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Tratamiento del dolor crónico no canceroso
Dennis C Turk1, Hilary D Wilson, Alex Cahana
1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA 98195, USA. turkdc@uw.edu
Lancet (London, England)
|June 28, 2011
Resumen
Los tratamientos actuales para el dolor crónico ofrecen un alivio modesto del dolor y una mejora funcional mínima. La calidad de la evidencia es mediocre, lo que destaca la necesidad de mejores terapias combinadas y enfoques de tratamiento personalizados para el dolor crónico no canceroso.
Área de la Ciencia:
- Manejo del dolor Manejo del dolor.
- La medicina basada en la evidencia.
Sus antecedentes:
- El dolor crónico tiene un impacto significativo en los pacientes, las familias y la sociedad.
- Se han producido avances en los mecanismos y diagnósticos del dolor, pero falta la innovación terapéutica.
Objetivo del estudio:
- Revisar la evidencia empírica para las intervenciones comunes de dolor crónico no canceroso.
- Evaluar el estado actual de la eficacia del tratamiento y la calidad de la evidencia.
Principales métodos:
- Resumen de la evidencia empírica para las modalidades farmacológicas, intervencionistas, físicas, psicológicas, de rehabilitación y alternativas para el manejo del dolor.
- Análisis de las tendencias del tratamiento y las prácticas clínicas.
Principales resultados:
- Los tratamientos disponibles producen una modesta reducción del dolor y mejoras mínimas en el funcionamiento físico y emocional.
- La calidad de la evidencia que respalda las intervenciones actuales es mediocre y no ha mejorado.
Conclusiones:
- Existe una necesidad crítica de evaluar los tratamientos combinados para el dolor crónico.
- Es esencial identificar los indicadores de respuesta al tratamiento y hacer coincidir los tratamientos con las características del paciente.
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