Current understanding of the mixed pain concept: a brief narrative review
| Autor: | Hector Franco, Sasikaan Nimmaanrat, Daniel Ciampi de Andrade, Kok-Yuen Ho, Argelia Lara-Solares, Juythel Chen, Alberto Mimenza Alvarado, Harold Arevalo Parada, Rainer Freynhagen, Maria Dolma Santos, Carlos Alberto Calderón-Ospina, Carina Ching-Fan Li, Dessy Rakhmawati Emril, Freddy J Fernández-Villacorta |
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| Rok vydání: | 2019 |
| Předmět: |
Quality of life
Pain assessment Pain Chronic pain Pathogenesis Review 030204 cardiovascular system & hematology Procedures Pathophysiology Genetic heterogeneity 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Pain Measurement Pain measurement business.industry Mixed pain General Medicine Pain management Classification medicine.disease Phenotype Screening Systematic review Narrative review Analgesia business Human Cognitive psychology |
| Zdroj: | Repositorio EdocUR-U. Rosario Universidad del Rosario instacron:Universidad del Rosario |
| ISSN: | 1473-4877 0300-7995 |
| DOI: | 10.1080/03007995.2018.1552042 |
| Popis: | Despite having been referenced in the literature for over a decade, the term “mixed pain” has never been formally defined. The strict binary classification of pain as being either purely neuropathic or nociceptive once left a good proportion of patients unclassified; even the recent adoption of “nociplastic pain” in the IASP Terminology leaves out patients who present clinically with a substantial overlap of nociceptive and neuropathic symptoms. For these patients, the term “mixed pain” is increasingly recognized and accepted by clinicians. Thus, an independent group of international multidisciplinary clinicians convened a series of informal discussions to consolidate knowledge and articulate all that is known (or, more accurately, thought to be known) and all that is not known about mixed pain. To inform the group’s discussions, a Medline search for the Medical Subject Heading “mixed pain” was performed via PubMed. The search strategy encompassed clinical trial articles and reviews from January 1990 to the present. Clinically relevant articles were selected and reviewed. This paper summarizes the group’s consensus on several key aspects of the mixed pain concept, to serve as a foundation for future attempts at generating a mechanistic and/or clinical definition of mixed pain. A definition would have important implications for the development of recommendations or guidelines for diagnosis and treatment of mixed pain. © 2019, © 2019 Informa UK Limited, trading as Taylor and Francis Group. |
| Databáze: | OpenAIRE |
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