Overview

Evidence-based medicine (EBM) is the conscientious, explicit, and sensible use of the current best evidence in making decisions about the care of individual patients. The practice of EBM requires the integration of individual clinical expertise with the best available external clinical evidence from systematic research. The techniques of evidence-based medicine allow comparisons to be made between how well different pain relief interventions work for the same condition. This text brings together the reviews of these trials, examining the evidence for the effectiveness of many of the interventions commonly used in pain relief. The book begins with a section on EBM methodology, including information on how to assess the evidence, how to find the papers, criteria by which to judge them, what data to extract, and how to then handle that data. The book is then divided into two main sections - acute pain and chronic pain, with each section presenting extensive reviews of many common treatments for managing pain, particularly drugs.

Full Product Details

Author:   Henry McQuay ,  Andrew Moore
Publisher:   Oxford University Press
Imprint:   Oxford University Press
Dimensions:   Width: 21.00cm , Height: 2.30cm , Length: 27.00cm
Weight:   1.093kg
ISBN:  

9780192627186

ISBN 10:   019262718
Pages:   270
Publication Date:   01 March 1998
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   To order  
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

Part 1 Methods: finding all the relevant trials; judging the quality of trials; pain measurement - study design and validity; estimating relative effectiveness; combining data and interpreting the results; existing systematic reviews; Part 2 Acute pain: introduction; oral ibuprofen and diclofenac in postoperative pain; comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain; topically applied non-steroidal anti-inflammatory drugs; injected morphine in postoperative pain; dihydrocodiene in postoperative pain; dextropropoxyphene in postoperative pain; single patient data meta-analysis of 3453 postoperative patients: oral tramadol versus placebo, codiene, and combination analgesics; pain relief from intra-articular morphine after knee surgery; analgesic efficacy of peripheral opioids; pre-emptive analgesia - a systematic review of clinical studies to 1994; trancutaneous electrical nerve stimulation in acute postoperative pain; TENS in labour pains; acute pain - conclusion. Part 3 Chronic pain: introduction; radiotherapy for painful bone metastases; transcutaneous electrical pain stimulation in chronic pain; intravenous regional sympathetic blockade for reflex sympathetic dystrophy; epidural corticosteroids for sciatica; spinal cord stimulators for back pain; steroid injections for shoulder disorders; anticonvulsant drugs; antidepressants in neuropathic pain; systemic local anaesthetic type drugs in chronic pain; topical capsaicin; chronic pain - conclusion.

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Author Information

Dr Henry McQuay/Dr Andrew Moore, Pain Relief Unit, Churchill Hospital, Headington, Oxford

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