The quest for rational chronic pain pharmacotherapy.
The quest for rational chronic pain pharmacotherapy.
复制标题
寻求合理的慢性疼痛药物治疗。
DOI：
10.1016/j.genhosppsych.2009.02.001
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发表时间：
2009
影响因子：
7
通讯作者：
Sullivan,MarkD
中科院分区：
文献类型：
--
作者：
Sullivan,MarkD
Kroenke, Krebs and Bair are to be commended for providing a comprehensive and critical review of chronic pain pharmacotherapy. As they explain, chronic non-cancer pain is extremely common, causes widespread suffering and disability, and prompts a great deal of health care utilization. Psychiatrists see many patients with chronic pain due to the high rates of comorbidity between mental health, substance abuse, and chronic pain disorders. Furthermore, the pharmacotherapies used to treat these types of disorders overlap considerably. Therapies prescribed for one of these types of disorder may augment or may disrupt therapies for the other disorders. It is therefore important for psychiatrists to be aware of the full array of options for chronic pain pharmacotherapy.Health care systems (such as the Veterans Administration) and accreditation bodies (such as the Joint Commission on the Accreditation of Health Care Organization, JCAHO) have urged greater attention to pain through initiatives such as “pain as the fifth vital sign.”[1] But in outpatient settings, there has been little guidance about how to follow improved monitoring of pain with improved therapy for chronic pain.
