Brief discussion on the current status and future of chronic pain management based on a new definition of pain_West China Medical Journal

Authors：

CHEN Xueli ¹ , JIA Xiaoli ¹ ,  CHEN Zheng ²

1. Department of Rehabilitation Medicine, Beijing Geriatric Hospital, Beijing 100095, P. R. China;
2. Chinese Geriatrics Society, Beijing 100055, P. R. China;

Corresponding?author：

CHEN Zheng, Email: bghigr@163.com

Keywords：

Chronic pain; pain management; multidisciplinary collaboration; humanistic care

DOI：

10.7507/1002-0179.202203090

Video：

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By reviewing the current status of chronic pain and combining with the new definition of pain revised by the International Association for the Study of Pain in 2020, firstly a prevention-based approach, self-management of pain, and multidisciplinary collaboration based on the integration of bio-psycho-social-environmental factors is proposed. The medical mode will greatly improve the treatment effect of chronic pain and the quality of life of patients. Secondly, the importance of strengthening humanistic care and paying attention to health education, as well as improving medical staff’s awareness of chronic pain and the level of diagnosis and treatment are pointed out. Finally, it is clarified that innovative non-drug treatments and the establishment of digital pain management platforms are the future of chronic pain.

Citation： CHEN Xueli, JIA Xiaoli, CHEN Zheng. Brief discussion on the current status and future of chronic pain management based on a new definition of pain. West China Medical Journal, 2022, 37(8): 1253-1256. doi: 10.7507/1002-0179.202203090 Copy

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2.	Treede RD, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain, 2019, 160(1): 19-27.
3.	劉延青. 實用疼痛學. 北京: 人民衛生出版社, 2013.
4.	樊碧發. 中國疼痛防控與健康促進戰略藍皮書: 中國疼痛醫學發展報告(2020). 北京: 清華大學出版社, 2020.
5.	陳國良, 王梅, 陳繼軍, 等. 慢性疼痛患者心理狀況研究進展. 中國疼痛醫學雜志, 2014, 20(9): 658-660.
6.	GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 2017, 390(10100): 1211-1259.
7.	施玉博, 郭衛春, 余鈴. 非特異性下腰痛: 北美脊柱協會(NASS)循證醫學指南解讀. 中國修復重建外科雜志, 2021, 35(10): 1336-1340.
8.	Yang S, Chang MC. Chronic pain: structural and functional changes in brain structures and associated negative affective states. Int J Mol Sci, 2019, 20(13): 3130.
9.	Patel KV, Guralnik JM, Dansie EJ, et al. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. Pain, 2013, 154(12): 2649-2657.
10.	Schwan J, Sclafani J, Tawfik VL. Chronic pain management in the elderly. Anesthesiol Clin, 2019, 37(3): 547-560.
11.	Victoria G. Pain care. Nurs Care N Am, 1994, 29(3): 534-544.
12.	IASP. Pain terms and definitions. (2020-07-16)[2022-07-29]. https://www.iasp-pain.org/resources/terminology/#pain.
13.	宋學軍, 樊碧發, 萬有, 等. 國際疼痛學會新版疼痛定義修訂簡析. 中國疼痛醫學雜志, 2020, 26(9): 641-644.
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15.	韓濟生. 我國疼痛治療新進展. 醫學研究雜志, 2010, 39(1): 1-3.
16.	Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg, 2007, 105(1): 205-221.
17.	趙一帆. 既熟悉又陌生的病征—疼痛. 首都醫藥, 2014(19): 38-39.
18.	Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res, 2017, 10: 2287-2298.
19.	Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington District of Columbia: National Academies Press, 2011.
20.	Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth, 2008, 101(1): 77-86.
21.	Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet, 2019, 393(10180): 1537-1546.
22.	Humble SR, Dalton AJ, Li L. A systematic review of therapeutic interventions to reduce acute and chronic post-surgical pain after amputation, thoracotomy or mastectomy. Eur J Pain, 2015, 19(4): 451-465.
23.	杜濤, 袁文茜, 曹伯旭, 等. 慢性神經病理性疼痛. 中國疼痛醫學雜志, 2021, 27(7): 481-485.
24.	Knezevic NN, Candido KD, Vlaeyen JWS, et al. Low back pain. Lancet, 2021, 398(10294): 78-92.
25.	汪敏, 吳建賢. 腰痛與心理社會因素的相關研究現狀. 中國康復醫學雜志, 2009, 24(5): 473-475.
26.	Kreiner DS, Matz P, Bono CM, et al. Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain. Spine J, 2020, 20(7): 998-1024.
27.	Ji RR, Nackley A, Huh Y, et al. Neuroinflammation and central sensitization in chronic and widespread pain. Anesthesiology, 2018, 129(2): 343-366.
28.	央視新聞客戶端. 美國阿片類藥物濫用危機正在惡化專家: 政府解決問題就像“拆東墻補西墻”. (2020-09-13)[2022-07-29]. http://m.news.cctv.com/2020/09/13/ARTIJLmXEgxUSsfRBxivvZbp200913.shtml.

1. Merskey H, Bogduk N. IASP Task Force on taxonomy part III: pain terms, a current list with definitions and notes on usage. Seattle: IASP Press, 1994: 209-214.
2. Treede RD, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain, 2019, 160(1): 19-27.
3. 劉延青. 實用疼痛學. 北京: 人民衛生出版社, 2013.
4. 樊碧發. 中國疼痛防控與健康促進戰略藍皮書: 中國疼痛醫學發展報告(2020). 北京: 清華大學出版社, 2020.
5. 陳國良, 王梅, 陳繼軍, 等. 慢性疼痛患者心理狀況研究進展. 中國疼痛醫學雜志, 2014, 20(9): 658-660.
6. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 2017, 390(10100): 1211-1259.
7. 施玉博, 郭衛春, 余鈴. 非特異性下腰痛: 北美脊柱協會(NASS)循證醫學指南解讀. 中國修復重建外科雜志, 2021, 35(10): 1336-1340.
8. Yang S, Chang MC. Chronic pain: structural and functional changes in brain structures and associated negative affective states. Int J Mol Sci, 2019, 20(13): 3130.
9. Patel KV, Guralnik JM, Dansie EJ, et al. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. Pain, 2013, 154(12): 2649-2657.
10. Schwan J, Sclafani J, Tawfik VL. Chronic pain management in the elderly. Anesthesiol Clin, 2019, 37(3): 547-560.
11. Victoria G. Pain care. Nurs Care N Am, 1994, 29(3): 534-544.
12. IASP. Pain terms and definitions. (2020-07-16)[2022-07-29]. https://www.iasp-pain.org/resources/terminology/#pain.
13. 宋學軍, 樊碧發, 萬有, 等. 國際疼痛學會新版疼痛定義修訂簡析. 中國疼痛醫學雜志, 2020, 26(9): 641-644.
14. 戴軒. “疼痛就是一種病”公眾知曉率不足兩成. (2021-10-18)[2022-07-29]. https://www.bjnews.com.cn/detail/163455292514129.html.
15. 韓濟生. 我國疼痛治療新進展. 醫學研究雜志, 2010, 39(1): 1-3.
16. Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg, 2007, 105(1): 205-221.
17. 趙一帆. 既熟悉又陌生的病征—疼痛. 首都醫藥, 2014(19): 38-39.
18. Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res, 2017, 10: 2287-2298.
19. Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington District of Columbia: National Academies Press, 2011.
20. Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth, 2008, 101(1): 77-86.
21. Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet, 2019, 393(10180): 1537-1546.
22. Humble SR, Dalton AJ, Li L. A systematic review of therapeutic interventions to reduce acute and chronic post-surgical pain after amputation, thoracotomy or mastectomy. Eur J Pain, 2015, 19(4): 451-465.
23. 杜濤, 袁文茜, 曹伯旭, 等. 慢性神經病理性疼痛. 中國疼痛醫學雜志, 2021, 27(7): 481-485.
24. Knezevic NN, Candido KD, Vlaeyen JWS, et al. Low back pain. Lancet, 2021, 398(10294): 78-92.
25. 汪敏, 吳建賢. 腰痛與心理社會因素的相關研究現狀. 中國康復醫學雜志, 2009, 24(5): 473-475.
26. Kreiner DS, Matz P, Bono CM, et al. Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain. Spine J, 2020, 20(7): 998-1024.
27. Ji RR, Nackley A, Huh Y, et al. Neuroinflammation and central sensitization in chronic and widespread pain. Anesthesiology, 2018, 129(2): 343-366.
28. 央視新聞客戶端. 美國阿片類藥物濫用危機正在惡化專家: 政府解決問題就像“拆東墻補西墻”. (2020-09-13)[2022-07-29]. http://m.news.cctv.com/2020/09/13/ARTIJLmXEgxUSsfRBxivvZbp200913.shtml.

West China Medical Journal

Brief discussion on the current status and future of chronic pain management based on a new definition of pain

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