Drug Treatment of Chronic Pain

McQuay, Henry J

doi:10.1002/9781444314380.ch31

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there have been some studies that consider the effectiveness of this tool for cancer pain [37,38], there appears to be no study that considers whether this is an effective way to manage musculoskeletal pain at the end of life. There are, indeed, significant limitations in the evidence base for the use of opioids in chronic musculoskeletal pain [39-41] and the side effects of opiates meant they were ineffective in two of the case reports [25,27]. Furthermore, there are concerns regarding the use of opiates for short term incident or episodic pains [42], like the breakthrough pain provoked by movement described by Greenstreet [21].…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal pain in older adults at the end-of-life: a systematic search and critical review of the literature with priorities for future research

et al. 2013

View full text Add to dashboard Cite

BackgroundPain is an important issue in end of life care. Although musculoskeletal pain is common in older adults, it is rarely associated with the cause of death and may be overlooked as death approaches. Hence a major target for improving quality of life may be being missed.MethodsThe aim of this study was to systematically search and critically review the literature on musculoskeletal pain at the end of life. Amed, Cinahl, Internurse, Medline, Psych Info, Web of Knowledge and Cochrane review databases were searched for relevant research up to September 2012. The search strategy combined key words expanding the terms ‘palliative’ for population, ‘musculoskeletal’ for exposure, and ‘pain’ for outcome. Predefined inclusion and exclusion criteria were applied.ResultsFive relevant papers and one letter to the editor were found, including case studies and epidemiological research. Current evidence suggests musculoskeletal pain is common in older adults at the end of life and that it can have a substantial impact on individual experience. No information about community based treatment of musculoskeletal pain at the end of life was found.ConclusionPriorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

show abstract