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Chronic Pain Management Program
M. Wilson, R. Dolor, D. Lewis, Saundra Regan, M. Meulen, T. Winhusen (2022)
Opioid dose and pain effects of an online pain self-management program to augment usual care in adults with chronic pain: a multisite randomized clinical trialPain, 164
(2023)
Continuing Warning Signals About the Hazards of Opioid TaperingThe Back Letter
THE BACKLETTER Vol. 38, No. 6, June 2023 Sixty Years of Drug Research Wasted? Or Maybe Not? ecades of research have failed to lay press. Whether it provides a useful per- produce credible evidence that any spective on drugs for acute pain—and wins D drug therapy is effective and safe broad acceptance in the practice of medi- in the treatment of acute low back pain, if a cine—remain to be seen. BackLetter edi- stunning new review and network tors couldn’t find consensus on these ques - meta-analysis is correct. (See definition of tions. (See comments from several experts network meta-analysis below.) below.) Reviews based on network This is a stunning conclusion because it meta-analyses in the back pain field hav - conflicts with the dominant view across en’t had a major influence on clinical prac - medicine. Numerous international evi- tice in the past. dence-based guidelines based on more tra- As mentioned above, the dominant view ditional head-to-head clinical trials and in medicine is that a few drugs—such as meta-analyses have concluded that several NSAIDs—do provide modest pain relief for common medications provide modest relief acute back pain with acceptable safety of acute back pain. (depending on a patient’s
BackLetter – Wolters Kluwer Health
Published: Jun 1, 2023
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