Preface: Policy issues related to clinical practice guidelines

Jacox, Ada; Carr, Daniel B.; Payne, Richard

doi:10.1016/0885-3924(94)90122-8

Cited by 53 publications

(30 citation statements)

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“…When severity of pain estimated by the doctor was used as the reference, pain treatment remained inadequate (negative prescription adequacy index scores) for 70% (85/121) of the patients. Antidepressants are considered useful for the treatment of neuropathic pain 10. In this study antidepressants were prescribed to 21 patients but to only one of the 33 patients suffering painful peripheral neuropathies and to two of the 29 patients with central nervous system pain.…”

Section: Resultsmentioning

confidence: 99%

“…It has been recommended that pain management for AIDS patients follows the model of the World Health Organisation analgesic ladder developed for the management of cancer pain 7101112. Although this model has not yet been systematically validated, clinical reports describe its successful application to the management of pain in AIDS, particularly with respect to the use of opioids to treat severe pain 1314.…”

Section: Introductionmentioning

confidence: 99%

“…Although this model has not yet been systematically validated, clinical reports describe its successful application to the management of pain in AIDS, particularly with respect to the use of opioids to treat severe pain 1314. In addition, adjuvant drugs, such as antidepressants, have been shown to be effective for the treatment of neuropathic pain,10 which seems common in the course of AIDS,7 and is only partly sensitive to opioids 15…”

Section: Introductionmentioning

confidence: 99%

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Underestimation and undertreatment of pain in HIV disease: multicentre study

Larue

Fontaine

Colleau

1997

BMJ

174

107

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Underestimation and undertreatment of pain in HIV disease: multicentre study

Larue

Fontaine

Colleau

1997

BMJ

174

107

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“…Pain has been defined as an "unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in such terms" [12]. As such, pain is subjective with emotional and physical components.…”

Section: Chronic Migraine As a Pain Syndromementioning

confidence: 99%

Cosensitization of pain and psychiatric comorbidity in chronic daily headache

Cady

Farmer²,

Dexter³

et al. 2005

Current Science Inc

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Chronic migraine occurs in approximately 20% of migraineurs, typically developing over a period of many years. The pathophysiology of this transformation is unknown. However, experts have associated chronic headache with analgesic overuse, physical injury, and psychologic trauma. Research in post-traumatic stress disorder has found that hippocampal sensitivity to stress alters and often amplifies future pain behaviors. Although the most obvious difference between migraine and chronic migraine is the frequency of headaches, this article discusses chronic migraine as a more pervasive neurologic disease in which the patient's neurologic and psychologic function fails to return to a normal baseline. The sensory and affective components of pain are cosensitized, producing other neurologic and psychologic symptoms during and between episodes of headache. A staging paradigm is suggested that defines patients and assesses their overall neurologic function. The goal of this classification is to identify cosensitization early and pinpoint migraine patients who are at risk of developing chronic migraine.

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“…The clinical impression is that they are useful for neuropathic pain, especially when the pain is lancinating or burning 1. Although these disorders are not common (the incidence of trigeminal neuralgia is 4/100000 a year2), they can be very disabling.…”

Section: Introductionmentioning

confidence: 99%

Anticonvulsant drugs for management of pain: a systematic review

McQuay

Carroll

Jadad

et al. 1995

BMJ

669

252

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Objective-To determine effectiveness and adverse effects of anticonvulsant drugs in management ofpain.Design-Systematic review of randomised controlled trials ofanticonvulsants for acute, chronic, or cancer pain identified by using Medline, by hand searching, by searching reference lists, and by contacting investigators.Subjects-Between 1966 and February 1994, 37 reports were found; 20 reports, of four anticonvulsants, were eligible.Main outcome measures-Numbers needed to treat were calculated for effectiveness, adverse effects, and drug related withdrawal from study.

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Preface: Policy issues related to clinical practice guidelines

Cited by 53 publications

References 0 publications

Underestimation and undertreatment of pain in HIV disease: multicentre study

Underestimation and undertreatment of pain in HIV disease: multicentre study

Cosensitization of pain and psychiatric comorbidity in chronic daily headache

Anticonvulsant drugs for management of pain: a systematic review

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