Latest & greatest articles for pain

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Top results for pain

3361. Long-term experience with an accelerated protocol for diagnosis of chest pain

Long-term experience with an accelerated protocol for diagnosis of chest pain Long-term experience with an accelerated protocol for diagnosis of chest pain Long-term experience with an accelerated protocol for diagnosis of chest pain Caragher T E, Fernandez B B, Barr L A 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 an accelerated protocol for chest pain triage. The accelerated chest pain protocol (CPP) used medical history, electrocardiogram and the biomarkers creatine kinase (CK-MB), total CK, myoglobin and cardiac troponin I (cTnI) to rule acute coronary syndrome (ACS) in or out in a 9-hour algorithm. A multidisciplinary team involving 4 nurses, 4 physicians and 1 clinical laboratory scientist defined

2000 NHS Economic Evaluation Database.

3362. Economic analysis of terminal care for patients with malignant osteolytic bone disease and pain treated with pamidronate

Economic analysis of terminal care for patients with malignant osteolytic bone disease and pain treated with pamidronate Economic analysis of terminal care for patients with malignant osteolytic bone disease and pain treated with pamidronate Economic analysis of terminal care for patients with malignant osteolytic bone disease and pain treated with pamidronate Gessner U, Koeberle D, Thuerlimann B, Bacchus L, Horisberger B 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 pamidronate, 60 or 90 mg intravenously (i.v.), for palliation of patients with malignant osteolytic bone disease and pain. Type of intervention Palliative care. Economic study type Cost-effectiveness study. Study population The study population

2000 NHS Economic Evaluation Database.

3363. Should noncardiac chest pain be treated empirically? A cost-effectiveness analysis

Should noncardiac chest pain be treated empirically? A cost-effectiveness analysis Should noncardiac chest pain be treated empirically? A cost-effectiveness analysis Should noncardiac chest pain be treated empirically? A cost-effectiveness analysis Borzecki A M, Pedrosa M C, Prashker M 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 Empirical treatment in patients with non-cardiac chest pain (NCCP). Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population An outpatient with chest pain and a normal coronary angiogram. The prototype patient was female and aged 45 to 55 years. Setting Hospital. The economic study was carried out in the USA. Dates to which data relate Effectiveness

2000 NHS Economic Evaluation Database.

3364. Acute and chronic low back pain

Acute and chronic low back pain Acute and chronic low back pain Acute and chronic low back pain NHS Centre for Reviews and Dissemination 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 NHS Centre for Reviews and Dissemination. Acute and chronic low back pain. University of York. Effective Health Care 6(5). 2000 Authors' objectives (...) This bulletin aims to summarise the available evidence on the treatment of acute and chronic low back pain. Authors' conclusions Low back pain is very common in developed countries, especially in adults of working age. For acute low back pain, advice to continue ordinary activity can give equivalent or faster symptomatic recovery from the acute attack and lead to less chronic disability and less time off work. Bed rest should not be recommended as a treatment for acute low back pain. Non-steroidal anti

2000 Health Technology Assessment (HTA) Database.

3365. Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography?

Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Kerry S, Hilton S, Patel S, Dundas D, Rink E, Lord J (...) 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 Kerry S, Hilton S, Patel S, Dundas D, Rink E, Lord J. Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Health Technology Assessment 2000; 4(20): 1-119 Authors' objectives A study in general practice

2000 Health Technology Assessment (HTA) Database.

3366. Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia

Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Ostman J, Agenas I, Brun J, Elwin C E, Engstrand L, Johansson S, Lindberg G, Marke L A, Norlund A et al 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 Ostman J, Agenas I, Brun J, Elwin C E, Engstrand L, Johansson S, Lindberg G, Marke L A, Norlund A et al. Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia. Stockholm: Swedish Council on Technology Assessment in Health Care (SBU) 2000: 291 Authors' objectives This report critically reviews the scientific evidence of treatment for dyspepsia, and the relationship between bacterial infection involving Helicobacter pylori

2000 Health Technology Assessment (HTA) Database.

3367. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G 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 Williams J E, Louw G, Towlerton G (...) . Intrathecal pumps for giving opioids in chronic pain: a systematic review. Health Technology Assessment 2000; 4(32): 1-65 Authors' objectives This review aims to answer the following questions about intrathecal pump systems, based on an analysis of the published literature. - Which drugs and dosages are commonly used in clinical practice? - How effective is this therapy compared with other treatments? - What are the risks? - What types of patients are suitable? - How costly is this type of treatment

2000 Health Technology Assessment (HTA) Database.

3368. Back and neck pain

Back and neck pain Back and neck pain Back and neck pain Nachemson A, Carlsson C-A, Englund L, Goossens M et al 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 Nachemson A, Carlsson C-A, Englund L, Goossens M et al. Back and neck pain. Stockholm: Swedish Council on Technology Assessment in Health Care (SBU) 2000: 417 (vol I), 389 (vol II (...) ) Authors' objectives This report examines the epidemiology, diagnosis, and treatment of back and neck pain. Also covered are the economic, social, and psychosocial aspects of back pain. Authors' conclusions Back and neck pain is common. Healing is promoted by staying active, returning to work, and exercising at an appropriate intensity. A thorough anamnesis and physical examination is important for relieving anxiety about the consequences of pain and sufficient for identifying those who should

2000 Health Technology Assessment (HTA) Database.

3369. Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I

Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I Oerlemans H M, Oostendorp R A, de Boo T, van der Laan L, Severens J L, Goris J (...) regional pain syndrome Type I. Type of intervention Rehabilitation. Economic study type Cost-effectiveness analysis. Study population The study population comprised patients with RSD, excluding those with a peripheral nerve lesion. RSD was diagnosed according to the criteria published by Veldman et al. (see Other Publications of Related Interest. Patients were included if they met the following inclusion criteria: they had RSD of one upper extremity with a duration of less than 1 year; complete

2000 NHS Economic Evaluation Database.

3370. Pre-insertion local anesthesia at the trocar site improves peri-operative pain and decreases costs in laparoscopic cholecystectomy

Pre-insertion local anesthesia at the trocar site improves peri-operative pain and decreases costs in laparoscopic cholecystectomy Pre-insertion local anesthesia at the trocar site improves peri-operative pain and decreases costs in laparoscopic cholecystectomy Pre-insertion local anesthesia at the trocar site improves peri-operative pain and decreases costs in laparoscopic cholecystectomy Hasaniya N, Zayed F, Faiz H, Severino R Record Status This is a critical abstract of an economic (...) was observed. The method of randomisation was not reported. Analysis of effectiveness All of the patients included in the study were accounted for in the analysis of effectiveness (intention to treat analysis). The health outcomes used in the study were: the estimated blood loss, operative time, bile culture, and postoperative pain at the trocar site, evaluated at 4 and 24 hours from surgery using a numerical rating pain scale. The two groups were reported to be comparable at baseline in terms of age

2000 NHS Economic Evaluation Database.

3371. Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences. Full Text available with Trip Pro

Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences. To evaluate effectiveness of an exercise programme in a community setting for patients with low back pain to encourage a return to normal activities.Randomised controlled trial of progressive exercise programme compared with usual primary care management. Patients' preferences for type of management were elicited independently of randomisation.187 patients aged 18-60 years with mechanical low (...) back pain of 4 weeks to 6 months' duration.Exercise classes led by a physiotherapist that included strengthening exercises for all main muscle groups, stretching exercises, relaxation session, and brief education on back care. A cognitive-behavioural approach was used.Assessments of debilitating effects of back pain before and after intervention and at 6 months and 1 year later. Measures included Roland disability questionnaire, Aberdeen back pain scale, pain diaries, and use of healthcare

1999 BMJ Controlled trial quality: predicted high

3372. Assessment of the pain of blood-sugar testing: a randomised controlled trial. (Abstract)

Assessment of the pain of blood-sugar testing: a randomised controlled trial. Lancet puncture to the side of the thumb resulted in less pain than lancet puncture to the finger or venepuncture at the elbow. Success rates were the same.

1999 Lancet Controlled trial quality: uncertain

3373. Postoperative pain and subcutaneous oxygen tension. (Abstract)

Postoperative pain and subcutaneous oxygen tension. Surgical patients randomly assigned to standard pain control had postoperative subcutaneous oxygen partial pressures that were significantly less than patients given better pain treatment. Our data suggest that control of postoperative pain is a major determinant of surgical-wound infection and should be given the same consideration as maintaining adequate vascular volume and normothermia.

1999 Lancet Controlled trial quality: uncertain

3374. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. Full Text available with Trip Pro

A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. The effect of osteopathic manual therapy (i.e., spinal manipulation) in patients with chronic and subchronic back pain is largely unknown, and its use in such patients is controversial. Nevertheless, manual therapy is a frequently used method of treatment in this group of patients.We performed a randomized, controlled trial that involved patients who had had back pain for at least three weeks (...) but less than six months. We screened 1193 patients; 178 were found to be eligible and were randomly assigned to treatment groups; 23 of these patients subsequently dropped out of the study. The patients were treated either with one or more standard medical therapies (72 patients) or with osteopathic manual therapy (83 patients). We used a variety of outcome measures, including scores on the Roland-Morris and Oswestry questionnaires, a visual-analogue pain scale, and measurements of range of motion

1999 NEJM Controlled trial quality: uncertain

3375. Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. (Abstract)

Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Groin pain is common among athletes. A major cause of long-standing problems is adductor-related groin pain. The purpose of this randomised clinical trial was to compare an active training programme (AT) with a physiotherapy treatment without active training (PT) in the treatment of adductor-related groin pain in athletes.68 athletes with long-standing (median 40 (...) weeks) adductor-related groin pain--after examination according to a standardised protocol--were randomly assigned to AT or PT. The treatment period was 8-12 weeks. 4 months after the end of treatment a standardised examination was done. The examining physician was unaware of the treatment allocation. The ultimate outcome measure was full return to sports at the same level without groin pain. Analyses were by intention to treat.23 patients in the AT group and four in the PT group returned to sports

1999 Lancet Controlled trial quality: uncertain

3376. Percutaneous electrical nerve stimulation for low back pain: a randomized crossover study. (Abstract)

Percutaneous electrical nerve stimulation for low back pain: a randomized crossover study. Low back pain (LBP) contributes to considerable disability and lost wages in the United States. Commonly used opioid and nonopioid analgesic drugs produce adverse effects and are of limited long-term benefit in the management of this patient population.To compare the effectiveness of a novel nonpharmacologic pain therapy, percutaneous electrical nerve stimulation (PENS), with transcutaneous electrical (...) nerve stimulation (TENS) and flexion-extension exercise therapies in patients with long-term LBP.A randomized, single-blinded, sham-controlled, crossover study from March 1997 to December 1997.An ambulatory pain management center at a university medical center.Twenty-nine men and 31 women with LBP secondary to degenerative disk disease.Four therapeutic modalities (sham-PENS, PENS, TENS, and exercise therapies) were each administered for a period of 30 minutes 3 times a week for 3 weeks.Pretreatment

1999 JAMA Controlled trial quality: uncertain

3377. 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.

3378. 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.

3379. Efficacy of epidural steroids in low back pain and sciatica: a critical appraisal by a French Task Force of randomized trials

Efficacy of epidural steroids in low back pain and sciatica: a critical appraisal by a French Task Force of randomized trials Efficacy of epidural steroids in low back pain and sciatica: a critical appraisal by a French Task Force of randomized trials Efficacy of epidural steroids in low back pain and sciatica: a critical appraisal by a French Task Force of randomized trials Rozenberg S, Dubourg G, Khalifa P, Paolozzi L, Maheu E, Ravaud P Authors' objectives To assess the efficacy of epidural (...) steroid injections in the treatment of common low back pain and sciatica. Searching The authors searched the electronic database of MEDLINE (1966 to 1997) using the search terms: 'lumbosciatica', 'low back pain and sciatica', and 'epidural steroids'. The authors also checked the retrieved studies against a previous review on the topic by Koes et al., (see Other Publications of Related Interest no.1). Only one additional, more recent, study was retrieved. Study selection Study designs of evaluations

1999 DARE.

3380. Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review

Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review Fox P L, Raina P, Jadad A R Authors' objectives To assess the effectiveness of pain treatment in older adults in nursing (...) homes. Searching The authors searched MEDLINE (January 1966 to May 1997), HEALTH (January 1975 to May 1997), CINAHL (January 1982 to April 1997), AGELINE (January 1978 to May 1997) and the Cochrane Library (Issue 1, 1997) using MeSH terms and textwords: 'nursing home', 'chronic care hospital', 'health services for the aged', 'pain', 'analgesic', and 'analgesia'. The authors also scanned the reference lists of relevant individual studies, chapters in textbooks and journal review articles

1999 DARE.