扩展现实 止痛 证据审查 往往缺乏足够的干预细节
Susan Persky1, Megan G Jiao1,2
1Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland, USA.
Journal of medical extended reality
|January 6, 2025
概括
对治疗疼痛的医学扩展现实 (MXR) 的证据综合通常缺乏干预内容和硬件的详细描述. 这种变异性阻碍了MXR研究中的概括性和准确结论.
科学领域:
- 医疗信息学 医疗信息学
- 卫生技术评估 卫生技术评估
- 疼痛管理 疼痛管理
背景情况:
- 综合证据,包括系统审查和元分析,对于总结研究结果至关重要.
- 医学扩展现实 (MXR) 干预具有影响研究概括性的复杂因素.
- 在MXR证据综合中描述干预特征对于有力的结论至关重要.
研究的目的:
- 量化MXR干预治疗疼痛的最新证据综合中的干预特征的表征.
- 评估已发表的审查中关于MXR干预内容和硬件提供的详细程度.
- 确定报告中的变异性,并为未来的证据综合提供建议.
主要方法:
- 2021-2023年期间发表的英语范围审查,系统审查和元分析的定量内容分析.
- 在各种环境中评估基于MXR的疼痛管理干预措施.
- 评估初级研究中如何描述干预内容和硬件细节.
主要成果:
- 48%的合成提供了MXR干预内容的最小描述,而23%提供了实质性的描述.
- 硬件细节在46%的出版物中得到了大量报道,在25%的出版物中得到了最小的报道,而在30%的出版物中则完全没有报道.
- 只有25%的元分析明确评估了干预特征在疗效中的作用.
结论:
- 在MXR证据综合中,报告干预内容和硬件存在显著的变化.
- 这种缺乏详细的描述限制了从这些综合中得出的结论的概括性和准确性.
- 建议提议加强未来MXR证据综合的报告标准.
相关概念视频
Analgesia and Pain Management
490
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
490
Local Anesthetics: Clinical Application as Epidural Anesthesia
409
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
409
Opioid Analgesics: Synthetic and Semisynthetic Opioids
218
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
218


