Universidad del Desarrollo

Now showing 1 - 8 of 8

Some of the metrics are blocked by your
consent settings
Manejo del dolor agudo y crónico en pacientes ancianos
(Asociacion de Medicos Anestesiologos de Chile, 2024)
Josefina Yates
;
Martín Lacassie
;
Eduardo Vega Pérez
;
Antonia Cárdenas
;
Cristóbal Pedemonte
6
Some of the metrics are blocked by your
consent settings
Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline
(2023)
Jason W Busse
;
Rodrigo Casassus
;
Alonso Carrasco-Labra
;
Justin Durham
;
David Mock
<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Clinical question</jats:title> <jats:p>What is the comparative effectiveness of available therapies for chronic pain associated with temporomandibular disorders (TMD)?</jats:p> </jats:sec> <jats:sec> <jats:title>Current practice</jats:title> <jats:p>TMD are the second most common musculoskeletal chronic pain disorder after low back pain, affecting 6-9% of adults globally. TMD are associated with pain affecting the jaw and associated structures and may present with headaches, earache, clicking, popping, or crackling sounds in the temporomandibular joint, and impaired mandibular function. Current clinical practice guidelines are largely consensus-based and provide inconsistent recommendations.</jats:p> </jats:sec> <jats:sec> <jats:title>Recommendations</jats:title> <jats:p>For patients living with chronic pain (≥3 months) associated with TMD, and compared with placebo or sham procedures, the guideline panel issued: (1) strong recommendations in favour of cognitive behavioural therapy (CBT) with or without biofeedback or relaxation therapy, therapist-assisted mobilisation, manual trigger point therapy, supervised postural exercise, supervised jaw exercise and stretching with or without manual trigger point therapy, and usual care (such as home exercises, stretching, reassurance, and education); (2) conditional recommendations in favour of manipulation, supervised jaw exercise with mobilisation, CBT with non-steroidal anti-inflammatory drugs (NSAIDS), manipulation with postural exercise, and acupuncture; (3) conditional recommendations against reversible occlusal splints (alone or in combination with other interventions), arthrocentesis (alone or in combination with other interventions), cartilage supplement with or without hyaluronic acid injection, low level laser therapy (alone or in combination with other interventions), transcutaneous electrical nerve stimulation, gabapentin, botulinum toxin injection, hyaluronic acid injection, relaxation therapy, trigger point injection, acetaminophen (with or without muscle relaxants or NSAIDS), topical capsaicin, biofeedback, corticosteroid injection (with or without NSAIDS), benzodiazepines, and β blockers; and (4) strong recommendations against irreversible oral splints, discectomy, and NSAIDS with opioids.</jats:p> </jats:sec> <jats:sec> <jats:title>How this guideline was created</jats:title> <jats:p>An international guideline development panel including patients, clinicians with content expertise, and methodologists produced these recommendations in adherence with standards for trustworthy guidelines using the GRADE approach. The MAGIC Evidence Ecosystem Foundation (MAGIC) provided methodological support. The panel approached the formulation of recommendations from the perspective of patients, rather than a population or health system perspective.</jats:p> </jats:sec> <jats:sec> <jats:title>The evidence</jats:title> <jats:p>Recommendations are informed by a linked systematic review and network meta-analysis summarising the current body of evidence for benefits and harms of conservative, pharmacologic, and invasive interventions for chronic pain secondary to TMD.</jats:p> </jats:sec> <jats:sec> <jats:title>Understanding the recommendation</jats:title> <jats:p>These recommendations apply to patients living with chronic pain (≥3 months duration) associated with TMD as a group of conditions, and do not apply to the management of acute TMD pain. When considering management options, clinicians and patients should first consider strongly recommended interventions, then those conditionally recommended in favour, then conditionally against. In doing so, shared decision making is essential to ensure patients make choices that reflect their values and preference, availability of interventions, and what they may have already tried. Further research is warranted and may alter recommendations in the future.</jats:p> </jats:sec>
15Scopus© Citations 63
Some of the metrics are blocked by your
consent settings
Over-activated hemichannels: A possible therapeutic target for human diseases
(2021)
Mauricio A. Retamal
;
Ainoa Fernandez-Olivares
;
Jimmy Stehberg
Scopus© Citations 11 13
Some of the metrics are blocked by your
consent settings
Approach to the Patient with Axial Spondyloarthritis and Suspected Inflammatory Bowel Disease
(2020)
IBAÑEZ, SEBASTIAN
;
María Paz Poblete De La Fuente
;
Elisa Catalina Parra Cancino
3 1Scopus© Citations 2
Some of the metrics are blocked by your
consent settings
International perspective on healthcare provider gender bias in musculoskeletal pain management: a scoping review protocol
(2022)
Katherine Fisher Wilford
;
Maria Jesus Mena-Iturriaga
;
Margaret Vugrin
;
Macarena Wainer
;
Phillip S Sizer
<jats:sec><jats:title>Introduction</jats:title><jats:p>Chronic pain affects millions of individuals worldwide. Healthcare provider gender bias in the management of these individuals has societal and individual ramifications. Yet, a thorough and comprehensive literature summary on this topic is lacking. Therefore, this study aims to systematically: (1) identify and map the available scientific and grey literature as it relates to healthcare provider gender bias in the assessment, diagnosis and management of (chronic) musculoskeletal pain and (2) identify current gaps that necessitate further research.</jats:p></jats:sec><jats:sec><jats:title>Methods and analysis</jats:title><jats:p>This scoping review will be conducted in accordance with recent guidelines, and the results will be reported via the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The following databases will be searched: PubMed (National Library of Medicine), Embase (Elsevier), Scopus (Elsevier), CINAHL Complete (Ovid), Academic Search Complete (Ebscohost), Pre-Prints Database (National Library of Medicine) and Rehabilitation Reference Center from inception to August 2022. Additionally, relevant grey literature will be identified. All screening will be done by two independent reviewers during two stages: first title/abstract screening followed by full-text screening. Data will be extracted from the bibliometric, study characteristics, and pain science families of variables. Results will be descriptively mapped, and the frequency of concepts, population, characteristics and other details will be narratively reported. Additionally, results will be presented in tabular and graphical form.</jats:p></jats:sec><jats:sec><jats:title>Ethics and dissemination</jats:title><jats:p>As this study will neither involve human subject participation nor utilisation of protected data, ethical approval is not required. This study’s methodological approach follows current recommendations. Study findings will be disseminated through conference presentations and international peer-review journal publication. In addition, infographics available in English, Spanish and German will be disseminated.</jats:p></jats:sec><jats:sec><jats:title>Registration details</jats:title><jats:p>This project will be registered in Open Science Framework prior to data collection.</jats:p></jats:sec>
17Scopus© Citations 1
Some of the metrics are blocked by your
consent settings
Use of Opioids in Latin America: The Need of an Evidence-Based Change
(2016)
Maria Antonieta Rico
19Scopus© Citations 18
Some of the metrics are blocked by your
consent settings
Terapia manual, un arma de doble filo en el manejo del dolor crónico.
(2018)
Iván Alejandro Cuyul Vásquez
;
Leonel Jaramillo
;
Nelson Adrian Serrano
2
Some of the metrics are blocked by your
consent settings
Should evidence or sound clinical reasoning dictate patient care?
(2016)
Phillip S. Sizer
;
MAURI STECCA, MANUEL VICENTE
;
Kenneth Learman
;
Clare Jones
;
Norman ‘Skip’ Gill
17Scopus© Citations 10

CRIS

Browse

Filters

Settings

Sort By

Results per page

Search Results