Latest & greatest articles for chronic pain

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This page lists the very latest high quality evidence on chronic pain and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for chronic pain

641. Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain

Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Neighbors D M, Bell T J, Wilson J, Dodd S L Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The health intervention examined in the study was fentanyl transdermal system, an opioid analgesic used for the management of chronic moderate to severe pain. The transdermal system provides a continuous dosing of fentanyl for up to 72 hours. Type of intervention Analgesic treatment. Economic study type Cost-utility

NHS Economic Evaluation Database.2001

642. Randomised crossover trial of transdermal fentanyl and sustained release oral morphine for treating chronic non-cancer pain.

Randomised crossover trial of transdermal fentanyl and sustained release oral morphine for treating chronic non-cancer pain. 11348910 2001 05 11 2001 06 14 2014 07 28 0959-8138 322 7295 2001 May 12 BMJ (Clinical research ed.) BMJ Randomised crossover trial of transdermal fentanyl and sustained release oral morphine for treating chronic non-cancer pain. 1154-8 To compare patients' preference for transdermal fentanyl or sustained release oral morphine, their level of pain (...) control, and their quality of life after treatment. Randomised, multicentre, international, open label, crossover trial. 35 centres in Belgium, Canada, Denmark, Finland, the United Kingdom, the Netherlands, and South Africa. 256 patients (aged 26-82 years) with chronic non-cancer pain who had been treated with opioids. Patients' preference for transdermal fentanyl or sustained release oral morphine, pain control, quality of life, and safety assessments. Of 212 patients, 138 (65%) preferred transdermal fentanyl, whereas

BMJ2001 Full Text: Link to full Text with Trip Pro

643. Randomised trial of acupuncture compared with conventional massage and "sham" laser acupuncture for treatment of chronic neck pain.

Randomised trial of acupuncture compared with conventional massage and "sham" laser acupuncture for treatment of chronic neck pain. 11431299 2001 06 29 2001 07 26 2017 02 19 0959-8138 322 7302 2001 Jun 30 BMJ (Clinical research ed.) BMJ Randomised trial of acupuncture compared with conventional massage and "sham" laser acupuncture for treatment of chronic neck pain. 1574-8 To compare the efficacy of acupuncture and conventional massage for the treatment of chronic neck pain. Prospective (...) , randomised, placebo controlled trial. Three outpatient departments in Germany. 177 patients aged 18-85 years with chronic neck pain. Patients were randomly allocated to five treatments over three weeks with acupuncture (56), massage (60), or "sham" laser acupuncture (61). maximum pain related to motion (visual analogue scale) irrespective of direction of movement one week after treatment. range of motion (3D ultrasound real time motion analyser), pain related to movement in six directions (visual

BMJ2001 Full Text: Link to full Text with Trip Pro

644. Transcutaneous electrical nerve stimulation (TENS) for chronic pain.

Transcutaneous electrical nerve stimulation (TENS) for chronic pain. BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is used in a variety of different clinical settings to treat a range of different acute and chronic pain conditions and has become popular with both patients and health professionals. OBJECTIVES: To evaluate the effectiveness of TENS in chronic pain. SEARCH STRATEGY: The Cochrane Library, Embase, Medline, CINAHL and The Oxford Pain Database were searched. Reference (...) lists from retrieved reports and reviews were examined. Date of the most recent search: March 1999. SELECTION CRITERIA: RCTs were eligible if they included the following treatment comparisons: active TENS versus sham TENS controls active TENS versus no treatment controls active TENS versus active TENS controls (for instance High Frequency TENS vs Low Frequency TENS) Studies of patients suffering chronic pain for three months or more which included subjective outcome measures for pain intensity

Cochrane2001

645. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G Authors' objectives To review the evidence on the use of intrathecal pump systems for administering opioids in patients with chronic pain in order to draw conclusions regarding the effectiveness, side-effects and cost-effectiveness (...) acknowledged that the quality of the included studies was poor and that no definite conclusions should be drawn. The authors conclusions therefore appear valid. Implications of the review for practice and research Practice: The authors stated that intrathecal pump systems may be effective in treating chronic pain, but good comparative evidence of effects and side-effects is lacking. Research: The authors stated that further research in the form of randomised controlled trials of implantable intrathecal

DARE.2000

646. An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies

An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies Howard F M Authors' objectives To assess the efficacy of treatment of endometriosis-associated chronic pelvic (...) by 6 months' treatment with danazol (600 mg/day), medroxyprogesterone acetate (100 mg/day) or placebo; surgical debulking at laparotomy followed by 3 months' treatment with nafarelin (400 microg/day) or placebo nasal spray; and reductive laparoscopic surgery by laser or electrosurgery, followed by 180 days' treatment with nafarelin (200 microg, twice daily) or placebo nasal spray (twice daily). Participants included in the review Women with endometriosis-associated chronic pelvic pain were eligible

DARE.2000

647. Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain

Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Smith L A, Oldman A D, McQuay H J, Moore R A Authors' objectives To assess the analgesic efficacy and the adverse effects (...) with chronic lower-back pain, cervical spine pain syndrome, acute sciatica, chronic back pain due to injury, chronic tendomyotic cervical or lumbar syndromes, lower-back pain persisting after 4 to 12 weeks of conservative treatment, radicular and psuedoradicular cervical and lumbar pain due to stenosis and/or herniated discs, chronic cervical osteoarthritis and/or of thoracic spine, and chronic neck pain. Outcomes assessed in the review Studies assessing pain outcomes were eligible. Pre-hoc desirable

DARE.2000

648. Is acupuncture effective for the treatment of chronic pain: a systematic review

Is acupuncture effective for the treatment of chronic pain: a systematic review Is acupuncture effective for the treatment of chronic pain: a systematic review Is acupuncture effective for the treatment of chronic pain: a systematic review Ezzo J, Berman B, Hadhazy V A, Jadad A R, Lao L, Singh B B Authors' objectives To assess the effectiveness of acupuncture as a treatment for chronic pain within the context of the methodological quality of the studies. Searching MEDLINE (1996 to 1999) and two (...) control groups. Logistic regression was selected as the multivariate model to simultaneously control for trials quality while identifying aspects of the acupuncture treatment associated with positive outcome. Results of the review Fifty-one RCTs representing 2423 chronic pain patients. The median sample size per group was 18 and the mode was 15. Substantial clinical heterogeneity from different conditions, control groups, outcomes and types of acupuncture, precluded statistical pooling. Results were

DARE.2000

649. Acupuncture for chronic osteoarthritis pain, headache and low back pain

Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Institute for Clinical Systems Improvement Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institute for Clinical Systems Improvement. Acupuncture (...) for chronic osteoarthritis pain, headache and low back pain. Bloomington MN: Institute for Clinical Systems Improvement (ICSI) 2000 Authors' objectives This review aims to assess the effectiveness of acupuncture for chronic osteoarthritis pain, headache and low back pain. Authors' conclusions Based on a review of evidence available to date, the ICSI Technology Assessment Committee finds the following: The quality of the literature continues to be a concern. As noted in the original report

Health Technology Assessment (HTA) Database.2000

650. Acute and chronic low back pain

Acute and chronic low back pain Acute and chronic low back pain Acute and chronic low back pain NHS Centre for Reviews and Dissemination Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation NHS Centre for Reviews and Dissemination. Acute and chronic low back pain. University of York. Effective Health Care 6(5). 2000 Authors' objectives (...) This bulletin aims to summarise the available evidence on the treatment of acute and chronic low back pain. Authors' conclusions Low back pain is very common in developed countries, especially in adults of working age. For acute low back pain, advice to continue ordinary activity can give equivalent or faster symptomatic recovery from the acute attack and lead to less chronic disability and less time off work. Bed rest should not be recommended as a treatment for acute low back pain. Non-steroidal anti

Health Technology Assessment (HTA) Database.2000

651. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Williams J E, Louw G, Towlerton G (...) . Intrathecal pumps for giving opioids in chronic pain: a systematic review. Health Technology Assessment 2000; 4(32): 1-65 Authors' objectives This review aims to answer the following questions about intrathecal pump systems, based on an analysis of the published literature. - Which drugs and dosages are commonly used in clinical practice? - How effective is this therapy compared with other treatments? - What are the risks? - What types of patients are suitable? - How costly is this type of treatment

Health Technology Assessment (HTA) Database.2000

652. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pump systems for giving opioids in chronic pain: a systematic review Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need

NIHR HTA programme2000

653. Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study.

Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. 10714732 2000 03 16 2000 03 16 2016 10 17 0098-7484 283 10 2000 Mar 08 JAMA JAMA Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. 1322-5 Chronic low back pain is one of the most prevalent and costly medical conditions in the United States. Permanent magnets have become a popular treatment for various musculoskeletal conditions, including low back pain, despite little (...) scientific support for therapeutic benefit. To compare the effectiveness of 1 type of therapeutic magnet, a bipolar permanent magnet, with a matching placebo device for patients with chronic low back pain. Randomized, double-blind, placebo-controlled, crossover pilot study conducted from February 1998 to May 1999. An ambulatory care physical medicine and rehabilitation clinic at a Veterans Affairs hospital. Nineteen men and 1 woman with stable low back pain of a mean of 19 years' duration, with no past

JAMA2000

654. Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain.

Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain. BACKGROUND: Transcutaneous electrical nerve stimulation (TENS), originally based on the gate-control theory of pain, is widely used for the treatment of chronic low back pain. Despite its wide use and theoretical rationale, there appears at first glance little scientific evidence to support its use. This Cochrane review examines the available evidence on TENS (...) for the treatment of chronic back pain through an exhaustive search of the literature. OBJECTIVES: Transcutaneous electrical nerve stimulation (TENS) and acupuncture-like transcutaneous electrical nerve stimulation (ALTENS) for chronic low back pain management have experienced a tremendous growth over the past 25 years. The objective of this review was to assess the effects of TENS and ALTENS for reducing pain and improving function in patients with chronic back pain. SEARCH STRATEGY: We searched MEDLINE up

Cochrane2000

655. Injection therapy for subacute and chronic benign low back pain.

Injection therapy for subacute and chronic benign low back pain. BACKGROUND: Injection with anaesthetics and/or steroids is one of the treatment modalities used in patients with chronic low back pain which needs evaluation with respect to the effectiveness on short and long term pain relief. OBJECTIVES: To evaluate the effectiveness of injection therapy in patients with low back pain lasting longer than one month. We distinguished between three injection sites: facet joint, epidural or local (...) injections. SEARCH STRATEGY: We searched the Medline and Embase databases up to 1996 and other search methods as advocated by the Back Review Group search strategy. Abstracts and unpublished studies were not included. SELECTION CRITERIA: Randomized controlled trials of injection therapy for pain relief (although additional treatments were allowed) in patients with benign low back pain lasting longer than one month and not originating from cancer. DATA COLLECTION AND ANALYSIS: Two reviewers independently

Cochrane2000

656. Behavioural treatment for chronic low back pain.

Behavioural treatment for chronic low back pain. BACKGROUND: The treatment of chronic low back pain is not primarily focused on removing an underlying organic pathology, but at the reduction of disability through the modification of environmental contingencies and cognitive processes. Behavioural interventions are commonly used in the treatment of chronic (disabling) low back pain. OBJECTIVES: The objective of this systematic review was to determine if behavioural therapy is more effective than (...) reference treatments for chronic non-specific low back pain, and which type of behavioural treatment is most effective. SEARCH STRATEGY: We searched the Medline, PsycLit databases, and the Cochrane Controlled Trials Register up to April 1999, Embase up to September 1999. We also screened references of identified randomised trials and relevant systematic reviews. SELECTION CRITERIA: Only randomised trials on any type of behavioural treatment for non-specific chronic low back pain were included. DATA

Cochrane2000

657. Interventions for treating chronic pelvic pain in women.

Interventions for treating chronic pelvic pain in women. BACKGROUND: Chronic pelvic pain is common in women in the reproductive age group and it causes disability and distress and results in significant costs to health services. The pathogenesis of chronic pelvic pain is poorly understood. Often, investigation by laparoscopy reveals no obvious cause for pain. There are several possible explanations for chronic pelvic pain including undetected irritable bowel syndrome, the vascular hypothesis (...) where pain is thought to arise from dilated pelvic veins in which blood flow is markedly reduced and altered spinal cord and brain processing of stimuli in women with chronic pelvic pain. As the pathophysiology of chronic pelvic pain is not well understood, its treatment is often unsatisfactory and limited to symptom relief. Currently, the main approaches to treatment include counselling or psychotherapy, attempting to provide reassurance using laparoscopy to exclude serious pathology, progestogen

Cochrane2000

658. Anticonvulsant drugs for acute and chronic pain.

Anticonvulsant drugs for acute and chronic pain. BACKGROUND: Anticonvulsant drugs have been used in the management of pain since the 1960s. The clinical impression is that they are useful for neuropathic pain, especially when the pain is lancinating or burning. OBJECTIVES: To evaluate the analgesic effectiveness of anticonvulsant drugs compared to either placebo or other drugs in order to provide evidence-based recommendations for pain management in clinical practice and to identify a clinical (...) research agenda. Adverse effects are also considered. SEARCH STRATEGY: Randomised trials of anticonvulsants in acute, chronic or cancer pain were identified by Medline (Silver Platter 3.0, 3.1 and 3.11) from 1966 to February 1994. In addition, 40 medical journals were hand searched (published between 1950 and 1990). Additional reports were identified from the reference list of the retrieved papers, and contacting investigators. Date of the most recent searches: 1994. SELECTION CRITERIA: Randomised

Cochrane2000

659. Anticonvulsant drugs for acute and chronic pain.

Anticonvulsant drugs for acute and chronic pain. BACKGROUND: Anticonvulsant drugs have been used in the management of pain since the 1960s. The clinical impression is that they are useful for chronic neuropathic pain, especially when the pain is lancinating or burning. OBJECTIVES: To evaluate the analgesic effectiveness and adverse effects of anticonvulsant drugs for pain management in clinical practice and to identify a clinical research agenda. Migraine and headache studies are excluded (...) in this revision. SEARCH STRATEGY: Randomised trials of anticonvulsants in acute, chronic or cancer pain were identified by Medline (1966-1999), Embase (1994-1999), SIGLE (1980-1999) and the Cochrane Controlled Trials Register (CENTRAL/CCTR) (Cochrane Library Issue 3, 1999). In addition, 40 medical journals were hand searched. Additional reports were identified from the reference list of the retrieved papers, and by contacting investigators. Date of most recent search: September 1999. SELECTION CRITERIA

Cochrane2000

660. Interventions for treating chronic pelvic pain in women.

Interventions for treating chronic pelvic pain in women. BACKGROUND: Chronic pelvic pain is common in women in the reproductive age group and it causes disability and distress and results in significant costs to health services. The pathogenesis of chronic pelvic pain is poorly understood. Often, investigation by laparoscopy reveals no obvious cause for pain. There are several possible explanations for chronic pelvic pain including undetected irritable bowel syndrome, the vascular hypothesis (...) where pain is thought to arise from dilated pelvic veins in which blood flow is markedly reduced and altered spinal cord and brain processing of stimuli in women with chronic pelvic pain. As the pathophysiology of chronic pelvic pain is not well understood, its treatment is often unsatisfactory and limited to symptom relief. Currently, the main approaches to treatment include counseling or psychotherapy, attempting to provide reassurance using laparoscopy to exclude serious pathology, progestogen

Cochrane2000