E Loh1,2,3,4, S D Guy1,3,4, S Mehta1,3,4, D E Moulin2,3, T N Bryce5, J W Middleton6, P J Siddall6, S L Hitzig7, E Widerström-Noga8, N B Finnerup9, A Kras-Dupuis4, A Casalino4, B C Craven7, B Lau10, I Côté11, D Harvey12, C O'Connell13, S Orenczuk4, A G Parrent3,14, P Potter3,4, C Short15, R Teasell1,3, A Townson10, C Truchon16, C L Bradbury7, D Wolfe1,3. 1. Lawson Health Research Institute, London, Ontario, Canada. 2. St. Joseph's Health Care Pain Clinic, London, Ontario, Canada. 3. Western University, London, Ontario, Canada. 4. Parkwood Institute, London, Ontario, Canada. 5. Mount Sinai Hospital, New York, NY, USA. 6. The University of Sydney, Sydney, New South Wales, Australia. 7. Toronto Rehabilitation Institute, Toronto, Ontario, Canada. 8. University of Miami, Coral Cables, FL, USA. 9. Aarhus University, Aarhus, Denmark. 10. University of British Columbia, Vancouver, British Columbia, Canada. 11. Center interdisciplinaire de reserche en réadaptation et integration sociale, Quebec City, Quebec. 12. Spinal Cord Injury Ontario, Ontario, Canada. 13. Stan Cassidy Centre for Rehabilitation, Fredericton, New Brunswick, Canada. 14. London Health Sciences Center, London, Ontario, Canada. 15. Dalhousie University, Halifax, Nova Scotia, Canada. 16. Institut National d'Excellence en Santé et Services Sociaux, Montreal, Quebec.
Abstract
STUDY DESIGN: Clinical practice guidelines. OBJECTIVES: The objective was to develop the first Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). SETTING: The guidelines are relevant for inpatient and outpatient SCI rehabilitation settings in Canada. METHODS: The guidelines were developed in accordance with the Appraisal of Guidelines for Research and Evaluation II tool. A Steering Committee and Working Group reviewed the relevant evidence on neuropathic pain management (encompassing screening and diagnosis, treatment and models of care) after SCI. The quality of evidence was scored using Grading of Recommendations Assessment, Development and Evaluation (GRADE). A consensus process was followed to achieve agreement on recommendations and clinical considerations. RESULTS: The Working Group developed 12 recommendations for screening and diagnosis, 12 recommendations for treatment and 5 recommendations for models of care. Important clinical considerations accompany each recommendation. CONCLUSIONS: The Working Group recommendations for the management of neuropathic pain after SCI should be used to inform practice.
STUDY DESIGN: Clinical practice guidelines. OBJECTIVES: The objective was to develop the first Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). SETTING: The guidelines are relevant for inpatient and outpatient SCI rehabilitation settings in Canada. METHODS: The guidelines were developed in accordance with the Appraisal of Guidelines for Research and Evaluation II tool. A Steering Committee and Working Group reviewed the relevant evidence on neuropathic pain management (encompassing screening and diagnosis, treatment and models of care) after SCI. The quality of evidence was scored using Grading of Recommendations Assessment, Development and Evaluation (GRADE). A consensus process was followed to achieve agreement on recommendations and clinical considerations. RESULTS: The Working Group developed 12 recommendations for screening and diagnosis, 12 recommendations for treatment and 5 recommendations for models of care. Important clinical considerations accompany each recommendation. CONCLUSIONS: The Working Group recommendations for the management of neuropathic pain after SCI should be used to inform practice.
Authors: G Landmann; E-C Chang; W Dumat; A Lutz; R Müller; A Scheel-Sailer; K Schwerzmann; N Sigajew; A Ljutow Journal: Schmerz Date: 2017-10 Impact factor: 1.107
Authors: Eldon Loh; Magdalena Mirkowski; Alexandria Roa Agudelo; David J Allison; Brooke Benton; Thomas N Bryce; Sara Guilcher; Tara Jeji; Anna Kras-Dupuis; Denise Kreutzwiser; Oda Lanizi; Gary Lee-Tai-Fuy; James W Middleton; Dwight E Moulin; Colleen O'Connell; Steve Orenczuk; Patrick Potter; Christine Short; Robert Teasell; Andrea Townson; Eva Widerström-Noga; Dalton L Wolfe; Nancy Xia; Swati Mehta Journal: Spinal Cord Date: 2022-02-05 Impact factor: 2.473
Authors: Eldon Loh; Stacey D Guy; B Cathy Craven; Sara Guilcher; Keith C Hayes; Tara Jeji; Phalgun Joshi; Anna Kras-Dupuis; Marie-Thérèse Laramée; Joseph Lee; Swati Mehta; Vanessa K Noonan; Ethan J Mings; Michael Salter; Christine Short; Kent Bassett-Spiers; Barry White; Dalton L Wolfe; Nancy Xia Journal: Can J Pain Date: 2017-12-05