A pain research strategy for Europe: A European survey and position paper of the European Pain Federation EFIC

IF 3.5 2区医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-12-10 DOI:10.1002/ejp.4767

Gisèle Pickering, Mary O'Keeffe, Kirsty Bannister, Susanne Becker, Sonia Cottom, Felicia J. Cox, Elon Eisenberg, David P. Finn, Patrice Forget, Thomas Graven-Nielsen, Eija Kalso, Magdalena Kocot-Kepska, Hugo Leite-Almeida, Jose Antonio Lopez-Garcia, Mira Meeus, André Mouraux, Bruno Pereira, Livia Puljak, Michiel F. Reneman, Iben Rohde, Ioannis Sotiropoulos, Nathan Skidmore, Thomas R. Tölle, Snezana Tomasevic Todorovic, Andrea Truini, Kevin E. Vowles, Esther Pogatzki-Zahn, Luis Garcia-Larrea, Brona M. Fullen

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Abstract

Background

Pain is the leading cause of disability and reduced quality of life worldwide. Despite the increasing burden for patients and healthcare systems, pain research remains underfunded and under focused. Having stakeholders identify and prioritize areas that need urgent attention in the field will help focus funding topics, reduce ‘research waste’, improve the effectiveness of pain research and therapy and promote the uptake of research evidence. In this study, the European Pain Federation (EFIC) developed a Pain Research Strategy for Europe.

Methods

The study used multiple methods, including literature searches, multidisciplinary expert debate, a survey and a final consensus meeting. The cross-sectional survey was conducted among 628 European pain researchers, clinicians, educators and industry professionals to obtain the rating and hierarchy of pain research priorities.

The final consensus meeting involved a multidisciplinary expert panel including people with lived experience from 23 countries. The survey results guided discussions where top priorities were agreed.

Results

Content analysis identified nine survey themes, of which five emerged as top priorities: (i) understand the pathophysiology of pain; (ii) understand and address comorbidities; (iii) critically assess current therapies; (iv) develop new treatments; and (v) explore the biopsychosocial impacts of pain. Physical, psychological and social approaches were prioritized at the same level as pharmacological treatments. The top priorities were endorsed by a multidisciplinary expert panel. The panel emphasized the importance of also clearly communicating the concepts of prediction, prevention self-management and personalized pain management in the final strategy.

Conclusions

The content of the final top research priorities' list reflects a holistic approach to pain management. The equal importance given to physical, psychological and social aspects alongside pharmacological treatments highlights the importance of a comprehensive biopsychosocial-orientated research strategy. The expert panel's endorsement of five top priorities, coupled with an emphasis on communicating the concepts of prediction, prevention, self-management and personalized pain management, provides a clear direction for future basic, translational and clinical research.

Significance

EFIC has developed a Pain Research Strategy for Europe that identifies pain research areas deserving the most focus and financial support. Implementation and wide dissemination of this Strategy is vital to increase the conduct of urgent pain projects, pain research funding and the implementation of research findings into practice, to ultimately decrease the personal, societal and financial burden of pain.

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欧洲的疼痛研究策略：欧洲疼痛联盟EFIC的欧洲调查和立场文件。

背景：在世界范围内，疼痛是导致残疾和降低生活质量的主要原因。尽管患者和医疗保健系统的负担越来越重，但疼痛研究仍然缺乏资金和重点。让利益相关者确定并优先考虑该领域迫切需要关注的领域，将有助于集中资助主题，减少“研究浪费”，提高疼痛研究和治疗的有效性，并促进对研究证据的吸收。在这项研究中，欧洲疼痛联合会（EFIC）为欧洲制定了疼痛研究策略。方法：采用文献检索、多学科专家辩论、问卷调查和最终共识会议等多种方法。这项横断面调查在628名欧洲疼痛研究人员、临床医生、教育工作者和行业专业人士中进行，以获得疼痛研究优先级的评级和等级。最后的协商一致会议包括一个多学科专家小组，其中包括来自23个国家的有生活经验的人。调查结果指导了讨论，在讨论中商定了最优先事项。结果：内容分析确定了9个调查主题，其中5个是最重要的：(1)了解疼痛的病理生理；（ii）了解并处理合并症；（iii）批判性地评估当前的疗法；（四）开发新的治疗方法；(5)探讨疼痛的生物心理社会影响。物理、心理和社会方法与药物治疗在同一水平上优先考虑。一个多学科专家小组批准了最优先事项。小组还强调了在最终策略中明确传达预测、预防、自我管理和个性化疼痛管理概念的重要性。结论：最终研究重点列表的内容反映了疼痛管理的整体方法。生理、心理和社会方面与药物治疗同等重要，突出了全面的生物心理社会导向研究策略的重要性。专家小组对五个优先事项的认可，加上对预测、预防、自我管理和个性化疼痛管理概念的强调，为未来的基础、转化和临床研究提供了明确的方向。意义：EFIC为欧洲制定了疼痛研究战略，确定了最值得关注和财政支持的疼痛研究领域。实施和广泛传播这一战略对于增加紧急疼痛项目的开展、疼痛研究供资和将研究成果落实到实践中，最终减轻疼痛带来的个人、社会和经济负担至关重要。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.