Latest & greatest articles for chronic pain

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Top results for chronic pain

721. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache

Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding (...) headache Morley S, Eccleston C, Williams A Authors' objectives To answer two broad questions: 1. Is cognitive behavioural therapy (including behaviour therapy and biofeedback) an effective treatment for chronic pain, i.e. is it'better' than no treatment? 2. Is cognitive behavioural therapy more effective than alternative active treatments? Searching Four computer abstracting services were selected and their yields compared; MEDLINE, PsycLIT, EMBASE and the Social Science Citation Index (SSCI

1999 DARE.

722. Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review

Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Tramer M R, Williams J E, Carroll (...) , and there was no attempt to find unpublished studies. Study selection Study designs of evaluations included in the review Published randomised controlled trials (RCTs) of direct comparisons of NSAIDs, given by different routes of administration, and tested in acute or chronic pain with assessment of pain outcomes, were eligible for inclusion. Comparisons of different drugs across different routes were not analysed. The included trials were those with an internal sensitivity index in the form of a placebo control

1998 DARE.

723. Relaxation for the relief of chronic pain: a systematic review

Relaxation for the relief of chronic pain: a systematic review Relaxation for the relief of chronic pain: a systematic review Relaxation for the relief of chronic pain: a systematic review Carroll D, Seers K Authors' objectives To establish the effectiveness of relaxation strategies in managing chronic pain by means of a systematic review of published randomised controlled trials (RCTs). Searching The following databases were searched: MEDLINE from 1966 to June 1996; PsycLIT from 1974 to June (...) , review articles, and evaluations of laboratory experiments were not considered for inclusion. Specific interventions included in the review Relaxation techniques used with either chronic cancer or chronic non-malignant pain conditions were included. The relaxation techniques were usually progressive muscle relaxation with tape recordings and regular home practice. Studies in which a relaxation technique was studied in combination with another pain intervention, such as cognitive behaviour therapy

1998 DARE.

724. Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise

Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Hilde G, Bo K Authors' objectives To evaluate the efficacy of exercise in the treatment of low back pain (LBP), with emphasis on dose (...) exercise and encouragement for home exercise, soft tissue treatment with manual traction, co-ordination exercises, ergonomic counselling, and hot packs. Participants included in the review Participants had chronic or subchronic low back pain, with or without referred or radicular pain. Chronic LBP was defined as pain lasting greater than or equal to 3 months; subchronic LBP was defined as pain lasting greater than 4 weeks, together with at least three recurrent back pain episodes during the last 6

1998 DARE.

725. Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial

Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Goossens M E, Rutten-van Molken M P, Kole-Snijders A M, Vlaeyen J W, Van Breukelen G, Leidl R Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Behavioural rehabilitation programmes of chronic low back pain: OPCON (operant programme with cognitive programme/relaxation), OPDIM (operant programme with a group discussion treatment) and USUAL (operant rehabilitation as usual). Type of intervention

1998 NHS Economic Evaluation Database.

726. Systematic review of outpatient services for chronic pain control

Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control McQuay HJ, Moore RA, Eccleston C, Morley S, de C Williams AC Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation McQuay HJ, Moore RA, Eccleston C (...) , Morley S, de C Williams AC. Systematic review of outpatient services for chronic pain control. Health Technology Assessment 1997; 1(6): 1-137 Authors' objectives This report reviews the evidence about the effectiveness of treatments for chronic pain. While treatment of chronic pain is usually seen as an integrated service, this report concentrates on the individual interventions that constitute the service. Authors' conclusions The findings show that there is excellent evidence of effectiveness

1997 Health Technology Assessment (HTA) Database.

727. Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis

Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Brown A, Hughes M, Tenner S, Banks P A Authors' objectives To determine whether pancreatic enzyme supplements significantly decrease abdominal pain in patients with chronic (...) pancreatitis. Searching MEDLINE was searched for English language studies using the keywords 'pancreatic enzyme supplements', 'pain', and a combination of these terms. Study selection Study designs of evaluations included in the review Prospective, randomised double-blind placebo-controlled trials (RCTs), which evaluated the usage of pancreatic enzymes for the relief of pain in patients with chronic pancreatitis, were included. The duration of the studies ranged from 2 weeks to 8 months. Specific

1997 DARE.

728. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions

Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions van Tulder M W, Koes B W (...) , Bouter L M Authors' objectives To assess the effectiveness of the most common conservative types of treatment for patients with acute and chronic nonspecific lower-back pain (LBP). Searching MEDLINE was searched from 1966 to September 1995, EMBASE from 1980 to September 1995, and PsycLIT from 1984 to September 1995; the search terms were provided. The bibliographies of identified studies were examined. Only English language publications were selected. Study selection Study designs of evaluations

1997 DARE.

729. Randomized controlled trials in industrial low back pain. Part 3: subacute/chronic pain interventions

Randomized controlled trials in industrial low back pain. Part 3: subacute/chronic pain interventions Randomized controlled trials in industrial low back pain. Part 3: subacute/chronic pain interventions Randomized controlled trials in industrial low back pain. Part 3: subacute/chronic pain interventions Scheer S J, Watanabe T K, Radack K L Authors' objectives To assess the effectiveness of interventions for subacute and chronic industrial lower-back pain for facilitating return to work (...) to support the lumbar-abdominal region. Participants included in the review Adults with chronic lower-back pain were included. Outcomes assessed in the review Return to work was assessed. How were decisions on the relevance of primary studies made? Only studies with a return-to-work outcome measure were included. Assessment of study quality A 26-point abstraction system was used to assess methodological quality. The authors do not state how the papers were assessed quality, or how many of the authors

1997 DARE.

730. Systematic review of outpatient services for chronic pain control

Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control McQuay H J, Moore R A, Eccleston C, Morley S, De C Williams A C Authors' objectives To review the evidence for the effectiveness of treatments for chronic back pain, concentrating on the individual interactions that constitute the service. Searching MEDLINE (from 1966 to 1997), EMBASE, Cochrane (...) blockade; epidural corticosteroids; injections of corticosteroids; spinal cord stimulators. Pharmacological interventions: minor analgesics; anticonvulsant and antidepressant drugs; systemic local anaesthetic-type drugs; topical non-steroidal anti-inflammatory drugs (NSAIDs); topical capsaicin. Psychological approaches: cognitive-behavioural therapies. Participants included in the review Patients with acute and chronic back pain were included. Outcomes assessed in the review The outcome measure

1997 DARE.

731. The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain

The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain Jung A C, Staiger T, Sullivan M Authors' objectives To assess the effectiveness of selective serotonin reuptake inhibitors in the management of chronic pain. Searching MEDLINE was searched for English language literature from (...) , sulpiride, fluvoxamine, mianserine, amitriptyline, citalopram, femoxetine and propranolol. Participants included in the review Patients with chronic pain, including headaches, diabetic neuropathy, fibromyalgia and mixed chronic pain. Outcomes assessed in the review The outcomes assessed were headache status, mood, pain relief, peripheral nerve function, sleep disturbance, tender point score, fatigue and depression. How were decisions on the relevance of primary studies made? The authors do not state how

1997 DARE.

732. Office microlaparoscopy under local anesthesia for chronic pelvic pain

Office microlaparoscopy under local anesthesia for chronic pelvic pain Office microlaparoscopy under local anesthesia for chronic pelvic pain Office microlaparoscopy under local anesthesia for chronic pelvic pain Palter S F, Olive D L Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability (...) of the study and the conclusions drawn. Health technology Office microlaparoscopy under local anesthesia (OLULA) for the evaluation of chronic pelvic pain (CPP) or infertility. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population Patients with CPP or infertility requiring diagnostic laparoscopy. Setting Office-based free-standing faculty practice at a tertiary care referral centre and hospital. The economic study was carried out in New Haven, Connecticut, USA

1997 NHS Economic Evaluation Database.

733. Systematic review of outpatient services for chronic pain control Full Text available with Trip Pro

Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata

1997 NIHR HTA programme

734. Randomised trial of oral morphine for chronic non-cancer pain. (Abstract)

Randomised trial of oral morphine for chronic non-cancer pain. The use of opioid analgesics for chronic non-cancer pain is controversial. Some surveys report good pain relief and improvement in performance while others suggest a poor outcome with a propensity to psychological dependence or addiction.We undertook a randomised double-blind crossover study to test the hypothesis that oral morphine relieves pain and improves the quality of life in patients with chronic regional pain of soft tissue (...) -resistant chronic regional pain of soft-tissue or musculoskeletal origin, nine weeks of oral morphine in doses up to 120 mg daily may confer analgesic benefit with a low risk of addiction but is unlikely to yield psychological or functional improvement.

1996 Lancet Controlled trial quality: uncertain

735. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. (Abstract)

Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. Chronic pain in the cervical zygapohyseal joints is a common problem after whiplash injury, but treatment is difficult. Percutaneous radiofrequency neurotomy can relieve the pain by denaturing the nerves innervating the painful joint, but the efficacy of this treatment has not been established.In a randomized, double-blind trial, we compared percutaneous radio-frequency neurotomy in which multiple lesions were (...) patients in the active-treatment group had numbness in the territory of the treated nerves, but none considered it troubling.In patients with chronic cervical zygapophyseal-joint pain confirmed with double-blind, placebo-controlled local anesthesia, percutaneous radio-frequency neurotomy with multiple lesions of target nerves can provide lasting relief.

1996 NEJM Controlled trial quality: predicted high

736. Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia

Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia 37 Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia National Institutes of Health Technology Assessment Conference Statement October 16–18, 1995 NATIONAL INSTITUTES OF HEALTH Office of the Director 35 About the NIH Technology Assessment Program NIH Technology Assessment Conferences and Workshops are convened to evaluate available scientific (...) bibliographic reference to this technology assessment statement, it is recommended that the following format be used, with or without source abbreviations, but without authorship attribution: Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia. NIH Technol Assess Statement 1995 Oct 16–18; 1-34. Publications Ordering Information NIH Consensus Statements, NIH Technology Assessment Statements, and related materials are available by writing to the NIH Consensus

1995 NIH Consensus Statements

737. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Full Text available with Trip Pro

Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. To evaluate a progressive fitness programme for patients with chronic low back pain.Single blind randomised controlled trial. Assessments were carried out before and after treatment by an observer blinded to the study and included a battery of validated measures. All patients were followed up by postal questionnaire six months after treatment.Physiotherapy department of orthopaedic hospital (...) .81 patients with chronic low back pain referred from orthopaedic consultants for physiotherapy. The patients were randomly allocated to a fitness programme or control group.Both groups were taught specific exercises to carry out at home and referred to a back-school for education in back care. Patients allocated to the fitness class attended eight exercise classes over four weeks in addition to the home programme and backschool.Significant differences between the groups were shown in the changes

1995 BMJ Controlled trial quality: uncertain

738. Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain

Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Rohling M L, Binder L M, Langhinrichsen-Rohling J Authors' objectives To review (...) , evaluate and summarise the existing data on compensation and pain using meta-analytic techniques. Searching MEDLINE and PsycINFO were searched back to 1966 using the keywords: 'accident neurosis', 'traumatic neurosis', 'compensation-neurosis', 'chronic pain', 'disability', 'compensation' and 'litigation'. In addition, the reference lists of relevant review articles and studies were examined. Only published literature was included. Study selection Study designs of evaluations included in the review

1995 DARE.

739. Spinal cord stimulation for chronic low back pain: a systematic literature synthesis

Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Turner J A, Loeser J D, Bell K G Authors' objectives To analyse the long-term benefits and risks of spinal cord stimulation (SCS) for people with chronic back or leg pain, who have already had one or more operations for lower-back and/or leg (...) pain. Searching MEDLINE was searched from 1966 to 1994 for articles included under (1) epidural stimulation, dorsal column stimulation and SCS, and (2) chronic pain, intractable pain, lower-back pain or failed back surgery. Other studies were identified from bibliographies of articles and book chapters, personal files, and literature supplied by manufacturers and physicians. Study selection Study designs of evaluations included in the review All 39 studies were case series. Specific interventions

1995 DARE.

740. Lack of effect of intraarticular corticosteroids for chronic pain in the cervical zygapophyseal joints. (Abstract)

Lack of effect of intraarticular corticosteroids for chronic pain in the cervical zygapophyseal joints. Chronic pain in the cervical zygapophyseal joints is a common problem after a whiplash injury. Treatment with intraarticular injections of corticosteroid preparations has been advocated, but the value of this approach has not been established. We compared the efficacy of a depot injection of a corticosteroid preparation with the efficacy of an injection of a local anesthetic agent in patients (...) with painful cervical zygapophyseal joints.Sixteen men and 25 women with pain in one or more cervical zygapophyseal joints after automobile accidents (mean age, 43 years; median duration of pain, 39 months) were randomly assigned to receive an intraarticular injection of either bupivacaine (0.5 percent) or betamethasone (5.7 mg) under double-blind conditions. The patients were followed by means of regular telephone contact and clinic visits until they reported a return to a level of pain equivalent to 50

1994 NEJM Controlled trial quality: uncertain