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Govillard L, Gorbeña S, Iraurgi I. Cognitive behavioral therapy with and without biofeedback in fibromyalgia: Assessment of functional and clinical change. Health Psychol Open 2022; 9:20551029221106044. [PMID: 35733450 PMCID: PMC9208052 DOI: 10.1177/20551029221106044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The study compared the effectiveness of Cognitive Behavioral Therapy (CBT) with biofeedback or with emotional expression in individuals with fibromyalgia, and a waiting list control group. 88 women participated in a naturalistic study with random assignment. The Fibromyalgia Impact Questionnaire, SCL-90R, and a visual analog quality of life scale were used. Both intervention groups improved, but differed in physical and emotional control response. Using the reliable change index procedure, clinical improvement occurred in 18.8% of participants, and 4.8% achieved scores comparable with clinical recovery. Greater specificity on therapeutic objectives is warranted.
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Affiliation(s)
- Leila Govillard
- Departamento de Ciencias Sociales y Humanas, Universidad de Deusto, Bilbao, País Vasco, Spain
| | - Susana Gorbeña
- Departamento de Psicología, Universidad de Deusto, Bilbao, País Vasco, Spain
| | - Ioseba Iraurgi
- Departamento de Psicología, Universidad de Deusto, Bilbao, País Vasco, Spain
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Mendoza-Muñoz M, Rodal M, García-Gordillo MÁ, Acevedo-Duque Á, García-Matador J, Calzada-Rodríguez JI, Morenas-Martín J. Spanish Translation and Cultural Adaptation of the Fibromyalgia Knowledge Questionnaire. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7678. [PMID: 34300129 PMCID: PMC8305758 DOI: 10.3390/ijerph18147678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 07/16/2021] [Accepted: 07/17/2021] [Indexed: 12/11/2022]
Abstract
INTRODUCTION Fibromyalgia (FM) translates into a reduction in the quality of life of people who suffer from it, being a chronic disease of unknown etiology. One of the most widespread treatments includes the combination of patient education, along with other components. At the educational level, the Fibromyalgia Knowledge Questionnaire (FKQ) is a tool that assesses knowledge of fibromyalgia. OBJECTIVE To obtain the translation and cultural adaptation of the FKQ questionnaire into Spanish, as well as its readability, in addition to knowing the relationship between knowledge of the disease and the level of disability. METHOD In phase one, a translation-back translation and an evaluation of the readability of the questionnaire was carried out from INFLESZ, while in phase two, the questionnaire was passed to women with FM to detect their knowledge of the disease. A total of 49 women participated, with a mean age of 54.48 years. RESULTS The Spanish version of the FKQ questionnaire was rated by the participants in all its items as "clear and understandable". The readability obtained by the questionnaire was similar to its original version, with both totals being in the "normal" range, following the INFLESZ ranges. Regarding the patients' knowledge about FM, the component in which the highest score was obtained was physical activity (80% correct), while the one that obtained the worst score was knowledge about medication (50% correct). In addition, an inverse correlation was obtained between the FKQ and the FIQ (Fibromyalgia Impact Questionnaire) (r = -0.438; p < 0.01). CONCLUSIONS The FKQ has been translated and culturally adapted, obtaining a correct understanding by the participants, as well as a degree of readability similar to the original questionnaire. Furthermore, it was obtained that, the lower the level of knowledge of the sick person, the greater the disability.
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Affiliation(s)
- María Mendoza-Muñoz
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
| | - Miguel Rodal
- BioErgon Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain
| | | | | | - Judith García-Matador
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
| | - José Ignacio Calzada-Rodríguez
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
| | - Jesús Morenas-Martín
- Motor Control Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain;
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Mendoza-Muñoz M, Morenas-Martín J, Rodal M, García-Matador J, García-Gordillo MÁ, Calzada-Rodríguez JI. Knowledge about Fibromyalgia in Fibromyalgia Patients and Its Relation to HRQoL and Physical Activity. BIOLOGY 2021; 10:673. [PMID: 34356528 PMCID: PMC8301415 DOI: 10.3390/biology10070673] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 07/12/2021] [Accepted: 07/14/2021] [Indexed: 11/24/2022]
Abstract
Introduction: Fibromyalgia (FM) affects 2.40% of the Spanish population. The most widespread treatment has been the combination of patient education, pain coping strategies and exercise. With regard to patient education, there are few previous studies on the efficacy of relating FM education in isolation with an improvement in FM, although there are some studies that report that health education programs could modify the perception of quality of life and improve pain. Objectives: the aim was to find out the level of knowledge about FM among patients in Extremadura, to explore the relationship between knowledge of FM and Health-Related Quality of Life (HRQoL) and to analyze the relationship between knowledge of physical activity in FM and the practice of physical activity. Methods: A single-measure cross-sectional study was carried out with 121 women with a mean age of 55.06 (±9.93) years. The following questionnaires were used: Fibromyalgia Knowledge Questionnaire (FKQ); SF12v2 (Short-Form Health Survey); and EURO-QOL-5D-5L (EQ-5D-5L). Results: regarding the level of knowledge of the participants about FM, it was found that 10% had a low knowledge, 49% medium and 41% high. In relation to the associations between the level of knowledge and HRQoL, a weak correlation between EQ-5D-5L and the FKQ in the domain of physical activity (r = 0.243) were found. Conclusions: it can be concluded that the level of knowledge about FM of the patients from Extremadura was medium-high and that there is a direct weak relationship between knowledge about physical activity in FM and HRQoL. However, no association was found between knowledge of physical activity in FM and the practice of physical activity.
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Affiliation(s)
- María Mendoza-Muñoz
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
| | - Jesús Morenas-Martín
- Motor Control Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain
| | - Miguel Rodal
- BioErgon Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain;
| | - Judith García-Matador
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
| | | | - José Ignacio Calzada-Rodríguez
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain; (M.M.-M.); (J.G.-M.); (J.I.C.-R.)
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Madariaga Muñoz MC, Villegas Estévez F, Jiménez López AJ, Cabezón Álvarez A, Soler López B. Evaluation of Quality of Life and Satisfaction of Patients with Neuropathic Pain and Breakthrough Pain: Economic Impact Based on Quality of Life. PAIN RESEARCH AND TREATMENT 2018; 2018:5394021. [PMID: 30254760 PMCID: PMC6145165 DOI: 10.1155/2018/5394021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Accepted: 08/26/2018] [Indexed: 12/22/2022]
Abstract
OBJECTIVE The study objective was to assess the quality of life and satisfaction with treatment of patients with chronic neuropathic pain (CNP) who experience breakthrough pain (BTP) and to assess its economic impact. DESIGN Cross-sectional observational study. SETTING Fifteen pain units from Spanish hospitals completed the study. PARTICIPANTS A total of 124 patients with adequately controlled CNP who experienced BTP were enrolled into the study. INTERVENTION No interventions were required. MAIN OUTCOME MEASURES Quality of life was assessed using the SF12 v2 questionnaire, the results of which were used to calculate the estimated costs per patient and month and the SF-6D Health Utility Index. Patient satisfaction with treatment received for CNP and for BTP was assessed using a 10-point visual analogue scale. Other associated symptoms were analyzed using the ESAS (Edmonton Symptom Assessment System). RESULTS Patients had a mean age of 60.2 years (95% CI 58.4-63.3), and 46.8% (58) were males. 18.9% (23) experienced their first episode of BTP. A severe impairment of the physical component of SF12v2 was noted, with 94% of patients below the mean score of the population, while 88% had values lower than normal for the mental component. Mean cost per patient and month was $679 and was significantly greater in males ($763 versus $606), 4.96 times greater than in healthy population, and approximately double the cost of patients with CNP in Spain. CONCLUSIONS Occurrence of BTP in patients with CNP causes a substantial increase in healthcare costs which is significantly greater in older males.
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Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients. PAIN RESEARCH AND TREATMENT 2016; 2016:7829585. [PMID: 27516902 PMCID: PMC4969540 DOI: 10.1155/2016/7829585] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 06/19/2016] [Indexed: 11/18/2022]
Abstract
Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1-10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p < 0.001, and health status (VAS) from 40.6 to 61.9, p < 0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.
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Morales-Fernandez A, Morales-Asencio JM, Canca-Sanchez JC, Moreno-Martin G, Vergara-Romero M. Impact on quality of life of a nursing intervention programme for patients with chronic non-cancer pain: an open, randomized controlled parallel study protocol. J Adv Nurs 2016; 72:1182-90. [DOI: 10.1111/jan.12908] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2015] [Indexed: 11/28/2022]
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Gonzalez Gonzalez J, del Teso Rubio MDM, Waliño Paniagua CN, Criado-Alvarez JJ, Sanchez Holgado J. Symptomatic pain and fibromyalgia treatment through multidisciplinary approach for primary care. ACTA ACUST UNITED AC 2014; 11:22-6. [PMID: 24837647 DOI: 10.1016/j.reuma.2014.03.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2013] [Revised: 03/15/2014] [Accepted: 03/21/2014] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Fibromyalgia is a chronic disease of unknown etiology characterized by widespread muscle pain, with occupational, familial, social, physical and psychological performance involvement. The multidisciplinary approach to the disease leads to improvement in quality of life and symptomatology. OBJECTIVES To evaluate the improvement of activities of daily living (ADL) and quality of life following a multidisciplinary intervention (Health Primary Care and Occupational Therapy). MATERIAL AND METHODS Pretest-posttest study performed with a simple random sample of 21 patients with fibromyalgia (range 16-55 years). The measurement was performed with the Barthel scale (ADL), the scale of Lawton and Brody (IADL), the FIQ questionnaire, and no standardized surveys to assess the pre and post intervention situation. An intervention on motor skills (basic motor skills, pool exercise, outdoor exercise, restructuring, occupational performance and graded activity and intervention in ADL) was performed, combining pharmacological control of their symptoms and treatment. RESULTS AND CONCLUSIONS Fibromyalgia patients are not fully satisfied with their treatment; Primary Care receives a score of 6.89, and Hospital Care 5.79, improving the Barthel, Lawton and Brody and FIQ indexes, being statistically significant (p<.05). After the combined procedure the number of independent women in ADL and IADL increases.
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Affiliation(s)
- Jaime Gonzalez Gonzalez
- Médico Atención Primaria, Centro de Salud Santa Olalla, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad de Castilla-La Mancha, España.
| | | | - Carmen Nelida Waliño Paniagua
- Terapeuta ocupacional, Asociación Fibromialgia Talavera de la Reina (AFIBROTAR), Talavera de la Reina, Toledo, España
| | - Juan Jose Criado-Alvarez
- Médico Atención Primaria, Centro de Salud Pueblanueva, Pueblanueva, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad Castilla-La Mancha, España
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Salgueiro M, Basogain X, Collado A, Torres X, Bilbao J, Doñate F, Aguilera L, Azkue JJ. An Artificial Neural Network Approach for Predicting Functional Outcome in Fibromyalgia Syndrome after Multidisciplinary Pain Program. PAIN MEDICINE 2013; 14:1450-60. [DOI: 10.1111/pme.12185] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Jarrell J. Endometriosis and abdominal myofascial pain in adults and adolescents. Curr Pain Headache Rep 2012; 15:368-76. [PMID: 21755274 DOI: 10.1007/s11916-011-0218-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Endometriosis and myofascial pain are common disorders with significant impact on quality of life. Increasingly, these conditions are being recognized as highly interconnected through processes that have been described for more than a century. This review is directed to this interconnection through a description of the relationships of endometriosis to proposed mechanisms of pain and chronic pain physiology; the clinical assessment of myofascial representations of this pain; and an approach to the management of these interconnected disorders.
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Affiliation(s)
- John Jarrell
- Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.
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Castillo-Bueno MD, Moreno-Pina JP, Martínez-Puente MV, Artiles-Suárez MM, Company-Sancho MC, García-Andrés MC, Sánchez-Villar I, Hernández-Pérez R. Effectiveness of nursing intervention for adult patients experiencing chronic pain: a systematic review. ACTA ACUST UNITED AC 2010; 8:1112-1168. [PMID: 27820209 DOI: 10.11124/01938924-201008280-00001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES To determine the best available evidence regarding the effectiveness of nursing interventions for adult patients experiencing chronic pain. TYPES OF STUDIES Randomized Controlled Trials (RCT) and Quasi-Randomized Controlled Trials. TYPES OF PARTICIPANTS Participants were adults, aged at least 18 years, suffering from chronic pain (lasting for longer than six months). Pain of oncological origin and patients admitted in a hospital, were excluded. TYPES OF INTERVENTIONS Non pharmacological nursing interventions for chronic pain. TYPES OF OUTCOME MEASURES The primary outcome measure was chronic pain, and secondary outcome measures were: disability, depression, dependence and health related quality of life. SEARCH STRATEGY All studies, published and unpublished, in English and Spanish, carried out between January 1997 and December 2007 were retrieved.. SELECTION OF STUDIES The methodological quality of included articles was assessed by two independent reviewers using appropriate critical appraisal tools from the Joanna Briggs Institute. DATA EXTRACTION AND ANALYSIS Data were independently extracted by two reviewers, using the standardised data extraction tool from the Joanna Briggs Institute.A meta-analysis was not possible as the trials were heterogeneous in their interventions, characteristics of the populations, intervention duration measurement instruments and outcomes measures. RESULTS 1,666 references were identified that fit the aim of the review. 92 articles were retrieved, of which 13 were chosen to be critically appraised for their methodological quality. In the end, eight controlled trials were included.The main results were:Other outcome measures showed an improvement in the quality of life (sensorial stimulation and guided imagery), in depression, disability and empowerment (music therapy) and physical functioning (program of psycho-education).The main limitations of this review were: excluding studies were the professional performing the interventions were not detailed or the intervention was not carried out by a nurse and that the search strategy was limited up to 2007. IMPLICATIONS FOR PRACTICE Listening to music, a cognitive-behavioural treatment programme, magnetic therapy, sensorial stimulation, a psychoeducation programme and guided imagery are nursing interventions that helps to reduce the chronic pain in adults and may be used as contributory to the pharmacological treatment. Short exercises for increasing endurance does not reduce pain. IMPLICATIONS FOR RESEARCH For future reviews we do not recommend the inclusion of different interventions for the reduction of chronic pain, due to the great number and variability of intervention, but the development of a SR on specific interventions.
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Affiliation(s)
- M D Castillo-Bueno
- 1. Centro Tecnológico de Información y Documentación Sanitaria. Murcia. España. 2. Equipo de Atención Primaria "Profesor Jesús Marin". Murcia. España. 3. Hospital Reina Sofía. Murcia. España 4. Complejo Hospitalario Universitarios Insular Materno Infantil. Canarias. España 5. Dirección General de Programas Asistenciales. Canarias. España 6. Escuela Universitaria de Enfermería " Ntra. Sra. Candelaria". Canarias. España. 7. Hospital Universitario de Canarias. Canarias. España. 8. Equipo de Atención Primaria "Laguna San Benito ". Canarias. España. 9. Spanish Collaborating Centre of the Joanna Briggs Institute for Evidence Based Healthcare
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Lera S, Gelman SM, López MJ, Abenoza M, Zorrilla JG, Castro-Fornieles J, Salamero M. Multidisciplinary treatment of fibromyalgia: does cognitive behavior therapy increase the response to treatment? J Psychosom Res 2009; 67:433-41. [PMID: 19837206 DOI: 10.1016/j.jpsychores.2009.01.012] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2008] [Revised: 01/19/2009] [Accepted: 01/21/2009] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Multidisciplinary treatments (MTs) are usually recommended for reducing fibromyalgia (FM) symptoms and include physical exercise, drug management, education, and cognitive behavior therapy (CBT). However, there is no evidence that CBT adds efficacy to the other therapeutic components. This randomized controlled trial analyzed the response of FM patients to two MTs, with and without CBT, according to the presence of concurrent symptoms. METHODS Eighty-three women with FM were randomly assigned to MT or combined MT and CBT. The MT included medical intervention, physical training, education, and discussion of the syndrome. The CBT focused on coping with stress, modifying lifestyles, and changing pain behaviors. Demographic and clinical data, information regarding tender points, and questionnaire responses about functional capability [Fibromyalgia Impact Questionnaire (FIQ)], health status [36-item Short Form Health Survey (SF-36)], and mental health [Symptom Checklist-90-Revised (SCL-90-R)] were obtained at the beginning, at the end of the 15-week treatment, and at 6-month follow-up. Subgroups are identified in relation to treatment response. RESULTS Sixty-six women (80%) completed treatment. Although the variance of the total sample had changed at posttreatment (F=2.67, P=.031), there was no significant effect for the TimexTreatment interaction (F=1.65, P=.16). Univariate tests detected a significant fall in the FIQ score. The subgroup of patients with fatigue showed a better response with MT+CBT than with MT. At 6-month follow-up, the statistical differences had been maintained. Intention-to-treat analysis ratified these results. CONCLUSIONS MT improves functional capability and reduces symptom impact. CBT increases mildly the effect of MT in patients with fatigue.
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Affiliation(s)
- Sara Lera
- Neurosciences Institute, Hospital Clínic de Barcelona, Barcelona, Spain.
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Effectiveness of nursing intervention for adult patients experiencing chronic pain: a systematic review. JBI LIBRARY OF SYSTEMATIC REVIEWS 2008; 6:1-13. [PMID: 27820466 DOI: 10.11124/01938924-200806121-00003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Martínez Lavín M. [Not Available]. REUMATOLOGIA CLINICA 2007; 3:53-54. [PMID: 21794398 DOI: 10.1016/s1699-258x(07)73601-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2006] [Accepted: 07/17/2006] [Indexed: 05/31/2023]
Affiliation(s)
- Manuel Martínez Lavín
- Departamento de Reumatología. Instituto Nacional de Cardiología de México. México D.F. México
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Rivera J, Alegre C, Ballina F, Carbonell J, Carmona L, Castel B, Collado A, Esteve J, Martínez F, Tornero J, Vallejo M, Vidal J. Documento de consenso de la Sociedad Española de Reumatología sobre la fibromialgia. ACTA ACUST UNITED AC 2006; 2 Suppl 1:S55-66. [DOI: 10.1016/s1699-258x(06)73084-4] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Alegre de Miquel C, Alejandra-Pereda C, Betina-Nishishinya M, Rivera J. [Systematic review of pharmacologic treatment in fibromyalgia]. Med Clin (Barc) 2006; 125:784-7. [PMID: 16373030 DOI: 10.1016/s0025-7753(05)72190-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Cayetano Alegre de Miquel
- Unidad de Reumatología, Servicio de Medicina Interna, Hospital Universitario Vall d'Hebron, Barcelona, España.
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Gálvez R, Rejas J, Pérez M, Gómez M. [Prevalence of neuropathic pain in Spain: clinical, working and health care implications]. Med Clin (Barc) 2005; 125:221-9. [PMID: 16022836 DOI: 10.1157/13077380] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A narrative systematic medical literature review on prevalence of neuropathic pain (NP) in Spain from 1990 to 2004 was conducted. The average number of publications was 3 per year. Prevalence data varied depending on studied population, definition of pain/pathology and time of pain evolution. The most commonly studied pathologies included: mononeuropathies and polyneuropathies: 42%, multiple sclerosis: 35% and entrapment neuropathies: 16%. Some episodes of NP were left untreated. One third of patients with back pain receiving analgesic treatment still had high intensity pain. Future studies on the prevalence of NP should use work definitions and criteria reached by consensus. An awareness of the clinical presentation of NP and an appropriate and early treatment could minimize its clinical, working and health care implications. NP is a diverse and highly prevalent condition in Spain. Efforts should be conducted towards the achievement of diagnostic criteria consensus and higher rates of analgesic success.
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Affiliation(s)
- Rafael Gálvez
- Unidad del Dolor y Cuidados Paliativos, Hospital Universitario Virgen de las Nieves, Granada, Spain
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Callejas Rubio JL, Fernández Moyano A, Navarro Hidalgo D, Palmero Palmero C. [Percutaneous fentanyl in fibromyalgia]. Med Clin (Barc) 2003; 120:358-9. [PMID: 12646117 DOI: 10.1016/s0025-7753(03)73702-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Collado A, Alijotas J, Benito P, Alegre C, Romera M, Sañudo I, Martín R, Peri JM, Cots JM. [Consensus report on the diagnosis and treatment of fibromyalgia in Catalonia]. Med Clin (Barc) 2002; 118:745-9. [PMID: 12049708 DOI: 10.1016/s0025-7753(02)72517-7] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Antonio Collado
- Servicio de Reumatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Spain
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