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Naslov:European* clinical practice recommendations on opioids for chronic noncancer pain - Part 1 : role of opioids in the management of chronic noncancer pain
Avtorji:ID Hauser, Winfried (Avtor)
ID Morlion, Bart (Avtor)
ID Vowles, Kevin E. (Avtor)
ID Bannister, Kirsty (Avtor)
ID Buchser, Eric (Avtor)
ID Casale, Roberto (Avtor)
ID Chenot, Jean-François (Avtor)
ID Chumbley, Gillian (Avtor)
ID Drewes, Asbjørn M. (Avtor)
ID Dom, Gert (Avtor)
ID Jutila, Liisa (Avtor)
ID O'Brien, Tony (Avtor)
ID Pogatzky-Zahn, Esther (Avtor)
ID Rakuša, Martin (Avtor)
ID Suarez-Serrano, Carmen (Avtor)
ID Tölle, Thomas (Avtor)
ID Krčevski-Škvarč, Nevenka (Avtor)
Datoteke:.pdf Häuser-2021-European__clinical_practice_recomm.pdf (211,63 KB)
MD5: C44161E5E2E50426D07F27BB863E8C02
 
URL https://doi.org/10.1002/ejp.1736
 
Jezik:Angleški jezik
Vrsta gradiva:Znanstveno delo
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:MF - Medicinska fakulteta
Opis:Background: Opioid use for chronic non-cancer pain (CNCP) is complex. In the absence of pan-European guidance on this issue, a position paper was commissioned by the European Pain Federation (EFIC). Methods: The clinical practice recommendations were developed by eight scientific societies and one patient self-help organization under the coordination of EFIC. A systematic literature search in MEDLINE (up until January 2020) was performed. Two categories of guidance are given: Evidence-based recommendations (supported by evidence from systematic reviews of randomized controlled trials or of observational studies) and Good Clinical Practice (GCP) statements (supported either by indirect evidence or by case-series, case-control studies and clinical experience). The GRADE system was applied to move from evidence to recommendations. The recommendations and GCP statements were developed by a multiprofessional task force (including nursing, service users, physicians, physiotherapy and psychology) and formal multistep procedures to reach a set of consensus recommendations. The clinical practice recommendations were reviewed by five external reviewers from North America and Europe and were also posted for public comment. Results: The key clinical practice recommendations suggest: (a) first optimizing established non-pharmacological treatments and non-opioid analgesics and (b) considering opioid treatment if established non-pharmacological treatments or non-opioid analgesics are not effective and/or not tolerated and/or contraindicated. Evidence- and clinical consensus-based potential indications and contraindications for opioid treatment are presented. Eighteen GCP recommendations give guidance regarding clinical evaluation, as well as opioid treatment assessment, monitoring, continuation and discontinuation. Conclusions: Opioids remain a treatment option for some selected patients with CNCP under careful surveillance. Significance: In chronic pain, opioids are neither a universal cure nor a universally dangerous weapon. They should only be used for some selected chronic noncancer pain syndromes if established non-pharmacological and pharmacological treatment options have failed in supervised pain patients as part of a comprehensive, multi-modal, multi-disciplinary approach to treatment. In this context alone, opioid therapy can be a useful tool in achieving and maintaining an optimal level of pain control in some patients.
Ključne besede:pain, cronic disease, analgesia, opioid analgesics
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Datum objave:02.03.2021
Založnik:Wiley
Leto izida:2021
Št. strani:Str. 949-968
Številčenje:Letn. 25, Št. 5
PID:20.500.12556/DKUM-89886 Novo okno
UDK:616.8-009.7
COBISS.SI-ID:53758467 Novo okno
DOI:10.1002/ejp.1736 Novo okno
ISSN pri članku:1532-2149
Datum objave v DKUM:16.08.2024
Število ogledov:69
Število prenosov:9
Metapodatki:XML DC-XML DC-RDF
Področja:Ostalo
:
HAUSER, Winfried, MORLION, Bart, VOWLES, Kevin E., BANNISTER, Kirsty, BUCHSER, Eric, CASALE, Roberto, CHENOT, Jean-François, CHUMBLEY, Gillian, DREWES, Asbjørn M., DOM, Gert, JUTILA, Liisa, O’BRIEN, Tony, POGATZKY-ZAHN, Esther, RAKUŠA, Martin, SUAREZ-SERRANO, Carmen, TÖLLE, Thomas in KRČEVSKI-ŠKVARČ, Nevenka, 2021, European* clinical practice recommendations on opioids for chronic noncancer pain - Part 1 : role of opioids in the management of chronic noncancer pain. European journal of pain [na spletu]. 2021. Vol. 25, no. Št. 5, p. 949–968. [Dostopano 19 april 2025]. DOI 10.1002/ejp.1736. Pridobljeno s: https://dk.um.si/IzpisGradiva.php?lang=slv&id=89886
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Gradivo je del revije

Naslov:European journal of pain
Skrajšan naslov:Euro. j. pain
Založnik:Wiley
ISSN:1532-2149
COBISS.SI-ID:519116313 Novo okno

Licence

Licenca:CC BY-NC-ND 4.0, Creative Commons Priznanje avtorstva-Nekomercialno-Brez predelav 4.0 Mednarodna
Povezava:http://creativecommons.org/licenses/by-nc-nd/4.0/deed.sl
Opis:Najbolj omejujoča licenca Creative Commons. Uporabniki lahko prenesejo in delijo delo v nekomercialne namene in ga ne smejo uporabiti za nobene druge namene.
Začetek licenciranja:02.03.2021

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:bolečina, kronične bolezni, analgezija, opoidni analgetiki


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