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脊髓损伤患者慢性神经性疼痛临床实践指南:引言和方法。

Clinical practice guidelines for chronic neuropathic pain in the spinal cord injury patient: introduction and methodology.

机构信息

Service de médecine physique et réadaptation neurologique, hôpital Saint-Jacques, CHU de Nantes, 44093 Nantes cedex, France.

出版信息

Ann Phys Rehabil Med. 2009 Mar;52(2):77-82. doi: 10.1016/j.rehab.2009.02.001. Epub 2009 Feb 21.

Abstract

OBJECTIVE

To develop clinical practice guidelines for the identification, evaluation and treatment of chronic neuropathic pain in spinal cord injury patients.

METHODS AND RESULTS

the methodology was developed by the SOFMER (the French Society for Physical Medicine and Rehabilitation) and incorporates both guidelines for clinical practice and an expert consensus meeting. Following the creation of a Steering Committee and a Scientific Committee, twelve relevant questions were developed. Two experts from different medical specialties were assigned to each question. The scientific literature was assessed according to the grading scale used by the French Agency for Accreditation and Evaluation in Healthcare (ANAES). The conclusions from the experts' literature analysis were presented at the 2007 SOFMER congress. Lastly, a multidisciplinary expert panel validated the guidelines.

CONCLUSION

Each question generated a number of good practice guidelines, based on the available scientific level of proof and expert opinion.

摘要

目的

制定脊髓损伤患者慢性神经性疼痛的识别、评估和治疗临床实践指南。

方法和结果

该方法由 SOFMER(法国物理医学与康复学会)制定,包含临床实践指南和专家共识会议。在创建指导委员会和科学委员会之后,制定了 12 个相关问题。每个问题都分配给了两位来自不同医学专业的专家。根据法国医疗保健认证和评估机构(ANAES)使用的分级量表对科学文献进行了评估。专家对文献的分析结果在 2007 年 SOFMER 大会上进行了陈述。最后,一个多学科专家小组对指南进行了验证。

结论

根据现有的科学证据水平和专家意见,每个问题都制定了一些良好的实践指南。

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