Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3729/2019
Jaime Boceta, A. Peiró, F. J. Cevas, Loreto M Vidal, M. Acedo, V. Mayoral
Introduction: The medical practice in the area of pain associates ethical problems in the care of patients with a disease that causes a functional deterioration, with an uncertain prognosis for their labor reintegration, and a great consumption of family and social resources. After the creation of a working group on bioethics within the Spanish Society of Pain (SED), an attempt is made to analyze these problems. Objective: To know which are the ethical problems that identify professionals (clinical practice, environment and institutions) which concerns SED members; encouranging an ethical reflection. Methodology: Qualitative study, based on a semi-structured, open interview, sent to members of the SED (n░=░1035), through electronic access, on 4 bioethical aspects: the problems detected in clinical practice, the problems of the work environment, the problems in the work organizations, and possible suggestions. These are grouped as they refer to the indications (beneficence and non-maleficence), justice (understood as equity), autonomy (information and preferences). Results: A total of 6░% professionals participated in the interview (n░=░62/1035). A panel was prepared with the 10 main issues identified (Top10). They emphasize the uncertainty in the taking of decisions in the therapeutic, the limitation of the therapeutic effort, the conditioning of the sanitary system, the relations with the pharmaceutical industry and the search of the excellence. Conclusions: This qualitative study allows identifying ethical problems that interest professionals dedicated to pain. It is convenient to confirm and size them through quantitative studies.
{"title":"Problemas éticos en el manejo del dolor. Estudio cualitativo mediante entrevista de reflexión abierta.","authors":"Jaime Boceta, A. Peiró, F. J. Cevas, Loreto M Vidal, M. Acedo, V. Mayoral","doi":"10.20986/resed.2020.3729/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3729/2019","url":null,"abstract":"Introduction: The medical practice in the area of pain associates ethical problems in the care of patients with a disease that causes a functional deterioration, with an uncertain prognosis for their labor reintegration, and a great consumption of family and social resources. After the creation of a working group on bioethics within the Spanish Society of Pain (SED), an attempt is made to analyze these problems. Objective: To know which are the ethical problems that identify professionals (clinical practice, environment and institutions) which concerns SED members; encouranging an ethical reflection. Methodology: Qualitative study, based on a semi-structured, open interview, sent to members of the SED (n░=░1035), through electronic access, on 4 bioethical aspects: the problems detected in clinical practice, the problems of the work environment, the problems in the work organizations, and possible suggestions. These are grouped as they refer to the indications (beneficence and non-maleficence), justice (understood as equity), autonomy (information and preferences). Results: A total of 6░% professionals participated in the interview (n░=░62/1035). A panel was prepared with the 10 main issues identified (Top10). They emphasize the uncertainty in the taking of decisions in the therapeutic, the limitation of the therapeutic effort, the conditioning of the sanitary system, the relations with the pharmaceutical industry and the search of the excellence. Conclusions: This qualitative study allows identifying ethical problems that interest professionals dedicated to pain. It is convenient to confirm and size them through quantitative studies.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3749/2019
Elena Maria Gaspar Calvo, M� Jesús Lallana Álvarez, Sara Malo Fumanal
Introduction: The high prevalence of musculoskeletal diseases (MSDs) in certain populaion groups may cause a high consumption of non steroideal antiinflamatory drugs (NSAIDs). The present study aims to identify the continuous consumers of NSAIDs in a cohort of workers, who mainly perform manual tasks, analyzing the use of other drugs prescribed for the treatment of musculoskeletal pain (MSP). Material and methods: Observational retrospective study. It has been analyzed data of all subjects, included on the AWHS (Aragon Workers Health Study) cohort, who received at least one NSAID prescription during 2016. It has been calculated the rate of use of NSAID, as well as the number of DDD per 1000 inhabitants per day (DHD). It has been identified continuous consumers, as those who used 182 defined daily dose (DDD) or more. For this group, it has been analyzed all prescriptions including other drugs used to treat MSP. Results: The rate of use of NSAIDs in the AWHS cohort in 2016 was 41.6% (95% CI: 40.1%-42.7%), being higher in women (47.0%, 95% CI: 41.9%52.1%). 5.7% of NSAID users were continuous consumers. Among them, etoricoxib was the most used NSAIDs (4,9 DHD), followed by ibuprofen (4,0 DHD). Refering to other drugs prescribed for MSP, the prescription rate of tramadol for continuous consumers was RESUMEN Introducción: La alta prevalencia de enfermedades musculoesqueléticas (EME) en determinados grupos de población puede condicionar que el consumo de antiinflamatorios no esteroideos (AINE) sea elevado. El presente estudio pretende identificar a los consumidores continuados de AINE en una cohorte de trabajadores que realizan fundamentalmente tareas de tipo manual, analizando el uso que hacen de otros fármacos indicados en el tratamiento del dolor musculoesquelético (DME). Material y métodos: Estudio observacional retrospectivo, en el que se han analizado los datos, recogidos en la base de consumo farmacéutico Farmasalud, de todos los sujetos de la cohorte AWHS (Aragon Workers Health Study), que presentaron al menos una receta de un AINE durante el año 2016. Se ha calculado la tasa de utilización de AINE, así como el número de dosis diarias definidas (DDD) por 1000 habitantes por día (DHD). Se han identificado los consumidores continuados como aquellos que utilizaron 182 DDD o más. Para este grupo de consumo, se han analizado otros fármacos prescritos que suelen asociarse al tratamiento del DME. Resultados: La tasa de utilización de AINE en la cohorte AWHS en 2016 fue del 41,6 % (IC 95 %: 40,1-42,7 %), siendo mayor en mujeres (47,0 %, IC 95 %: 41,9-52,1 %). El 5,7 % de los usuarios de AINE ORIGINAL DOI: 10.20986/resed.2020.3749/2019
在某些人群中，肌肉骨骼疾病(MSDs)的高发率可能导致非甾体理想抗炎药(NSAIDs)的高消费。本研究旨在确定一组主要从事体力劳动的工人中持续使用非甾体抗炎药的人群，分析用于治疗肌肉骨骼疼痛(MSP)的其他药物的使用情况。材料和方法:观察性回顾性研究。该研究分析了所有受试者的数据，包括AWHS(阿拉贡工人健康研究)队列，这些受试者在2016年期间至少接受过一次非甾体抗炎药处方。它计算了非甾体抗炎药的使用率，以及每1000名居民每天DDD的数量(DHD)。它被确定为连续消费者，即那些使用182定义日剂量(DDD)或更多的人。对于这一组，已经分析了所有处方，包括用于治疗MSP的其他药物。结果:2016年AWHS队列中使用非甾体抗炎药的比例为41.6% (95% CI: 40.1%-42.7%)，女性更高(47.0%，95% CI: 41.9% - 52.1%)。5.7%的非甾体抗炎药使用者是持续消费者。其中，使用最多的非甾体抗炎药为依托昔布(4,9 DHD)，其次为布洛芬(4,0 DHD)。参照MSP患者处方的其他药物，曲马多在连续消费者中的处方率为RESUMEN Introducción: La alta prevalencia de enfermedades musculloesquel忧郁(EME) en determinados组de población puede condiar que el consumo de antiinflamatorios no esteroideos (AINE) sea elevado。本报告提出了一种新的研究方法，即采用相同的方法，使消费者的健康状况得到持续改善，从而使基本的健康状况得到改善，并分析了该方法对健康状况的影响(fármacos指标)，并使健康状况得到改善。资料来源:Estudio观察性回顾性研究，数据分析，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源，数据来源。例如，calculado la tasa de utilización de AINE, así como el número de dosis diarias definidas (DDD)穷1000个居民día (DHD)。在182 DDD (más)上发现了一种可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别、可识别的产品。Para este group de consumo, se, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an, an。结果:La tasa de utilización de AINE en La cohorte AWHS en 2016 fue del 41.6% (IC 95%: 40.1 ~ 42.7%)， siendo mayor en mujeres (47.0%， IC 95%: 41.9 ~ 52.1%)。El 5,7 % de los usuarios de AINE ORIGINAL DOI: 10.20986/ reded .2020.3749/2019
{"title":"Consumo de fármacos utilizados en el tratamiento del dolor musculoesquético en una cohorte de trabajadores manuales de Zaragoza","authors":"Elena Maria Gaspar Calvo, M� Jesús Lallana Álvarez, Sara Malo Fumanal","doi":"10.20986/resed.2020.3749/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3749/2019","url":null,"abstract":"Introduction: The high prevalence of musculoskeletal diseases (MSDs) in certain populaion groups may cause a high consumption of non steroideal antiinflamatory drugs (NSAIDs). The present study aims to identify the continuous consumers of NSAIDs in a cohort of workers, who mainly perform manual tasks, analyzing the use of other drugs prescribed for the treatment of musculoskeletal pain (MSP). Material and methods: Observational retrospective study. It has been analyzed data of all subjects, included on the AWHS (Aragon Workers Health Study) cohort, who received at least one NSAID prescription during 2016. It has been calculated the rate of use of NSAID, as well as the number of DDD per 1000 inhabitants per day (DHD). It has been identified continuous consumers, as those who used 182 defined daily dose (DDD) or more. For this group, it has been analyzed all prescriptions including other drugs used to treat MSP. Results: The rate of use of NSAIDs in the AWHS cohort in 2016 was 41.6% (95% CI: 40.1%-42.7%), being higher in women (47.0%, 95% CI: 41.9%52.1%). 5.7% of NSAID users were continuous consumers. Among them, etoricoxib was the most used NSAIDs (4,9 DHD), followed by ibuprofen (4,0 DHD). Refering to other drugs prescribed for MSP, the prescription rate of tramadol for continuous consumers was RESUMEN Introducción: La alta prevalencia de enfermedades musculoesqueléticas (EME) en determinados grupos de población puede condicionar que el consumo de antiinflamatorios no esteroideos (AINE) sea elevado. El presente estudio pretende identificar a los consumidores continuados de AINE en una cohorte de trabajadores que realizan fundamentalmente tareas de tipo manual, analizando el uso que hacen de otros fármacos indicados en el tratamiento del dolor musculoesquelético (DME). Material y métodos: Estudio observacional retrospectivo, en el que se han analizado los datos, recogidos en la base de consumo farmacéutico Farmasalud, de todos los sujetos de la cohorte AWHS (Aragon Workers Health Study), que presentaron al menos una receta de un AINE durante el año 2016. Se ha calculado la tasa de utilización de AINE, así como el número de dosis diarias definidas (DDD) por 1000 habitantes por día (DHD). Se han identificado los consumidores continuados como aquellos que utilizaron 182 DDD o más. Para este grupo de consumo, se han analizado otros fármacos prescritos que suelen asociarse al tratamiento del DME. Resultados: La tasa de utilización de AINE en la cohorte AWHS en 2016 fue del 41,6 % (IC 95 %: 40,1-42,7 %), siendo mayor en mujeres (47,0 %, IC 95 %: 41,9-52,1 %). El 5,7 % de los usuarios de AINE ORIGINAL DOI: 10.20986/resed.2020.3749/2019","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3755/2019
Domingo-Triadó, D López-Alarcón, F Villegas-Estévez, C Alba-Moratilla, B Massa-Domínguez, L Alepuz, F. Palomar-Llatas, A. Mínguez-Martí, A. Sanz, A. Jiménez, L Debón-Vicent, Grupo de investigación Udodic
{"title":"Manejo del dolor irruptivo asociado a la cura de úlceras cutáneas","authors":"Domingo-Triadó, D López-Alarcón, F Villegas-Estévez, C Alba-Moratilla, B Massa-Domínguez, L Alepuz, F. Palomar-Llatas, A. Mínguez-Martí, A. Sanz, A. Jiménez, L Debón-Vicent, Grupo de investigación Udodic","doi":"10.20986/resed.2020.3755/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3755/2019","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3803/2020
Sara Romero, J. González, Luis Eduardo Basto Aluja, Isabel del Socorro Moreno Luna
{"title":"Identificación de signos y síntomas para el diagnóstico del dolor lumbar de origen discogénico: revisión de mapeo","authors":"Sara Romero, J. González, Luis Eduardo Basto Aluja, Isabel del Socorro Moreno Luna","doi":"10.20986/resed.2020.3803/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3803/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3819/2020
ML Cánovas Martínez
{"title":"Bloqueos de las ramas periféricas del trigémino: factor predictivo de la respuesta a la radiofrecuencia pulsada del ganglio de Gasser: ¿deberíamos cambiar el protocolo?","authors":"ML Cánovas Martínez","doi":"10.20986/resed.2020.3819/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3819/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3809/2020
J. M. M. Palacios, María Isabel Bonilla Delgado, Marta Casallo Cerezo, Laura Gómez González, Maiola Cortina Barranco, I. Martínez
Introduction: Pain is an important health problem and the symptom that most often generates a medical consultation. The aim of this study is to describe the prevalence of pain and its intensity in patients who perform a rehabilitation treatment in a third level hospital. Material and methods: Observational, cross-sectional, descriptive study. The sample includes 318 patients treated by a rehabilitation technique during a day of February, in 2019. We studied: Diagnosis. Pain during the last 24 hours and its intensity. Presence and intensity of the pain during the treatment. Characteristics of the pain. Analgesic treatment. We used the visual analogue scale VAS (0-10) to measure the intensity of the pain. The statistical analysis were conducted using the IBM SPSS Statistics 21.0 for Windows, with a statistically significant p-value of 0.05. Results: Of 318 patients, 94.9 % had pain, average age of 58.7 years old, 67.4 % were women. The musculoskeletal pathologies (88.4 %) and the nociceptive, chronic and intermittent pain were the most frequent cause and type. The average intensity of the maximum pain noticed with VAS was 5.7 and 4.8 during the treatment. The shock waves and the kinesitherapy were the most painful techniques. 36.4 % didn’t take any analgesics. Conclusions: The prevalence of patients with pain seen in the Rehabilitation Services is very high. It is necessary to set regular checks to identify the pain before and during the treatment techniques, as well as analgesic protocols according to its intensity.
简介:疼痛是一种重要的健康问题，也是最常引起医疗咨询的症状。本研究的目的是描述在三级医院进行康复治疗的患者疼痛的患病率及其强度。材料和方法:观察性、横断面、描述性研究。该样本包括2019年2月某一天接受康复技术治疗的318名患者。我们研究了:诊断。过去24小时的疼痛程度。治疗过程中疼痛的存在和强度。疼痛的特征。镇痛治疗。采用视觉模拟评分VAS(0-10分)评价疼痛程度。采用IBM SPSS Statistics 21.0 for Windows进行统计分析，p值为0.05，差异有统计学意义。结果:318例患者中，94.9%有疼痛，平均年龄58.7岁，67.4%为女性。肌肉骨骼病变(88.4%)和伤害性、慢性和间歇性疼痛是最常见的原因和类型。在治疗期间，VAS观察到的最大疼痛平均强度分别为5.7和4.8。冲击波疗法和运动疗法是最痛苦的疗法。36.4%未服用任何镇痛药。结论:疼痛患者在康复服务中心的患病率很高。有必要在治疗技术之前和过程中进行定期检查，以确定疼痛，并根据其强度制定镇痛方案。
{"title":"Estudio del dolor en los tratamientos de rehabilitación","authors":"J. M. M. Palacios, María Isabel Bonilla Delgado, Marta Casallo Cerezo, Laura Gómez González, Maiola Cortina Barranco, I. Martínez","doi":"10.20986/resed.2020.3809/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3809/2020","url":null,"abstract":"Introduction: Pain is an important health problem and the symptom that most often generates a medical consultation. The aim of this study is to describe the prevalence of pain and its intensity in patients who perform a rehabilitation treatment in a third level hospital. Material and methods: Observational, cross-sectional, descriptive study. The sample includes 318 patients treated by a rehabilitation technique during a day of February, in 2019. We studied: Diagnosis. Pain during the last 24 hours and its intensity. Presence and intensity of the pain during the treatment. Characteristics of the pain. Analgesic treatment. We used the visual analogue scale VAS (0-10) to measure the intensity of the pain. The statistical analysis were conducted using the IBM SPSS Statistics 21.0 for Windows, with a statistically significant p-value of 0.05. Results: Of 318 patients, 94.9 % had pain, average age of 58.7 years old, 67.4 % were women. The musculoskeletal pathologies (88.4 %) and the nociceptive, chronic and intermittent pain were the most frequent cause and type. The average intensity of the maximum pain noticed with VAS was 5.7 and 4.8 during the treatment. The shock waves and the kinesitherapy were the most painful techniques. 36.4 % didn’t take any analgesics. Conclusions: The prevalence of patients with pain seen in the Rehabilitation Services is very high. It is necessary to set regular checks to identify the pain before and during the treatment techniques, as well as analgesic protocols according to its intensity.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3779/2019
N. Landa, A Fernández Fernández de Quincoces, C Velasco Oficialdegui, R Malanda Callejo, F. Mollinedo, O González-Larrocha, N. García
Instrucciones de citación para el artículo / Citation instructions for the article: Azpiazu Landa Nerea, Azpiazu Landa Nerea, Fernandez Fernandez de Quincoces Alba, Velasco Oficialdegui Claudia , Malanda Callejo Raquel, Torre Mollinedo Fernando, Gonzalez Larrocha Oscar, Calvo Garcia Noelia. Ecografía pulmonar, medida de seguridad en la radiofrecuencia térmica de los nervios esplácnicos / Application of lung ultrasound for a safer technique of splanchnic nerve radiofrequency ablation . Rev. Soc. Esp. Dolor. 2020. doi: 10.20986/resed.2020.3779/2019.
{"title":"Ecografía pulmonar, medida de seguridad en la radiofrecuencia térmica de los nervios esplácnicos","authors":"N. Landa, A Fernández Fernández de Quincoces, C Velasco Oficialdegui, R Malanda Callejo, F. Mollinedo, O González-Larrocha, N. García","doi":"10.20986/resed.2020.3779/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3779/2019","url":null,"abstract":"Instrucciones de citación para el artículo / Citation instructions for the article: Azpiazu Landa Nerea, Azpiazu Landa Nerea, Fernandez Fernandez de Quincoces Alba, Velasco Oficialdegui Claudia , Malanda Callejo Raquel, Torre Mollinedo Fernando, Gonzalez Larrocha Oscar, Calvo Garcia Noelia. Ecografía pulmonar, medida de seguridad en la radiofrecuencia térmica de los nervios esplácnicos / Application of lung ultrasound for a safer technique of splanchnic nerve radiofrequency ablation . Rev. Soc. Esp. Dolor. 2020. doi: 10.20986/resed.2020.3779/2019.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3771/2019
M. Aguilar, C. Aranda, Grupo Propax
{"title":"Características de los pacientes con dolor musculoesquelético moderado a intenso tratados con comprimidos bucodispersables de paracetamol 325 mg/tramadol HCI 37,5 mg (Paxiflas�) respecto a otras formas orales de la misma combinación. Estudio PROPAX.","authors":"M. Aguilar, C. Aranda, Grupo Propax","doi":"10.20986/resed.2020.3771/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3771/2019","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3801/2020
Maria Labori Trias, Rosa Hernández-Ribas, Josep Porta-Sales
Background: Opioids are widely used for the treatment of cancer pain and nonmalignant pain. There is a lot of information about opioid misuse (OM) in patients with non-malignant pain, however in cancer patients there is less evidence. Objectives: To identify, appraise and synthesize existing evidence about epidemiology, risk factors, clinical tools and evolution of OM in patients with cancer pain. Methods: Integrative systematic review with data extraction and narrative synthesis. PubMed, Web of Science y PsychINFO databases were searched for articles published through 31 December 2017. Study inclusion criteria were as follows: 1) published in English, Spanish or French language; and 2) containing data on the prevalence or incidence of OM in patients with cancer pain; or/and 3) providing information about OM risk factors, mortality, duration and remission.
背景:阿片类药物被广泛用于治疗癌性疼痛和非恶性疼痛。关于非恶性疼痛患者阿片类药物滥用(OM)的信息很多，但关于癌症患者的证据较少。目的:对癌性疼痛患者OM的流行病学、危险因素、临床工具和演变等现有证据进行识别、评价和综合。方法:采用数据提取和叙事综合的综合系统评价方法。检索PubMed、Web of Science和PsychINFO数据库，检索截至2017年12月31日发表的文章。研究纳入标准如下:1)以英语、西班牙语或法语发表;2)包含癌症疼痛患者OM患病率或发病率的数据;或/和3)提供有关OM危险因素、死亡率、持续时间和缓解情况的信息。
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Pub Date : 2020-01-01DOI: 10.20986/resed.2020.3797/2020
M. M. Moldes, T. F. Rodríguez, G. I. Miramontes, A. Rañó, M. J. Iglesias
{"title":"Incidencia de síndrome de dolor postmastectomía. Análisis retrospectivo.","authors":"M. M. Moldes, T. F. Rodríguez, G. I. Miramontes, A. Rañó, M. J. Iglesias","doi":"10.20986/resed.2020.3797/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3797/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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