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Evidence-Based Pain Management: Building on the Foundations of Cochrane Systematic Reviews
Dominic Aldington1, Chris Eccleston1
1Dominic Aldington is with the Royal Hampshire County Hospital, Winchester, UK. Chris Eccleston is with the Centre for Pain Medicine Research, University of Bath, Bath, UK.
American Journal of Public Health
|November 30, 2018
Summary
Evidence-based medicine has advanced pain management through the Cochrane Collaboration, offering extensive reviews on interventions for acute and chronic pain. Dissemination and application of this evidence in policy and practice remain crucial for future progress.
Area of Science:
- Pain Management
- Evidence-Based Medicine
- Systematic Reviews
Background:
- The Cochrane Collaboration's Pain, Palliative and Supportive Care Review Group has significantly contributed to evidence-based pain management.
- This group has published 277 reviews and 11 reviews of systematic reviews on pain interventions.
Observation:
- The Cochrane Library provides high-quality summaries of evidence for various pain types, including postsurgical, chronic musculoskeletal, and neuropathic pain.
- Interventions covered extend beyond pharmacological methods to include all forms of treatment.
Findings:
- A substantial body of evidence exists for pain management interventions, particularly within the Cochrane Library.
- While many trials are included in reviews, effective dissemination and translation into clinical decision support are ongoing challenges.
Implications:
- Evidence from systematic reviews should be prioritized in healthcare policymaking for pain management.
- Continued efforts are needed to improve the accessibility and application of evidence-based findings to enhance patient care and outcomes.
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