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没有临床背景的审查对癌症疼痛管理有害。

Reviewing without a Clinical Background Is Detrimental for Cancer Pain Management.

作者信息

Mercadante Sebastiano

机构信息

Supportive/Palliative Care Unit, La Maddalena Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy.

出版信息

Cancers (Basel). 2019 Jul 18;11(7):1005. doi: 10.3390/cancers11071005.

Abstract

Reviews are a fundamental space for summarizing and spreading knowledge on a particular topic. Methodologic skills may improve the clarity and the meaning of data presentation. A recent editorial choice provided an advanced update on a topic such as cancer pain, providing meaningful and appropriate information on hot topics of cancer pain management. Recent reviews have reported strange and misleading data, suggesting to some adjuvant drugs or opioids for mild-moderate pain instead of opioids on the basis of an incomprehensible analysis performed without any clinical sense. This is a serious problem because such information, published in an authoritative journal, could dis-educate oncologists in their daily practice.

摘要

综述是总结和传播特定主题知识的重要领域。方法学技能可能会提高数据呈现的清晰度和意义。最近的一篇社论选择提供了关于癌症疼痛等主题的最新进展,提供了有关癌症疼痛管理热点话题的有意义且恰当的信息。最近的综述报告了奇怪且具有误导性的数据,基于毫无临床意义的难以理解的分析,建议使用某些辅助药物或阿片类药物治疗轻中度疼痛而非阿片类药物。这是一个严重的问题,因为在权威期刊上发表的此类信息可能会在日常实践中误导肿瘤学家。

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本文引用的文献

1
The Patient with Difficult Cancer Pain.患有难治性癌痛的患者。
Cancers (Basel). 2019 Apr 19;11(4):565. doi: 10.3390/cancers11040565.
2
Cancer Pain Assessment and Classification.癌症疼痛评估与分类
Cancers (Basel). 2019 Apr 10;11(4):510. doi: 10.3390/cancers11040510.
5
Scientists rise up against statistical significance.科学家们奋起反对统计显著性。
Nature. 2019 Mar;567(7748):305-307. doi: 10.1038/d41586-019-00857-9.
6
Cancer-Related Neuropathic Pain.癌症相关性神经病理性疼痛
Cancers (Basel). 2019 Mar 16;11(3):373. doi: 10.3390/cancers11030373.
10
Opioids for cancer pain - an overview of Cochrane reviews.用于癌症疼痛的阿片类药物——Cochrane系统评价综述
Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD012592. doi: 10.1002/14651858.CD012592.pub2.

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