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Treatment of chronic non-cancer pain
Author(s):
Dennis C Turk
,
Hilary D Wilson
,
Alex Cahana
Publication date
Created:
June 2011
Publication date
(Print):
June 2011
Journal:
The Lancet
Publisher:
Elsevier BV
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There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
Chronic pain is a pervasive problem that affects the patient, their significant others, and society in many ways. The past decade has seen advances in our understanding of the mechanisms underlying pain and in the availability of technically advanced diagnostic procedures; however, the most notable therapeutic changes have not been the development of novel evidenced-based methods, but rather changing trends in applications and practices within the available clinical armamentarium. We provide a general overview of empirical evidence for the most commonly used interventions in the management of chronic non-cancer pain, including pharmacological, interventional, physical, psychological, rehabilitative, and alternative modalities. Overall, currently available treatments provide modest improvements in pain and minimum improvements in physical and emotional functioning. The quality of evidence is mediocre and has not improved substantially during the past decade. There is a crucial need for assessment of combination treatments, identification of indicators of treatment response, and assessment of the benefit of matching of treatments to patient characteristics. Copyright © 2011 Elsevier Ltd. All rights reserved.
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Cancer Metabolism
Author and article information
Journal
Title:
The Lancet
Abbreviated Title:
The Lancet
Publisher:
Elsevier BV
ISSN (Print):
01406736
Publication date Created:
June 2011
Publication date (Print):
June 2011
Volume
: 377
Issue
: 9784
Pages
: 2226-2235
Article
DOI:
10.1016/S0140-6736(11)60402-9
PubMed ID:
21704872
SO-VID:
5d1e2fa6-e537-4bde-9096-8842e548f95e
Copyright ©
© 2011
License:
https://www.elsevier.com/tdm/userlicense/1.0/
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