The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update.

Autor: Loh E; Lawson Health Research Institute, London, ON, Canada. Eldon.Loh@sjhc.london.on.ca.; Parkwood Institute, London, ON, Canada. Eldon.Loh@sjhc.london.on.ca.; Western University, London, ON, Canada. Eldon.Loh@sjhc.london.on.ca.; St Joseph's Health Care Pain Management Program, London, ON, Canada. Eldon.Loh@sjhc.london.on.ca., Mirkowski M; Lawson Health Research Institute, London, ON, Canada.; Parkwood Institute, London, ON, Canada., Agudelo AR; Lawson Health Research Institute, London, ON, Canada., Allison DJ; Lawson Health Research Institute, London, ON, Canada., Benton B; Icahn School of Medicine at Mount Sinai, New York City, NY, USA., Bryce TN; Icahn School of Medicine at Mount Sinai, New York City, NY, USA., Guilcher S; University of Toronto, Toronto, ON, Canada., Jeji T; Ontario Neurotrauma Foundation, Toronto, ON, Canada., Kras-Dupuis A; Parkwood Institute, London, ON, Canada., Kreutzwiser D; St Joseph's Health Care Pain Management Program, London, ON, Canada., Lanizi O; SCI-Ontario, Toronto, ON, Canada., Lee-Tai-Fuy G; Parkwood Institute, London, ON, Canada., Middleton JW; John Walsh Centre for Rehabilitation Research, Sydney, NSW, Australia.; The University of Sydney, Sydney, NSW, Australia., Moulin DE; Western University, London, ON, Canada.; St Joseph's Health Care Pain Management Program, London, ON, Canada., O'Connell C; Stan Cassidy Centre for Rehabilitation, Fredericton, NB, Canada.; Dalhousie University, Halifax, NS, Canada., Orenczuk S; Parkwood Institute, London, ON, Canada., Potter P; Parkwood Institute, London, ON, Canada.; Western University, London, ON, Canada., Short C; Dalhousie University, Halifax, NS, Canada.; Nova Scotia Health Authority, Halifax, NS, Canada., Teasell R; Lawson Health Research Institute, London, ON, Canada.; Western University, London, ON, Canada., Townson A; University of British Columbia, Vancouver, BC, Canada., Widerström-Noga E; The Miami Project, Miami, FL, USA.; University of Miami Miller School of Medicine, Miami, FL, USA., Wolfe DL; Lawson Health Research Institute, London, ON, Canada.; Parkwood Institute, London, ON, Canada., Xia N; SCI-Ontario, Toronto, ON, Canada., Mehta S; Lawson Health Research Institute, London, ON, Canada.; Western University, London, ON, Canada.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2022 Jun; Vol. 60 (6), pp. 548-566. Date of Electronic Publication: 2022 Feb 05.
DOI: 10.1038/s41393-021-00744-z
Abstrakt: Study Design: Clinical practice guidelines.
Objectives: The objective was to update the 2016 version of the Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI).
Setting: The guidelines are relevant for inpatient, outpatient and community SCI rehabilitation settings in Canada.
Methods: The guidelines were updated in accordance with the Appraisal of Guidelines for Research and Evaluation II tool. A Steering Committee and Working Group reviewed the relevant evidence on neuropathic pain management (encompassing screening and diagnosis, treatment and models of care) after SCI. The quality of evidence was scored using Grading of Recommendations Assessment, Development and Evaluation (GRADE). A consensus process was followed to achieve agreement on recommendations and clinical considerations.
Results: The working group identified and reviewed 46 additional relevant articles published since the last version of the guidelines. The panel agreed on 3 new screening and diagnosis recommendations and 8 new treatment recommendations. Two key changes to these treatment recommendations included the introduction of general treatment principles and a new treatment recommendation classification system. No new recommendations to model of care were made.
Conclusions: The CanPainSCI recommendations for the management of neuropathic pain after SCI should be used to inform practice.
(© 2022. The Author(s).)
Databáze: MEDLINE
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