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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

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.	刘延青. 实用疼痛学. 北京: 人民卫生出版社, 2013.
4.	樊碧发. 中国疼痛防控与健康促进战略蓝皮书: 中国疼痛医学发展报告(2020). 北京: 清华大学出版社, 2020.
5.	陈国良, 王梅, 陈继军, 等. 慢性疼痛患者心理状况研究进展. 中国疼痛医学杂志, 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, 郭卫春, 余铃. 非特异性下腰痛: 北美脊柱协会(NASS)循证医学指南解读. 中国修复重建外科杂志, 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.	宋学军, 樊碧发, 万有, 等. 国际疼痛学会新版疼痛定义修订简析. 中国疼痛医学杂志, 2020, 26(9): 641-644.
14.	戴轩. “疼痛就是一种病”公众知晓率不足两成. (2021-10-18)[2022-07-29]. https://www.bjnews.com.cn/detail/163455292514129.html.
15.	韩济生. 我国疼痛治疗新进展. 医学研究杂志, 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.	赵一帆. 既熟悉又陌生的病征—疼痛. 首都医药, 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.	杜涛, 袁文茜, 曹伯旭, 等. 慢性神经病理性疼痛. 中国疼痛医学杂志, 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, 吴建贤. 腰痛与心理社会因素的相关研究现状. 中国康复医学杂志, 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.	央视新闻客户端. 美国阿片类药物滥用危机正在恶化专家: 政府解决问题就像“拆东墙补西墙”. (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. 刘延青. 实用疼痛学. 北京: 人民卫生出版社, 2013.
4. 樊碧发. 中国疼痛防控与健康促进战略蓝皮书: 中国疼痛医学发展报告(2020). 北京: 清华大学出版社, 2020.
5. 陈国良, 王梅, 陈继军, 等. 慢性疼痛患者心理状况研究进展. 中国疼痛医学杂志, 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, 郭卫春, 余铃. 非特异性下腰痛: 北美脊柱协会(NASS)循证医学指南解读. 中国修复重建外科杂志, 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. 宋学军, 樊碧发, 万有, 等. 国际疼痛学会新版疼痛定义修订简析. 中国疼痛医学杂志, 2020, 26(9): 641-644.
14. 戴轩. “疼痛就是一种病”公众知晓率不足两成. (2021-10-18)[2022-07-29]. https://www.bjnews.com.cn/detail/163455292514129.html.
15. 韩济生. 我国疼痛治疗新进展. 医学研究杂志, 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. 赵一帆. 既熟悉又陌生的病征—疼痛. 首都医药, 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. 杜涛, 袁文茜, 曹伯旭, 等. 慢性神经病理性疼痛. 中国疼痛医学杂志, 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, 吴建贤. 腰痛与心理社会因素的相关研究现状. 中国康复医学杂志, 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. 央视新闻客户端. 美国阿片类药物滥用危机正在恶化专家: 政府解决问题就像“拆东墙补西墙”. (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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content