دورية أكاديمية
European* clinical practice recommendations on opioids for chronic noncancer pain - Part 1: Role of opioids in the management of chronic noncancer pain.
العنوان: | European* clinical practice recommendations on opioids for chronic noncancer pain - Part 1: Role of opioids in the management of chronic noncancer pain. |
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المؤلفون: | Häuser, Winfried, Morlion, Bart, Vowles, Kevin E, Bannister, Kirsty, Buchser, Eric, Casale, Roberto, Chenot, Jean-François, Chumbley, Gillian, Drewes, Asbjørn Mohr, Dom, Geert, Jutila, Liisa, O'Brien, Tony, Pogatzki-Zahn, Esther, Rakusa, Martin, Suarez-Serrano, Carmen, Tölle, Thomas, Krčevski Škvarč, Nevenka |
المصدر: | European journal of pain (London, England) ; 25 ; 5 ; 949 ; 968 ; England |
سنة النشر: | 2021 |
المجموعة: | Lenus - Irish Health Publications Archive (HSE - Health Service Executive) |
مصطلحات موضوعية: | PAIN MANAGEMENT, OPIOIDS, ANALGESIA |
الوصف: | Background: Opioid use for chronic non-cancer pain (CNCP) is complex. In the absence of pan-European guidance on this issue, a position paper was commissioned by the European Pain Federation (EFIC). Methods: The clinical practice recommendations were developed by eight scientific societies and one patient self-help organization under the coordination of EFIC. A systematic literature search in MEDLINE (up until January 2020) was performed. Two categories of guidance are given: Evidence-based recommendations (supported by evidence from systematic reviews of randomized controlled trials or of observational studies) and Good Clinical Practice (GCP) statements (supported either by indirect evidence or by case-series, case-control studies and clinical experience). The GRADE system was applied to move from evidence to recommendations. The recommendations and GCP statements were developed by a multiprofessional task force (including nursing, service users, physicians, physiotherapy and psychology) and formal multistep procedures to reach a set of consensus recommendations. The clinical practice recommendations were reviewed by five external reviewers from North America and Europe and were also posted for public comment. Results: The key clinical practice recommendations suggest: (a) first optimizing established non-pharmacological treatments and non-opioid analgesics and (b) considering opioid treatment if established non-pharmacological treatments or non-opioid analgesics are not effective and/or not tolerated and/or contraindicated. Evidence- and clinical consensus-based potential indications and contraindications for opioid treatment are presented. Eighteen GCP recommendations give guidance regarding clinical evaluation, as well as opioid treatment assessment, monitoring, continuation and discontinuation. Conclusions: Opioids remain a treatment option for some selected patients with CNCP under careful surveillance. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
تدمد: | 1532-2149 |
العلاقة: | http://hdl.handle.net/10147/631333Test; European journal of pain (London, England) |
DOI: | 10.1002/ejp.1736 |
الإتاحة: | https://doi.org/10.1002/ejp.1736Test http://hdl.handle.net/10147/631333Test |
حقوق: | © 2021 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC ®. |
رقم الانضمام: | edsbas.DC82A88 |
قاعدة البيانات: | BASE |
تدمد: | 15322149 |
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DOI: | 10.1002/ejp.1736 |