Latest & greatest articles for pain

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Top results for pain

3341. Acupuncture and the treatment of chronic low-back pain: a review of the literature

Acupuncture and the treatment of chronic low-back pain: a review of the literature Acupuncture and the treatment of chronic low-back pain: a review of the literature Acupuncture and the treatment of chronic low-back pain: a review of the literature Strauss A J Authors' objectives To assess the efficacy of acupuncture treatment for chronic lower-back pain. Searching MEDLINE, CINAHL, MANTIS, AMED and AMI databases, and the Internet were searched for studies published in the English language from (...) 1978 to October 1998. The keywords used were 'low back pain', 'acupuncture' and 'Chinese medicine'. The references from relevant publications were also examined. Abstracts and unpublished studies were excluded. Study selection Study designs of evaluations included in the review Clinical trials were eligible. Specific interventions included in the review Experimental interventions that included acupuncture were eligible. Three of the four studies used the Western Medicine model of acupuncture

1999 DARE.

3342. A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery

A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery Moiniche S, Mikkelsen S, Wetterslev J, Dahl J B Authors' objectives To assess the effect of intra-articular local anesthesia in the control (...) of postoperative pain after arthroscopic knee surgery. Searching The authors searched the electronic databases MEDLINE (up to May 1998) and the Cochrane Library (1998, issue 2), using the search terms: 'intra-articular', 'knee', 'postoperative pain', 'local anesthesia', 'bupivacaine', 'lidocaine', 'prilocaine', 'arthroscopy', and 'surgery'. Additional reports were identified from reference lists of retrieved papers. There were no language restrictions. Abstracts, correspondences, or unpublished observations

1999 DARE.

3343. Thoracic epidural anesthesia for pain relief and postoperation recovery with modified radical mastectomy

Thoracic epidural anesthesia for pain relief and postoperation recovery with modified radical mastectomy Thoracic epidural anesthesia for pain relief and postoperation recovery with modified radical mastectomy Thoracic epidural anesthesia for pain relief and postoperation recovery with modified radical mastectomy Yeh C C, Yu J C, Wu C T, Ho S T, Chang T M, Wong C S 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 Thoracic epidural anaesthesia (TEA) for modified radical mastectomy (MRM) surgery to provide postoperative pain relief and recovery. In TEA group patients, 2% lidocaine (15-20 ml) was administered via the epidural route as primary anaesthesia, in conjunction with midazolam (5-10 mg) and fentanyl (<250 micro g

1999 NHS Economic Evaluation Database.

3344. Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview

Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Khan K S, Khan S F, Nwosu C R, Dwarakanath L S, Chien P F Authors' objectives To assess the efficacy of laparoscopic uterine nerve ablation (LUNA) in the treatment of chronic pelvic pain, by means of a systematic overview of the published literature. Searching MEDLINE (...) or acyclic pelvic pain that had persisted for months and including dysmenorrhoea, deep dyspareunia or intermenstrual pain. Outcomes assessed in the review Pain relief measured in general terms or assessed using visual analogue or numeric pain scales. How were decisions on the relevance of primary studies made? Citation lists and full articles were independently reviewed by two reviewers. Disagreements were resolved by consensus or arbitration by a third reviewer. Assessment of study quality The following

1999 DARE.

3345. Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences

Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences Moffett J K, Torgerson D, Bell-Syer S B, Jackson D, Llewlyn-Phillips H, Farrin A, Barber J 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 Exercise programme for low back pain. The programme comprised exercise classes of one hour each spread over four weeks. The classes were led by a physiotherapist and included strengthening exercises for all main muscle groups, stretching exercises, relaxation session and brief education

1999 NHS Economic Evaluation Database.

3346. Is it cost-effective to use a mucosal or paracervical block to relieve the pain and cramping from cryosurgery? A decision model

Is it cost-effective to use a mucosal or paracervical block to relieve the pain and cramping from cryosurgery? A decision model Is it cost-effective to use a mucosal or paracervical block to relieve the pain and cramping from cryosurgery? A decision model Is it cost-effective to use a mucosal or paracervical block to relieve the pain and cramping from cryosurgery? A decision model Harper D M, Cobb J 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 The use of paracervical and mucosal blocks to relieve pain and cramping in 5-minute double-freeze cryosurgery for cervical intraepithelial neoplasia. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population consisted

1999 NHS Economic Evaluation Database.

3347. Determination of an effective dose of intrathecal morphine for pain relief after cesarean delivery

Determination of an effective dose of intrathecal morphine for pain relief after cesarean delivery Determination of an effective dose of intrathecal morphine for pain relief after cesarean delivery Determination of an effective dose of intrathecal morphine for pain relief after cesarean delivery Gerancher J C, Floyd H, Eisenach J 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 Administering intrathecal (IT) morphine along with oral hydrocodone/acetaminophen and other commonly prescribed drugs for pain relief after cesarean delivery. The method of administration of IT morphine was up-down sequential allocation of doses. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population

1999 NHS Economic Evaluation Database.

3348. Cost-effectiveness of diagnostic strategies for patients with chest pain

Cost-effectiveness of diagnostic strategies for patients with chest pain Cost-effectiveness of diagnostic strategies for patients with chest pain Cost-effectiveness of diagnostic strategies for patients with chest pain Kuntz K M, Fleischmann K E, Hunink M G, Douglas P S 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 (...) was eligible; otherwise, medical therapy as appropriate; and conservative: CABG for triple-vessel or left main coronary artery disease, otherwise, medical therapy as appropriate. Type of intervention Diagnosis. Economic study type Cost-utility analysis. Study population The study population was hypothetical cohorts of patients with three types of chest pain, typical angina, atypical angina, and non-specified chest pain. According to intensity, chest pain was classified as mild or severe. Base-case analysis

1999 NHS Economic Evaluation Database.

3349. Cost-effectiveness of exercise 201Tl myocardial SPECT in patients with chest pain assessed by decision-tree analysis

Cost-effectiveness of exercise 201Tl myocardial SPECT in patients with chest pain assessed by decision-tree analysis Cost-effectiveness of exercise 201Tl myocardial SPECT in patients with chest pain assessed by decision-tree analysis Cost-effectiveness of exercise 201Tl myocardial SPECT in patients with chest pain assessed by decision-tree analysis Kosuda S, Ichihara K, Momiyama Y, Ohsuzu F, Kusano S 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 Exercise 201 TI myocardial SPECT in outpatients with angina-like chest pain. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population For the single study the population consisted of male and female outpatients with angina-like chest pain

1999 NHS Economic Evaluation Database.

3350. The cost-effectiveness of the omeprazole test in patients with noncardiac chest pain

The cost-effectiveness of the omeprazole test in patients with noncardiac chest pain The cost-effectiveness of the omeprazole test in patients with noncardiac chest pain The cost-effectiveness of the omeprazole test in patients with noncardiac chest pain Ofman J J, Gralnek I M, Udani J, Fennerty M B, Fass 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 The omeprazole test in patients with non-cardiac chest pain. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population Hypothetical cohort of patients with non-cardiac chest pain in whom a comprehensive evaluation had excluded a cardiac cause for chest pain. Setting Hospital. The study was carried out in the USA. Dates to which data

1999 NHS Economic Evaluation Database.

3351. Massage therapy for low back pain: a systematic review

Massage therapy for low back pain: a systematic review Massage therapy for low back pain: a systematic review Massage therapy for low back pain: a systematic review Ernst E Authors' objectives To assess the effectiveness of massage therapy in low back pain (LBP). Searching MEDLINE, EMBASE, and the Cochrane Library were searched (inception - July 1997). Additionally, the author searched his own files and asked other researchers for further relevant articles. Bibliographies of retrieved articles (...) , traction, and no treatment. Participants included in the review Patients with any form of LBP, including acute, subacute, or chronic. Outcomes assessed in the review The outcome measures used varied between studies, and included pain (assessed by visual analogue scale), Borg Scale, Confidence Scale, Schober test, straight leg raise, extension strength, Oswestry Scale, Roland-Morris Scale, general symptoms, activities of daily living, mobility, tenderness to palpation, fingertip flexion test

1999 DARE.

3352. A systematic review of randomized controlled trials of acupuncture for neck pain

A systematic review of randomized controlled trials of acupuncture for neck pain A systematic review of randomized controlled trials of acupuncture for neck pain A systematic review of randomized controlled trials of acupuncture for neck pain White A R, Ernst E Authors' objectives To establish whether there is evidence for or against the efficacy of acupuncture in the treatment of neck pain. Searching The following sources were searched: MEDLINE database (1966 to 1997); EMBASE (1974 to 1997 (...) ); the Cochrane Library (Issue 1, 1998); and CISCOM (December 1997). Search terms used were: neck pain; cervical; cervicogenic; osteoarthritis; acupuncture; and controlled trial. The authors' own files were searched, including reviews of acupuncture treatment for pain. Reference lists of original articles were scanned. No language restrictions were applied. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) of acupuncture for neck pain were included. Four

1999 DARE.

3353. Injected morphine in postoperative pain: a quantitative systematic review

Injected morphine in postoperative pain: a quantitative systematic review Injected morphine in postoperative pain: a quantitative systematic review Injected morphine in postoperative pain: a quantitative systematic review McQuay H J, Carroll D, Moore R A Authors' objectives To compare the efficacy of single-dose subcutaneous, intramuscular or intravenous morphine with placebo in the control of post operative pain. Searching A number of different search strategies were conducted of MEDLINE (1966 (...) to 1997), EMBASE (1980 to 1997), the Cochrane Library (1997 issue 2) and the Oxford Pain Relief Database (1950 to 1994). The last electronic search was conducted in March 1997. No language restrictions were applied. Reference lists of retrieved reports, review articles and specialist textbooks were examined. Review articles, letters and abstracts were excluded. Study selection Study designs of evaluations included in the review Randomised placebo controlled trials of blinded design were included

1999 DARE.

3354. 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.

3355. Low Back Pain, Guideline for Hospitalization for

Low Back Pain, Guideline for Hospitalization for Medical Treatment Guidelines Washington State Department of Labor and Industries Guideline for hospitalization for low back pain The following guideline replaces Criteria for Non-Surgical Hospital Admission for Acute and Chronic Low Back Pain. Changes in Practice Patterns: Several years ago it was fairly common for physicians to hospitalize patients for medical management of low back pain. Typically, hospitalized patients were treated with bed (...) rest, traction, and medication. The frequency with which low back pain patients are hospitalized for medical management has dropped dramatically during the past ten years. This trend applies to both the injured worker population and other patient groups. For example, in 1986 there were approximately 1500 hospitalizations for medical management of low back pain among L&I patients; in 1996, the corresponding number was about 70. The present guidelines reflect the current consensus

1998 Washington State Department of Labor and Industries

3356. Double-blind randomised controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy. (Abstract)

Double-blind randomised controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy. Haemorrhoidectomy is commonly an inpatient procedure because patients and doctors worry about postoperative pain. Day-case haemorrhoidectomy (DCH) is possible if patient anxiety is addressed and postoperative pain and bowel function are managed. Pain sometimes increases a few days after haemorrhoidectomy, possibly because of secondary infection. We studied the effect of metronidazole (...) on pain after DCH.We randomly assigned 40 consecutive patients admitted for DCH metronidazole 400 mg (n = 20) or placebo (n = 20) three times daily, both for 7 days. All patients received lactulose from 2 days before surgery for 2 weeks. Diathermy DCH was performed without pedicle ligature or anal-canal dressing, and a diclofenac suppository was administered at the end of the procedure. Patients were discharged on the same day with diclofenac, 0.2% glyceryl-trinitrate ointment, lactulose, a telephone

1998 Lancet Controlled trial quality: predicted high

3357. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. Full Text available with Trip Pro

A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. There are few data on the relative effectiveness and costs of treatments for low back pain. We randomly assigned 321 adults with low back pain that persisted for seven days after a primary care visit to the McKenzie method of physical therapy, chiropractic manipulation, or a minimal intervention (provision of an educational booklet). Patients (...) between the physical-therapy and chiropractic groups and no significant differences among the groups in the numbers of days of reduced activity or missed work or in recurrences of back pain. About 75 percent of the subjects in the therapy groups rated their care as very good or excellent, as compared with about 30 percent of the subjects in the booklet group (P<0.001). Over a two-year period, the mean costs of care were $437 for the physical-therapy group, $429 for the chiropractic group, and $153

1998 NEJM Controlled trial quality: uncertain

3358. Lumbar supports and education for the prevention of low back pain in industry: a randomized controlled trial. (Abstract)

Lumbar supports and education for the prevention of low back pain in industry: a randomized controlled trial. Low back pain is a frequent and costly health problem. Prevention of low back pain is important both for the individual patient and from an economic perspective.To assess the efficacy of lumbar supports and education in the prevention of low back pain in industry.A randomized controlled trial with a factorial design.The cargo department of an airline company in the Netherlands.A total (...) of 312 workers were randomized, of whom 282 were available for the 6-month follow-up.Subjects were randomly assigned to 4 groups: (1) education (lifting instructions) and lumbar support, (2) education, (3) lumbar support, and (4) no intervention. Education consisted of 3 group sessions on lifting techniques with a total duration of 5 hours. Lumbar supports were recommended to be used during working hours for 6 months.Low back pain incidence and sick leave because of back pain during the 6-month

1998 JAMA Controlled trial quality: predicted high

3359. Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomised trial. Full Text available with Trip Pro

Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomised trial. To compare the effectiveness of corticosteroid injections with physiotherapy for the treatment of painful stiff shoulder.Randomised trial.40 general practices.109 patients consulting general practitioners for shoulder pain were enrolled in the trial.Patients were randomly allocated to 6 weeks of treatment either with corticosteroid injections (53 (...) ) or physiotherapy (56).Outcome assessments were carried out 3, 7, 13, 26, and 52 weeks after randomisation; some of the assessments were done by an observer blind to treatment allocation. Primary outcome measures were the success of treatment as measured by scores on scales measuring improvement in the main complaint and pain, and improvement in scores on a scale measuring shoulder disability.At 7 weeks 40 (77%) out of 52 patients treated with injections were considered to be treatment successes compared

1998 BMJ Controlled trial quality: predicted high

3360. Acupuncture and amitriptyline for pain due to HIV-related peripheral neuropathy: a randomized controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS. (Abstract)

Acupuncture and amitriptyline for pain due to HIV-related peripheral neuropathy: a randomized controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS. Peripheral neuropathy is common in persons infected with the human immunodeficiency virus (HIV) but few data on symptomatic treatment are available.To evaluate the efficacy of a standardized acupuncture regimen (SAR) and amitriptyline hydrochloride for the relief of pain due to HIV-related peripheral neuropathy in HIV (...) -associated, symptomatic, lower-extremity peripheral neuropathy. Of 250 patients enrolled, 239 were in the acupuncture comparison (125 in the factorial option and 114 in the SAR option vs control points option), and 136 patients were in the amitriptyline comparison (125 in the factorial option and 11 in amitriptyline option vs placebo option).Standardized acupuncture regimen vs control points, amitriptyline (75 mg/d) vs placebo, or both for 14 weeks.Changes in mean pain scores at 6 and 14 weeks, using

1998 JAMA Controlled trial quality: predicted high