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临床观察,管理和功能 腰部疼痛缓解疗法 (舒适):一个集群随机对照试验协议
Christina Abdel Shaheed1,2, Rowena Ivers3, Lisa Vizza4,2
1Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia christina.abdelshaheed@sydney.edu.au.
这项研究测试了一种新的干预措施,以帮助医生和患者减少对腰部疼痛的阿片类药物使用,与指南保持一致. 其目标是改善长期疼痛管理的处方实践和患者结果.
科学领域:
- 疼痛管理 疼痛管理
- 临床试验 临床试验
- 公共卫生 公共卫生
背景情况:
- 类阿片类止痛药通常用于腰部疼痛 (LBP),尽管有效性有限且潜在的危害很大.
- 国际指南建议对LBP采取谨慎措施或避免使用阿片类药物,但临床医生和患者缺乏实际实施策略.
- 这一差距凸显了需要采取干预措施,以支持遵守基于证据的阿片类药物处方指南.
研究的目的:
- 评价一项旨在协助全科医生及其患者实施现行阿片类药物处方指南的多方面的干预措施.
- 评估干预对阿片类药物处方模式和患者报告结果的影响.
主要方法:
- 一个集群随机对照试验,涉及至少40个一般实践,随机分配1:1给干预组或对照组.
- 该干预措施包括向全科医生提供关于阿片类药物管理和非药物治疗的教育,以及对阿片类药物风险和益处的患者教育.
- 将招募410名为LBP处方阿片类药物的患者,并对其进行1年的随访. 主要结局:累积的阿片类药物剂量 (相当于吗啡毫克).
主要成果:
- 主要结果分析将比较干预组和对照组在1年内分发的累积阿片类药物剂量.
- 二次结局包括处方其他药物 (二, gabapentinoids,NSAIDs),医疗保健利用,以及患者报告的疼痛和生活质量.
- 将采用治疗意图分析,并计划进行健康经济学分析.
结论:
- 该试验旨在提供有效干预措施的证据,以减少不适当的阿片类药物处方LBP.
- 成功实施可能会导致更安全的疼痛管理策略和改善患者的治疗结果.
- 调查结果将为临床实践和关于在慢性疼痛中使用阿片类药物的政策提供信息.
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