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Pain Management

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https://www.readbyqxmd.com/read/28699421/global-cancer-pain-management-a-systematic-review-comparing-trials-in-africa-europe-and-north-america
#1
Charles A Odonkor, Gabriel Kim, Michael Erdek
AIM: Despite the rise in cancer survivorship, few reviews have examined the quality of studies of cancer pain management and practices around the globe. With a void in trials spanning multiple geographical settings, this review evaluates the quality of cancer trials across three continents. MATERIALS & METHODS: A literature review and search of established databases was conducted to identify eligible studies. The Cochrane method, the Jadad Score and a cancer pain-specific ad hoc tool were used to evaluate quality of studies...
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28699416/interview-with-david-tauben-university-of-washington-chief-of-the-division-of-pain-medicine
#2
David Tauben
Dr Tauben is Clinical Professor jointly appointed in the Departments of Medicine and Anesthesia & Pain Medicine, and is the Hughes M & Katherine G Blake Endowed Professor, board certified in both Internal Medicine and Pain Medicine. He is also University of Washington (UW) Director of Medical Student and Resident Education in Pain Medicine, and Medical Director of UW TelePain, a tele-video-conferencing program intended to provide innovative pain education and consultative support to a five-state northwest regional primary care providers...
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28699410/a-patient-s-perspective-of-chronic-pain
#3
Sara G Nadler
Sara Gilbert Nadler speaks to Jade Parker, Commissioning Editor: Sara has obtained a Bachelor's Degree and Master's in social work. Her field of practice in social work has been in the field of medical social work. Sara has worked in the field of medical social work for over 20 years; her work has spanned from acute care hospitals to skilled nursing facilities. Her professional responsibilities include case management, discharge planning, financial management, counselling patients and their families in regard to their medical conditions as well as making referrals to home care agencies and other care providers if necessary...
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28699380/addressing-the-barriers-related-with-opioid-therapy-for-management-of-chronic-pain-in-india
#4
Gur Prasad Dureja, Paramanand N Jain, Muralidhar Joshi, Ashok Saxena, Gautam Das, Jaishid Ahdal, Prashant Narang
India has a high prevalence of chronic disorders which may be associated with persistent pain. Despite the availability of multiple treatment options, chronic pain is largely untreated and contributes to disability and mortality. Medical consumption of opioids remains low due to various barriers that prevent access to opioids for patients and healthcare practitioners. Stringent regulatory provisions outlined in the Narcotic Drugs and Psychotropic Substances Act (1985) have been major deterrents to adequate opioid use...
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28699379/what-dilemmas-do-healthcare-workers-face-looking-after-children-with-acute-pain
#5
Glyn Williams
There have been significant advances in the treatment of acute pain in children alongside increased academic interest in the field. This has led to improvements in both efficacy and safety alongside the development of multidisciplinary pain services. Despite this, however, there are still high rates of acute pain reported in children in both inpatient and outpatient settings. In this article, we discuss some of the challenges faced by healthcare workers in designing effective multidisciplinary treatment regimens, understanding the implications for long-term pain and pain processing of acute pain and analgesic interventions as well as ongoing issues around research, education and resource...
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28699374/shared-medical-appointments-for-managing-pain-in-primary-care-settings
#6
Jonathan Coates, Fraser Gething, Mark I Johnson
No abstract text is available yet for this article.
July 12, 2017: Pain Management
https://www.readbyqxmd.com/read/28589749/safety-of-parecoxib-when-used-for-more-than-3-days-for-the-management-of-postoperative-pain
#7
Margaret Noyes Essex, Raymond Cheung, Chunming Li, Li Xie
AIM: To assess parecoxib safety when used for >3 days for postoperative pain management. METHODS: Treatment-emergent adverse event (TEAE) occurrence after day 3 was examined in a pooled analysis of three placebo-controlled trials of parecoxib following general or gynecologic surgery, or total hip arthroplasty. A total of 358 patients received parecoxib, and 318 placebo. RESULTS: Mean treatment duration was similar between treatment groups...
June 7, 2017: Pain Management
https://www.readbyqxmd.com/read/28434283/considering-tapentadol-as-a-first-line-analgesic-14-questions
#8
Joseph V Pergolizzi, Frank Breve, Robert Taylor, Robert B Raffa, Stephani E Strasburger, Jo Ann LeQuang
Tapentadol is the newest centrally acting analgesic to be approved by the US FDA and regulatory bodies in other countries. It has been called the first-in-class of a novel-acting analgesic mechanism of action that combines µ-opioid receptor agonist activity with neuronal norepinephrine-reuptake inhibition in a single molecule. This duality of action should combine inhibition of ascending (afferent) pain-transmitting signals with activation of descending (efferent) pain-attenuating systems (e.g., diffuse noxious inhibitory controls)...
April 24, 2017: Pain Management
https://www.readbyqxmd.com/read/28326950/efficacy-of-the-topical-5-lidocaine-medicated-plaster-in-the-treatment-of-chronic-post-thoracotomy-neuropathic-pain
#9
Pasquale Sansone, Maria Beatrice Passavanti, Alfonso Fiorelli, Caterina Aurilio, Umberto Colella, Lorenzo De Nardis, Valerio Donatiello, Vincenzo Pota, Maria Caterina Pace
AIM: To assess the efficacy of the topical 5% lidocaine medicated plaster (Versatis(®), Grünenthal GmbH, Aachen, Germany) in patients with post-thoracotomy neuropathic pain. PATIENTS & METHODS: Patients were randomized to receive the topical 5% lidocaine medicated plaster (n = 33) or non-medicated placebo plasters (n = 30) for 12 h every day for 8 weeks. Laser-evoked potentials (LEPs) were measured, and various questionnaires/scales completed. RESULTS: Numeric Rating Scale pain scores improved significantly (p < 0...
May 2017: Pain Management
https://www.readbyqxmd.com/read/28152647/exercise-interventions-for-juvenile-fibromyalgia-current-state-and-recent-advancements
#10
William R Black, Susmita Kashikar-Zuck
No abstract text is available yet for this article.
May 2017: Pain Management
https://www.readbyqxmd.com/read/28147900/reflective-practice-providing-safe-quality-patient-centered-pain-management
#11
Gwen Sherwood, Jeanette McNeill
Effective pain management continues to baffle clinicians in spite of numerous evidence-based guidelines and standards, focused clinical interventions and standardized assessments. Reflective practice is a mindful approach to practice that grounds clinicians in the moment with the individual patient to ask questions and then to listen to the patient's message about their pain experience. Reflective practice helps meld theoretical knowledge with lessons from experience to rethink mechanistic responses to patient pain...
May 2017: Pain Management
https://www.readbyqxmd.com/read/28135936/toward-an-etiology-based-management-of-trigeminal-neuralgia
#12
Turo J Nurmikko
No abstract text is available yet for this article.
May 2017: Pain Management
https://www.readbyqxmd.com/read/28073312/female-chronic-pelvic-pain-the-journey-to-diagnosis-and-beyond
#13
Hannah Twiddy, Alison Bradshaw, Rajiv Chawla, Selina Johnson, Natalie Lane
No abstract text is available yet for this article.
May 2017: Pain Management
https://www.readbyqxmd.com/read/28421874/pharmacokinetics-safety-and-tolerability-of-a-novel-tocopheryl-phosphate-mixture-oxycodone-transdermal-patch-system-a-phase-i-study
#14
Paul D Gavin, Lee S Simon, Thomas Schlagheck, Alisha J Smith, Sepehr Shakib
AIM: To characterize the pharmacokinetic profile and evaluate the safety and tolerability of a transdermal oxycodone patch containing tocopheryl phosphate mixture (TPM). PATIENTS & METHODS: Eleven healthy subjects received a single application of three TPM/oxycodone patches applied to the torso for 72 h. RESULTS: Oxycodone was detected 8.0 ± 2.7-h postpatch administration, reaching a mean maximum plasma concentration of 3.41 ± 1.34 ng/ml at 49...
April 19, 2017: Pain Management
https://www.readbyqxmd.com/read/28415907/transdermal-oxycodone-patch-for-the-treatment-of-postherpetic-neuralgia-a-randomized-double-blind-controlled-trial
#15
Paul D Gavin, Louise Tremper, Alisha Smith, Gemma Williams, Charles Brooker
AIM: To evaluate the efficacy, systemic exposure, safety and tolerability of a transdermal oxycodone patch containing tocopheryl phosphate mixture (TPM) in patients with postherpetic neuralgia (PHN). PATIENTS & METHODS: The study was a Phase IIa, multicenter, randomized, double-blind, vehicle-controlled crossover study. RESULTS: While the TPM/oxycodone patch did not significantly improve 'average' Numeric Pain Rating Scale scores versus vehicle patch, patients reporting high levels of paresthesia (n = 9) showed a trend toward improved pain reduction...
April 18, 2017: Pain Management
https://www.readbyqxmd.com/read/28326952/latin-american-guidelines-for-cancer-pain-management
#16
Argelia Lara-Solares, Marisol Ahumada Olea, Amparito de Los Ángeles Basantes Pinos, Sara Bistre Cohén, Patricia Bonilla Sierra, Eva Rossina Duarte Juárez, Omar A Símon Escudero, Juan Guillermo Santacruz Escudero, José Alberto Flores Cantisani
Cancer is a major public health issue. Poor pain management has devastating consequences that seriously affect quality of life, diminish functionality and place a huge emotional burden on patients and their relatives. A group of Latin American opinion leaders were invited to participate in a meeting to discuss areas associated with cancer pain. The expert panel reviewed the latest literature to draft region-specific guidelines for effective pain management. The guidelines make recommendations on tailoring treatment to the specific type of pain and provide local physicians with the state-of-the art findings in the field...
March 13, 2017: Pain Management
https://www.readbyqxmd.com/read/28326951/pain-in-children-with-intellectual-disabilities-a-randomized-controlled-trial-evaluating-caregiver-knowledge-measures
#17
Lara M Genik, Chantale A Pomerleau, C Meghan McMurtry, Lynn M Breau
Inadequate knowledge has contributed to inaccurate pain assessment and treatment for children with intellectual disabilities. AIM: Develop and evaluate pain knowledge measures and accompanying self-report ratings; determine their sensitivity to change. MATERIALS & METHODS: Young adults (n = 77; Mage = 18.89; standard deviation = 2.29; 67 females) were randomly assigned to one of two 'caring for children with intellectual disabilities' training programs (pain and visual supports)...
March 7, 2017: Pain Management
https://www.readbyqxmd.com/read/28326949/the-need-for-an-ethics-framework-for-the-use-of-opioids-in-the-treatment-of-chronic-nonmalignant-pain
#18
Michael A Erdek, Peter J Pronovost
No abstract text is available yet for this article.
March 3, 2017: Pain Management
https://www.readbyqxmd.com/read/28142335/complex-regional-pain-syndrome-in-children-a-systematic-review-of-clinical-features-and-movement-disorders
#19
REVIEW
Hashem Abu-Arafeh, Ishaq Abu-Arafeh
AIM: To ascertain clinical features of complex regional pain syndrome (CRPS) in children with a focus on movement disorders. METHODS: all publications with original data on children with CRPS were assessed. Data were tabulated and descriptive statistics were applied. RESULTS: One population-based study and nine clinic-based studies provided data on demographic and clinical characteristics of childhood CRPS. Mean age of onset was 12.5 years and 85% of patients were females (risk ratio: 1...
March 2017: Pain Management
https://www.readbyqxmd.com/read/27910725/an-over-the-counter-central-sensitization-therapy-a-chronic-back-pain-registry-study-of-pain-relief-medication-use-and-their-adverse-effects
#20
Richard Staelin, Sree N Koneru, Ian M Rawe
AIM: Back pain, the most prevalent musculoskeletal chronic pain condition, is usually treated with analgesic medications of questionable efficacy and frequent occurrence of adverse side effects. OBJECTIVE: The objective was to determine the effectiveness of the ActiPatch medical devices in reducing chronic back pain, document medication related adverse side effects and establish their impact on quality of life. METHODS: Upon completing a 7-day trial, subjects were contacted via email with an assessment form using the Constant Contact email program...
March 2017: Pain Management
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