Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, United States.
Chronic Pain Research Alliance, Milwaukee, WI, United States.
Pain. 2022 Oct 1;163(10):1862-1873. doi: 10.1097/j.pain.0000000000002600. Epub 2022 Jan 28.
The interest and the rationale for meaningful engagement of patients as partners in clinical trials of pain treatments has been increasing. No specific guidance on patient engagement for pain research studies currently exists; thus, the goal of this narrative review was to provide a historical perspective and a current evaluation of the literature on engaging patients as partners in clinical studies in general and in pain-related studies more specifically. We described how regulatory and funding agencies have developed approaches to incorporate input from patients and patient partners in their decision-making processes. We provided an overview on key practices of patient recruitment and engagement as partners in clinical research and highlighted the perceived benefits and challenges of such partnerships. We summarized factors that can facilitate or hinder meaningful patient engagement in clinical trials of pain treatments and outlined gaps that future research should address to optimize patient-centered clinical research.
患者作为临床试验合作伙伴参与疼痛治疗的兴趣和基本原理一直在增加。目前尚无关于疼痛研究中患者参与的具体指导意见;因此,本叙述性综述的目的是提供一个历史视角,并对一般情况下将患者作为合作伙伴纳入临床研究以及更具体地纳入疼痛相关研究的文献进行当前评估。我们描述了监管和资助机构如何制定方法,将患者和患者伙伴的意见纳入其决策过程。我们概述了临床研究中招募和参与患者作为合作伙伴的关键实践,并强调了这种伙伴关系的预期益处和挑战。我们总结了可以促进或阻碍疼痛治疗临床试验中患者进行有意义参与的因素,并概述了未来研究应解决的差距,以优化以患者为中心的临床研究。