Best practice care for persistent pain in adults with spinal cord injuries: a systematic review and narrative synthesis of clinical practice guideline recommendations

Karran Emma L.; Wiles Louise K.; Wilson Dianne J.Moseley G. Lorimer

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Best practice care for persistent pain in adults with spinal cord injuries: a systematic review and narrative synthesis of clinical practice guideline recommendations

机译：Best practice care for persistent pain in adults with spinal cord injuries: a systematic review and narrative synthesis of clinical practice guideline recommendations

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Purpose To review clinical practice guidelines (CPGs) and recent literature to identify common recommendations guiding "best practice" pain care for adults with spinal cord injury (SCI). Methods We searched four scientific databases and four guideline repositories from January 2010 to February 2022 for CPGs relating to the management of pain following SCI. We excluded guidelines that related to a single treatment modality, complementary medicines, specific disease processes, and guidelines that were not freely available. Results We identified 1373 records from which 11 met all eligibility criteria. Seven were classified as "tier 1" and were used to generate 46 care components related to neuropathic pain management. We organised these into three themes: screening and assessment, principles of evaluation and management, and management recommendations; and seven subthemes: screening, assessment and diagnosis, addressing complex care needs, ongoing evaluation, management - interventional, management - pharmacological, and management - non-pharmacological. Four CPGs were classified as "tier 2" and were used to provide supporting evidence. We identified 12 recommendations related to the management of nociceptive pain. Conclusions This synthesis of recommendations can guide consumers, clinicians, researchers, and policy makers to inform understanding and clinical implementation of evidence-based "best practice" management of pain in adults with SCI.

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《Disability and rehabilitation.》 |2023年第15期|2539-2548|共10页
作者
Karran Emma L.; Wiles Louise K.; Wilson Dianne J.Moseley G. Lorimer;
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作者单位

IIMPACT Hlth,Univ South;

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原文格式 PDF
正文语种英语
中图分类康复医学;
关键词
Spinal cord injury; pain; neuropathic pain; clinical practice guidelines; systematic review; NEUROPATHIC PAIN; REHABILITATION MANAGEMENT; SATISFACTION;

Best practice care for persistent pain in adults with spinal cord injuries: a systematic review and narrative synthesis of clinical practice guideline recommendations

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