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Examination of the clinical factors associated with attendance at emergency departments for chronic pain management and the cost of treatment relative to that of other significant medical conditions.检查与慢性疼痛管理急诊就诊相关的临床因素,以及与其他重大医疗状况相比治疗的费用。
Pain. 2021 Mar 1;162(3):886-894. doi: 10.1097/j.pain.0000000000002098.
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Addressing Obstacles to Evidence-Informed Pain Care.解决以证据为基础的疼痛护理障碍。
AMA J Ethics. 2020 Aug 1;22(1):E709-717. doi: 10.1001/amajethics.2020.709.
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Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial.核心稳定性与髋关节锻炼可改善非特异性下腰痛患者的身体功能和活动能力:一项随机对照试验
Tohoku J Exp Med. 2020 Jul;251(3):193-206. doi: 10.1620/tjem.251.193.
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A Review of Emerging Evidence for Utilization of a Percutaneous Interspinous Process Decompression Device to Treat Symptomatic Lumbar Adjacent-Segment Degeneration.经皮棘突间减压装置治疗症状性腰椎相邻节段退变的新证据综述。
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Chronic pain and frequent use of emergency department: A systematic review.慢性疼痛与频繁使用急诊部:系统综述。
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Spinal cord stimulation failure: evaluation of factors underlying hardware explantation.脊髓刺激失败:硬件取出相关因素的评估
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Stem cell therapy in pain medicine.疼痛医学中的干细胞治疗。
Korean J Pain. 2019 Oct 1;32(4):245-255. doi: 10.3344/kjp.2019.32.4.245.
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Practical approach to a patient with chronic pain of uncertain etiology in primary care.基层医疗中对病因不明的慢性疼痛患者的实用诊疗方法
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多学科公司与慢性疼痛治疗:以腰痛为例的案例研究

Multidisciplinary Firms and the Treatment of Chronic Pain: A Case Study of Low Back Pain.

作者信息

Pilitsis Julie G, Khazen Olga, Wenzel Nikolai G

机构信息

Department of Neurosurgery, Albany Medical College, Albany, NY, United States.

Department of Neuroscience and Experimental Therapeutics, Albany, NY, United States.

出版信息

Front Pain Res (Lausanne). 2021 Nov 10;2:781433. doi: 10.3389/fpain.2021.781433. eCollection 2021.

DOI:10.3389/fpain.2021.781433
PMID:35295487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8915644/
Abstract

Sixteen million people suffer with chronic low back pain and related healthcare expenditures can be as high as $USD 635 billion. Current pain treatments help a significant number of acute pain patients, allowing them to obtain various treatments and then "exit the market for pain services" quickly. However, chronic patients remain in pain and need multiple, varying treatments over time. Often, a single pain provider does not oversee their care. Here, we analyze the current pain market and suggest ways to establish a new treatment paradigm. We posit that more cost effective treatment and better pain relief can be achieved with multi-disciplinary care with a provider team overseeing care.

摘要

1600万人患有慢性腰痛,相关医疗保健支出可能高达6350亿美元。目前的疼痛治疗方法对大量急性疼痛患者有帮助,使他们能够获得各种治疗,然后迅速“退出疼痛服务市场”。然而,慢性疼痛患者仍然饱受疼痛折磨,随着时间的推移需要多种不同的治疗。通常,单一的疼痛治疗提供者并不负责他们的治疗。在此,我们分析了当前的疼痛治疗市场,并提出了建立新治疗模式的方法。我们认为,由一个医疗团队负责监督治疗的多学科护理能够实现更具成本效益的治疗和更好的疼痛缓解效果。