EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis

被引：238

作者：

Geenen, Rinie ^{[1
]}

Overman, Cecile L. ^{[1
]}

Christensen, Robin ^{[2
,3
]}

Asenlof, Pernilla ^{[4
]}

Capela, Susana ^{[5
,6
]}

Huisinga, Karen L. ^{[7
]}

Husebo, Mai Elin P. ^{[8
]}

Koke, Albere J. A. ^{[9
]}

Paskins, Zoe ^{[10
,11
]}

Pitsillidou, Irene A. ^{[12
]}

Savel, Carine ^{[13
]}

Austin, Judith ^{[1
]}

Hassett, Afton L. ^{[14
]}

Severijns, Guy ^{[15
]}

Stoffer-Marx, Michaela ^{[16
,17
]}

Vlaeyen, Johan W. S. ^{[18
,19
]}

Fernandez-de-las-Penas, Cesar ^{[20
]}

Ryan, Sarah J. ^{[11
]}

Bergman, Stefan ^{[21
]}

机构：

[1] Univ Utrecht, Dept Psychol, Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands

[2] Bispebjerg & Frederiksberg Hosp, Parker Inst, Musculoskeletal Stat Unit, Copenhagen, Denmark

[3] Odense Univ Hosp, Dept Rheumatol, Odense, Denmark

[4] Uppsala Univ, Dept Neurosci, Uppsala, Sweden

[5] Hosp Santa Maria, Rheumatol & Metab Bone Dis Dept, Lisbon, Portugal

[6] Univ Lisbon, Lisbon Acad Med Ctr, Inst Med Mol, Fac Med,Rheumatol Res Unit, Lisbon, Portugal

[7] Virginia Mason Med Ctr, Dept Rheumatol, Seattle, WA 98101 USA

[8] Diakonhjemmet Hosp, Norwegian Natl Unit Rehabil Rheumat Patients Spec, NBRR, Oslo, Norway

[9] Maastricht Univ, Dept Rehabil Med, Maastricht, Netherlands

[10] Keele Univ, Res Inst Primary Care & Hlth Sci, Keele, Staffs, England

[11] Haywood Hosp, Haywood Acad Rheumatol Ctr, Stoke On Trent, Staffs, England

[12] Cyprus League Rheumatism, EULAR Patient Res Partner, Nicosia, Cyprus

[13] CHU Clermont Ferrand, Dept Rheumatol, Clermont Ferrand, France

[14] Univ Michigan, Sch Med, Chron Pain & Fatigue Res Ctr, Dept Anesthesiol,Div Pain Res, Ann Arbor, MI USA

[15] EULAR Social Leagues Patients Representat, Leuven, Belgium

[16] Med Univ Vienna, Ctr Med Stat Informat & Intelligent Syst, Sect Outcomes Res, Vienna, Austria

[17] Univ Appl Sci, Dept Hlth Sci, FH Campus Wien, Vienna, Austria

[18] Univ Leuven, Res Grp Hlth Psychol, Leuven, Belgium

[19] Maastricht Univ, Fac Psychol & Neurosci, Behav Med Res, Maastricht, Netherlands

[20] Univ Rey Juan Carlos, Dept Phys Therapy Occupat Therapy Rehabil & Phys, Alcorcon, Spain

[21] Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Primary Hlth Care Unit,Inst Med, Gothenburg, Sweden

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2018年 / 77卷 / 06期

关键词：

rheumatoid arthritis; osteoarthritis; spondyloarthritis; psoriatic arthritis; patient perspective; COGNITIVE-BEHAVIORAL THERAPY; CHRONIC MUSCULOSKELETAL PAIN; RHEUMATOID-ARTHRITIS; KNEE OSTEOARTHRITIS; STANDING-COMMITTEE; OLDER-ADULTS; TASK-FORCE; DECISION-MAKING; SLEEP PROBLEMS; GLOBAL BURDEN;

D O I：

10.1136/annrheumdis-2017-212662

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating the development of evidence-based recommendations for the health professional's approach to pain management. A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Overarching principles and recommendations regarding assessment and pain treatment were specified on the basis of reviewed evidence and expert opinion. From 2914 review studies initially identified, 186 met inclusion criteria. The task force emphasised the importance for the health professional to adopt a patient-centred framework within a biopsychosocial perspective, to have sufficient knowledge of IA and OA pathogenesis, and to be able to differentiate localised and generalised pain. Treatment is guided by scientific evidence and the assessment of patient needs, preferences and priorities; pain characteristics; previous and ongoing pain treatments; inflammation and joint damage; and psychological and other pain-related factors. Pain treatment options typically include education complemented by physical activity and exercise, orthotics, psychological and social interventions, sleep hygiene education, weight management, pharmacological and joint-specific treatment options, or interdisciplinary pain management. Effects on pain were most uniformly positive for physical activity and exercise interventions, and for psychological interventions. Effects on pain for educational interventions, orthotics, weight management and multidisciplinary treatment were shown for particular disease groups. Underpinned by available systematic reviews and meta-analyses, these recommendations enable health professionals to provide knowledgeable pain-management support for people with IA and OA.

引用

页码：797 / 807

页数：11

共 50 条

[31] EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis
Peters, M. J. L.
Symmons, D. P. M.
McCarey, D.
Dijkmans, B. A. C.
Nicola, P.
Kvien, T. K.
McInnes, I. B.
Haentzschel, H.
Gonzalez-Gay, M. A.
Provan, S.
Semb, A.
Sidiropoulos, P.
Kitas, G.
Smulders, Y. M.
Soubrier, M.
Szekanecz, Z.
Sattar, N.
Nurmohamed, M. T.
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (02) : 325 - 331
[32] APPLICATION OF THE EULAR RECOMMENDATIONS FOR PATIENT EDUCATION FOR PEOPLE WITH INFLAMMATORY ARTHRITIS IN SWITZERLAND
Niedermann, K.
Madelaine-Bonjour, C.
Roffler, M.
Kocher, A.
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2017, 76 : 1489 - 1489
[33] Management of psoriatic arthritis in 2016: a comparison of EULAR and GRAPPA recommendations
Laure Gossec
Laura C. Coates
Maarten de Wit
Arthur Kavanaugh
Sofia Ramiro
Philip J. Mease
Christopher T. Ritchlin
Désirée van der Heijde
Josef S. Smolen
[J]. Nature Reviews Rheumatology, 2016, 12 : 743 - 750
[34] Eular recommendations for the management of Behvet's disease
Hatemi, G.
Bang, D.
Bodaghi, B.
Chamberlain, A. M.
Gul, A.
Houman, M. H.
Koetter, I.
Olivierie, I.
Salvarani, C.
Sfikakis, P. P.
Silman, A.
Siva, A.
Stanford, M. R.
Stoebiger, N.
Yurdakul, S.
Yazici, H.
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2007, 66 : 44 - 45
[35] Management of psoriatic arthritis in 2016: a comparison of EULAR and GRAPPA recommendations
Gossec, Laure
Coates, Laura C.
de Wit, Maarten
Kavanaugh, Arthur
Ramiro, Sofia
Mease, Philip J.
Ritchlin, Christopher T.
van der Heijde, Desiree
Smolen, Josef S.
[J]. NATURE REVIEWS RHEUMATOLOGY, 2016, 12 (12) : 743 - 750
[36] EULAR Evidence-Based Recommendations for the Diagnosis and Management of Hand Osteoarthritis
Haindl, P. M.
Reiter, S.
Leeb, B. F.
[J]. AKTUELLE RHEUMATOLOGIE, 2008, 33 (06) : 342 - 350
[37] Eular evidence based recommendations for the management of early rheumatoid arthritis
Combe, B
Landewe, R
Lukas, C
Bolosiu, HD
Breedveld, F
Dougados, M
Emery, R
Ferraccioli, G
Hazes, JMW
Klareskog, L
Machold, K
Martin-Mola, E
Nielsen, H
Silman, A
Smolen, J
Yazici, H
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 : 212 - 212
[38] Management of knee osteoarthritis:: Eular recommendations 2000 versus daily practices
Hauselmann, H
Mazières, B
Schmidely, N
Martin-Mola, E
Serni, U
Verbruggen, AA
Le Bar, M
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2003, 62 : 38 - 38
[39] EULAR recommendations for the use of imaging in the clinical management of peripheral joint osteoarthritis
Sakellariou, Garifallia
Conaghan, Philip G.
Zhang, Weiya
Bijlsma, Johannes W. J.
Boyesen, Pernille
D'Agostino, Maria Antonietta
Doherty, Michael
Fodor, Daniela
Kloppenburg, Margreet
Miese, Falk
Naredo, Esperanza
Porcheret, Mark
Iagnocco, Annamaria
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2017, 76 (09) : 1484 - 1494
[40] EULAR RECOMMENDATIONS FOR THE MANAGEMENT OF SJOGREN'S SYNDROME
Retamozo, S.
[J]. ANNALS OF THE RHEUMATIC DISEASES, 2018, 77 : 42 - 42

← 1 2 3 4 5 →