Providing chronic pain management in the "Fifth Vital Sign" Era: Historical and treatment perspectives on a modern-day medical dilemma.
Providing chronic pain management in the "Fifth Vital Sign" Era: Historical and treatment perspectives on a modern-day medical dilemma.
复制标题
在“第五生命体征”时代提供慢性疼痛管理：现代医疗困境的历史和治疗观点。
DOI：
10.1016/j.drugalcdep.2016.12.002
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发表时间：
2017-04-01
影响因子：
4.2
通讯作者：
Compton P
中科院分区：
文献类型：
--
作者：
Tompkins DA;Hobelmann JG;Compton P
超过1亿美国人生活在慢性疼痛中，疼痛是患者寻求医疗服务的最常见原因。尽管疼痛普遍存在，但与其他医学相比，疼痛管理的实践和疼痛研究的科学学科是相对较新的领域--造成了21世纪的一个两难境地，即要求医疗保健提供者在“第五生命体征”时代减轻痛苦。这篇手稿对慢性疼痛的基本机制和美国慢性疼痛管理的历史进行了叙述性回顾--包括各种监管、卫生系统和提供者因素，这些因素导致了多学科疼痛治疗的衰落，转而支持当今占主导地位的阿片类药物治疗策略。然后概述了多种非阿片类疼痛的治疗策略。这篇手稿最后提出了三个关键问题，以帮助指导未来在疼痛和成瘾的交叉点进行研究。评估和治疗慢性疼痛将继续是卫生保健提供者最常见的职能之一。为了摆脱对阿片类药物的过度依赖，成瘾和疼痛研究界必须与慢性疼痛患者团结起来，增加支持非阿片类药物止痛策略的证据基础。
Over 100 million Americans are living with chronic pain, and pain is the most common reason that patients seek medical attention. Despite the prevalence of pain, the practice of pain management and the scientific discipline of pain research are relatively new fields compared to the rest of medicine – contributing to a twenty-first century dilemma for health care providers asked to relieve suffering in the “Fifth Vital Sign” era. This manuscript provides a narrative review of the basic mechanisms of chronic pain and history of chronic pain management in the United States – including the various regulatory, health system and provider factors that contributed to the decline of multidisciplinary pain treatment in favor of the predominant opioid treatment strategy seen today. Multiple non-opioid pain treatment strategies are then outlined. The manuscript concludes with three key questions to help guide future research at the intersection of pain and addiction. The assessment and treatment of chronic pain will continue to be one of the most common functions of a health care provider. To move beyond an over reliance on opioid medications, the addiction and pain research communities must unite with chronic pain patients to increase the evidence base supporting non-opioid analgesic strategies.
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DOI：
10.1016/j.jpain.2008.10.008
发表时间：
2009-02
期刊：
The journal of pain
影响因子：
--
作者：
Chou R;Fanciullo GJ;Fine PG;Adler JA;Ballantyne JC;Davies P;Donovan MI;Fishbain DA;Foley KM;Fudin J;Gilson AM;Kelter A;Mauskop A;O'Connor PG;Passik SD;Pasternak GW;Portenoy RK;Rich BA;Roberts RG;Todd KH;Miaskowski C;American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
通讯作者：
American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA
影响因子：
13.9
作者：
Costigan M;Scholz J;Woolf CJ
通讯作者：
Woolf CJ
影响因子：
120.7
作者：
Chou, Roger;Shekelle, Paul
通讯作者：
Shekelle, Paul
影响因子：
33.7
作者：
Dowell, Deborah;Haegerich, Tamara M.;Chou, Roger
通讯作者：
Chou, Roger