costs, reported regional practice variations, and reports of 'inappropriate' medical care. They are now expected to meet a number of agendas, including improvement of the quality of health care, protection of professional autonomy, reduction of litigation risk, minimization of practice variation, provision of standards for auditing medical records, reduction of