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[Non-oncologic chronic pain relief with opioids].

C A Pimenta1, M J Teixeira, C F Correa

  • 1Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Faculdade de Medicina, Universidade de São Paulo.

Revista Latino-Americana De Enfermagem
|June 4, 2002
PubMed
Summary

Long-term spinal opioids for non-cancer pain provided pain relief but did not significantly improve quality of life for most patients. This study evaluated outcomes in eleven individuals receiving continuous intrathecal opioid infusions.

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Area of Science:

  • Pain Management
  • Neurology
  • Pharmacology

Context:

  • Opioid therapy for non-cancer pain remains a complex and debated area.
  • Previous treatments, including medications and surgeries, failed to provide adequate pain relief for study participants.
  • Intrathecal opioid infusion via implantable pumps was considered for chronic non-oncologic pain management.

Purpose:

  • To assess the efficacy of long-term lumbar subarachnoid opioid infusion in non-cancer pain patients.
  • To evaluate pain relief, quality of life changes, and complications associated with this treatment modality.
  • To compare patient-reported outcomes before and after initiating spinal opioid therapy.

Summary:

  • Eleven patients with non-cancer pain received long-term intrathecal opioid infusions.

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  • The treatment resulted in reported pain reduction.
  • However, a majority of patients did not experience improvements in their quality of life.

    • Impact:

    • Findings suggest that while spinal opioids can manage pain, they may not enhance overall well-being in non-cancer patients.
    • Highlights the need for comprehensive treatment strategies beyond pain reduction for chronic non-oncologic pain.
    • Informs clinical decision-making regarding the use of implantable pumps for long-term opioid delivery in this population.