Latest & greatest articles for pain

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Top results for pain

3581. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. Full Text available with Trip Pro

Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. Chronic low back pain is, in many countries, the main cause of long term disability in middle age. Patients with chronic low back pain are often referred for multidisciplinary treatment. Previous published systematic reviews on this topic included no randomised controlled trials and pooled together controlled and non-controlled studies.To assess the effect of multidisciplinary bio-psycho-social rehabilitation on pain (...) , multiprofessional, multimodal, pain clinic and functional restoration. We also reviewed reference lists and consulted the editors of the Back Review Group of the Cochrane Collaboration.randomised controlled trials comparing multidisciplinary bio-psycho-social rehabilitation with a non-multidisciplinary control intervention.Adults with disabling low back pain of more than three months in duration.Patients had to be assessed and treated by qualified professionals according to a plan that addresses physical

2002 Cochrane

3582. Symptom Management in Cancer: Pain, Depression, and Fatigue

Symptom Management in Cancer: Pain, Depression, and Fatigue NIH State-of-the-Science Statement on Symptom Management in Cancer: Pain, Depression, and Fatigue NIH Consensus and State-of-the-Science Statements Volume 19, Number 4 July 15–17, 2002 NATIONAL INSTITUTES OF HEALTH Office of the Director About the NIH Consensus Development Program NIH Consensus Development and State-of-the-Science Conferences are convened to evaluate the available scientific evidence on a given biomedi­ cal or public (...) at the time the statement was written. Thus, it provides a “snapshot in time” of the state of knowledge on the conference topic. When reading the statement, keep in mind that new knowledge is inevitably accumulating through medical research. Reference Information For making bibliographic reference to this consensus statement, it is recommended that the following format be used, with or without source abbreviations, but without authorship attribution: Symptom management in cancer: pain, depression

2002 NIH Consensus Statements

3583. Glucosamine therapy compared to ibuprofen for joint pain

Glucosamine therapy compared to ibuprofen for joint pain Glucosamine therapy compared to ibuprofen for joint pain Glucosamine therapy compared to ibuprofen for joint pain Ruane R, Griffiths P Authors' objectives To undertake a mini-review of double-blind randomised controlled trials (RCTs) comparing the effectiveness of oral glucosamine to ibuprofen for the relief of joint pain in osteoarthritis. Searching MEDLINE (from 1966 to present), EMBASE (from 1980 to present), a database provided (...) in the review Studies that included the outcome of pain (described as joint, arthritic or articular pain) measured as perceived improvement or using an ordinal or visual analogue scale to rate pain severity, were eligible for inclusion. Studies examining other outcomes such as joint swelling or adverse effects, but not pain, were excluded. One study used a 9-point scale and one used a 3-point scale. A physician and patient assessment of being 'symptom free' or 'improved' was also undertaken. How were

2002 DARE.

3584. Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review

Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Single-dose rofecoxib for acute postoperative pain in adults: a quantitative systematic review Barden J, Edwards J E, McQuay H J, Moore R Authors' objectives To examine the efficacy of single-dose rofecoxib for acute post- operative pain in adults. Searching The Cochrane Library (Issue 4, 2001), Biological (...) Abstracts (March 2002), MEDLINE (March 2002) and PubMed (March 2002) were searched using the terms: 'rofecoxib', 'vioxx', 'cox-2 selective inhibitor', 'specific cyclooxygenase-2 inhibitor', analgesi*', 'pain*', 'postoperative', 'post-operative', 'surgical', 'postsurgical' 'post-surgical', 'dental', 'molar' and 'extraction', along with search terms relating to study type. The reference lists and review articles were examined for relevant references, and in-house databases were also searched. Only full

2002 DARE.

3585. Treatment of complex regional pain syndrome type I Full Text available with Trip Pro

Treatment of complex regional pain syndrome type I Treatment of complex regional pain syndrome type I Treatment of complex regional pain syndrome type I Forouzanfar T, Koke A J, van Kleef M, Weber W E Authors' objectives To ascertain appropriate therapies for the treatment and prevention of reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome type I (CRPS I). Searching The Cochrane Library, PubMed, EMBASE and MEDLINE were searched from 1966 to June 2000 using (...) the keywords 'complex regional pain syndrome type I', 'reflex sympathetic dystrophy' in combination with 'trial' or 'randomized trials' or 'random allocation' or 'prospective studies' or 'double/single blind' and 'prevention'. Additional reports were identified from the reference lists in retrieved reports and in review articles. Study selection Study designs of evaluations included in the review Double- or single-blinded randomised controlled trials (RCTs) were included. Specific interventions included

2002 DARE.

3586. Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis

Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2002 NHS Economic Evaluation Database.

3587. Comparison of hemodynamics, recovery profile, and early postoperative pain control and costs of remifentanil versus alfentanil-based total intravenous anaesthesia (TIVA)

Comparison of hemodynamics, recovery profile, and early postoperative pain control and costs of remifentanil versus alfentanil-based total intravenous anaesthesia (TIVA) Comparison of hemodynamics, recovery profile, and early postoperative pain control and costs of remifentanil versus alfentanil-based total intravenous anaesthesia (TIVA) Comparison of hemodynamics, recovery profile, and early postoperative pain control and costs of remifentanil versus alfentanil-based total intravenous (...) profiles and postoperative pain. The primary outcomes related to haemodynamics were heart rate, mean arterial pressure, partial oxygen saturation and respiratory rate. Recovery profiles were time to extubation, time to spontaneous eye opening, and response to verbal command (time). Postoperative pain was measured using a visual analogue scale (VAS) at 30 and 60 minutes after extubation. The number of patients with postoperative nausea and vomiting and the number requiring analgesics were also assessed

2002 NHS Economic Evaluation Database.

3588. Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain

Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2002 NHS Economic Evaluation Database.

3589. Cost-efficacy of rofecoxib versus acetaminophen for preventing pain after ambulatory surgery

Cost-efficacy of rofecoxib versus acetaminophen for preventing pain after ambulatory surgery Cost-efficacy of rofecoxib versus acetaminophen for preventing pain after ambulatory surgery Cost-efficacy of rofecoxib versus acetaminophen for preventing pain after ambulatory surgery Issioui T, Klein K W, White P F, Watcha M F, Skrivanek G D, Jones S B, Hu J, Marple B F, Ing C Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) prospectively from the same patient sample as that used in the effectiveness analysis. Study sample Power calculations were used to determine the sample size. It was estimated that 35 patients would be required in each of the four groups when assuming the following: the log transformation of the mean and standard deviation of the peak pain score in the placebo group would be similar to a published study; a relative reduction of 33% in the peak verbal pain score rating was of clinical importance; a type I

2002 NHS Economic Evaluation Database.

3590. Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study

Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study Loisel P, Lemaire J, Poitras S, Durand M-J, Champagne F, Stock S, Diallo B, Tremblay C 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 Sherbrooke model of management for subacute occupational back pain was examined. This model combined both experimental occupational and experimental clinical rehabilitation components. The two components

2002 NHS Economic Evaluation Database.

3591. Management of cancer symptoms: pain, depression, and fatigue

Management of cancer symptoms: pain, depression, and fatigue Management of cancer symptoms: pain, depression, and fatigue Management of cancer symptoms: pain, depression, and fatigue Carr D, Goudas L, Lawrence D, Pirl W, Lau J, DeVine D, Kupelnick B, Miller K Authors' objectives The objective was to determine the prevalence, method of assessment and the effectiveness of treatment for cancer-related pain, depression and fatigue in patients with cancer. This abstract will focus only (...) on the effectiveness of treatment. The section on the treatment of cancer-related pain is an update of the management of cancer-related pain (see Other Publications of Related Interest no.1). The specific objectives were as follows. 1. To determine the relative efficacy of current analgesics for cancer pain. 2. To determine whether different formulations and routes of administration are associated with different patient preferences or efficacy rates. 3. To determine the relative analgesic efficacy of palliative

2002 DARE.

3592. Does spinal manipulative therapy help people with chronic low back pain?

Does spinal manipulative therapy help people with chronic low back pain? Does spinal manipulative therapy help people with chronic low back pain? Does spinal manipulative therapy help people with chronic low back pain? Ferreira M L, Ferreira P H, Latimer J, Herbert R, Maher C G Authors' objectives To assess the effect of spinal manipulative therapy on clinically relevant outcomes in patients with chronic lower back pain. Searching EMBASE, CINAHL, MEDLINE, and PEDro were searched from inception (...) velocity, small or large amplitude joint mobilisation; manual traction and craniosacral therapy. The trials included in the review assessed manipulation, or a combination of manipulation and mobilisation techniques. Participants included in the review Adults with non-specific lower back pain of more than 3 months' median duration were eligible for inclusion. The mean duration of pain for adults included in the trials was 28.1 months. Outcomes assessed in the review Trials that reported at least one

2002 DARE.

3593. Acupuncture: evidence for its use in chronic low back pain

Acupuncture: evidence for its use in chronic low back pain Acupuncture: evidence for its use in chronic low back pain Acupuncture: evidence for its use in chronic low back pain Henderson H Authors' objectives To assess the efficacy of acupuncture for chronic low back pain. Searching MEDLINE, CINAHL, the Cochrane Library, OMNI, DARE and the University of Maryland's CAMPAIN database were searched; some of the search terms were reported. The search dates were not reported. Experts were consulted (...) , lidocaine, lidocaine with steroid, sham acupuncture and standard clinic therapy. Participants included in the review Studies in people with low back pain conditions were eligible for inclusion. Apparently, only chronic pain was included; chronic was not defined. All of the included studies were conducted in adults. It was mentioned that one study was of an elderly population (aged 60 years or more). Outcomes assessed in the review The outcome of interest was not explicit. It appeared to be pain relief

2002 DARE.

3594. Systematic review of conservative interventions for subacute low back pain

Systematic review of conservative interventions for subacute low back pain Systematic review of conservative interventions for subacute low back pain Systematic review of conservative interventions for subacute low back pain Pengel H M, Maher C G, Refshauge K M Authors' objectives To assess the effect of conservative interventions on pain, disability and return to work for patients with sub-acute low back pain. Searching The following databases were searched to April 2002 for reports published (...) in English or Dutch: MEDLINE, AMED, EMBASE, DocOnline, Inspec, CINAHL, Current Contents, PEDro, MANTIS, ChiroACCESS, OSHROM, SPORTDiscus, DARE, ACP Journal Club, the Cochrane Database of Systematic Reviews, PsycINFO and the Cochrane Controlled Trials Register. Citations in identified studies were tracked using an ISI Web of Science Citation Index and the reference lists in retrieved studies were checked. The author of a review on sub-acute low back pain was asked to scan the list of identified studies

2002 DARE.

3595. A systematic review of the evidence for rapid access chest pain clinics

A systematic review of the evidence for rapid access chest pain clinics A systematic review of the evidence for rapid access chest pain clinics A systematic review of the evidence for rapid access chest pain clinics McManus RJ, Mant J, Davies MK, Davis RC, Deeks JJ, Oakes RA, Hobbs FD Authors' objectives To determine the impact of rapid access chest pain clinics (RACPC) on patient management. The specific objectives were to ascertain whether the provision of RACPC leads to fewer unnecessary (...) admissions, better recognition of patients with acute coronary syndrome, earlier specialist assessment of patients with stable angina, and more rapid and accurate identification of patients with non-cardiac chest pain. Searching All published literature pertaining to out-patient chest pain assessment clinics between 1966 and 2000 was identified by searching electronic databases (MEDLINE, CINAHL, EMBASE and the Cochrane Library) and electronic international cardiology conference abstracts. The MeSH terms

2002 DARE.

3596. Treating patients with hemiplegic shoulder pain

Treating patients with hemiplegic shoulder pain Treating patients with hemiplegic shoulder pain Treating patients with hemiplegic shoulder pain Snels I A, Dekker J H, van der Lee J H, Lankhorst G J, Beckerman H, Bouter L M Authors' objectives To identify the most effective treatment for hemiplegic shoulder pain. Searching MEDLINE (from 1966 to October 1999), EMBASE (from 1988 to September 1998), CINAHL (from 1982 to September 1999), REHABDATA (from 1994 to July 1999) and the Cochrane Library (...) randomised controlled trials (RCTs) including crossover designs, non-randomised controlled trials, multiple baseline design, case series and case reports. The duration of follow-up, where stated, ranged from none to 39 months. Specific interventions included in the review Treatments of hemiplegic shoulder pain were eligible. The following treatments were included in the review: electromyography (EMG) feedback; relaxation exercises; functional electrical stimulation (FES); surgical release

2002 DARE.

3597. Nonpharmacologic relief of pain during labor: systematic reviews of five methods

Nonpharmacologic relief of pain during labor: systematic reviews of five methods Nonpharmacologic relief of pain during labor: systematic reviews of five methods Nonpharmacologic relief of pain during labor: systematic reviews of five methods Simkin P P, O'Hara M Authors' objectives To examine non-pharmacologic methods of pain relief during labour that require accommodations by hospitals and professional staff, and which have been scientifically evaluated for their effectiveness in reducing (...) pain. Searching PsycINFO, CINAHL, PubMed, the Cochrane Controlled Trials Register, AMED and MIDIRS were searched for relevant studies published in the English language between 1950 and 2001. The search terms were reported in the paper. Books, personal files and the references of retrieved articles were also searched. Personal communications, abstracts and unpublished theses were also included if there was sufficient information about the study design to judge the quality of it. Study selection

2002 DARE.

3598. Nitrous oxide for relief of labor pain: a systematic review

Nitrous oxide for relief of labor pain: a systematic review Nitrous oxide for relief of labor pain: a systematic review Nitrous oxide for relief of labor pain: a systematic review Rosen M A Authors' objectives To determine the efficacy and safety of nitrous oxide (N2O) for labour analgesia. Searching MEDLINE (up to October 2000) and the Cochrane Controlled Trials Register in the Cochrane Library (Issue 3, 2000) were searched. The search terms included 'nitrous oxide', 'inhalation', 'childbirth (...) women in first stage when labour was established; the remainder of the studies were in both first and second stage labour, or unspecified. Outcomes assessed in the review The outcomes assessed were a measure of efficacy for pain relief or a measure of side-effects on the labour, the mother, and/or the foetus or newborn baby. Studies in which the efficacy assessment was delayed, or the assessment was not by the parturient woman, were excluded. Pain relief was measured by a categorical scale

2002 DARE.

3599. Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis

Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis Fetzer S J Authors' objectives To assess the effectiveness of EMLA (eutectic mixture of local anaesthetics) cream on pain during venipuncture (VE) and intravenous (...) 20 to 280 minutes before IV insertion. Some of the included studies used premedication, others did not. Participants included in the review Studies of participants undergoing puncture of the skin and the underlying vein with a needle were eligible for inclusion. Studies of participants having skin pain inflicted using laser energy or a pinprick were excluded. The included studies were of children and adults. The studies either used a consistent VE site (either the antecubital space or the back

2002 DARE.

3600. Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia?

Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia? Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia? Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia? Wurnig P N, Lackner H, Teiner C, Hollaus P H, Pospisil M, Fohsl-Grande B, Osarowsky M, Pridun N S Record Status This is a critical abstract of an economic evaluation that meets (...) in the ICB group. No patient was excluded from the initial sample. Study design This was a randomised controlled trial that was carried out in a single centre. The patients were followed for six days. No loss to follow-up was reported. It was not reported whether the people who collected the data were blinded to the patients' group. Analysis of effectiveness All of the patients included in the study were accounted for in the clinical analysis. The primary health outcome estimated in the analysis was pain

2002 NHS Economic Evaluation Database.