The 2021 NICE guidelines for assessment and management of chronic pain: A cross-sectional study mapping against a sample of 1,000* in the community.
Pain management
healthcare guidelines
mental health
primary care
Journal
British journal of pain
ISSN: 2049-4637
Titre abrégé: Br J Pain
Pays: England
ID NLM: 101583844
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
entrez:
29
8
2022
pubmed:
30
8
2022
medline:
30
8
2022
Statut:
ppublish
Résumé
To characterise the prevailing pharmacological and non-pharmacological pain management strategies among adults with chronic pain, comparing these against the newly published NICE guidelines NG-193, and examine these pre-NG-193 pain management strategies in relation to pain severity, pain interference, sleep quality and mental health outcomes. This study was conducted using a cross-sectional online survey study design. This study was conducted on a community-dwelling cohort. Adults aged 18+, living in the UK, with diagnosis of chronic pain by a health care professional. Primary outcomes were characterisation of the pain management strategies utilised. Secondary outcomes were related to pain severity, pain interference, sleep quality, depression and anxiety via validated self-report measures. Several strategies were employed by respondents to manage their chronic pain condition including physical therapy, exercise, psychological therapy and pharmacological therapy. The data also indicated a high level of joint-care planning among patients and their clinicians. Some group differences were found in relation to pain, sleep and mental health outcomes. This study set a comparative starting baseline to which the efficacy of the NG-193 may be compared in future years. There is evidence that NICE recommendations are being followed for the management of chronic primary pain conditions; however, pharmacological use of opioid drugs is still reported by 47%. Despite the confirmed evidence in this study of small efficacy of chronic pain by pharmacological agent, the reduction in the use of pain relief medications be it over the counter medications or prescription opioids, as recommended by NG-193, may be slow to be adopted. The data suggest that more care provision is needed to meet the recommendations around pharmacological management and review.
Identifiants
pubmed: 36032346
doi: 10.1177/20494637221083837
pii: 10.1177_20494637221083837
pmc: PMC9411759
doi:
Types de publication
Journal Article
Langues
eng
Pagination
439-449Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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