Argelia Lara-Solares1, Carlos Aguayo Zamora2, César Amescua García3, João Batista Santos Garcia4, María Del Rosario Berenguel Cook5, Patricia Bonilla Sierra6, Durval Campos Kraychete7, José Alberto Flores Cantisani8, Carlos Guerrero9, María Del Rocío Guillén Núñez10, John Jairo Hernández Castro11, Andrés Hernández Ortíz1, Aziza Jreige Iskandar12, Osvandré Lech13, Jacqueline Macías Guerra14, Gerardo Ramírez Samayoa15, Edwin Rangel Morillo16, María Antonieta Rico Pazos17, Manuel Sempértegui Gallegos18. 1. Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico. 2. Hospital Clinico FUSAT, Rancagua, Chile. 3. Hospital Ángeles, Tijuana, Mexico. 4. Pain & Palliative Care, Federal University of Maranhao, Brazil. 5. Totalcare-Oncosalud-Lima, Perú. 6. Instituto Oncológico 'Luis Razetti', Pain clinic & Palliative Care, Instituto Médico La Floresta, Caracas, Venezuela. 7. Federal University of Bahia, Coordinator of the Pain Outpatient Clinic, Brazilian Society for the Study of Pain, Brazil. 8. Programa Regional de Cuidados Paliativos, Unidad Médica de Alta Especialidad No. 25, IMSS, Monterrey NL, Mexico. 9. Hospital Universitario Fundación Santa Fe, Bogotá. Universidad de los Andes, Colombia. 10. Medicina del Dolor y Cuidados Paliativos, Hospital Médica Sur, Mexico City, Mexico. 11. Pain Medicine & Palliative Care, Universidad del Rosario - MEDERI, Bogotá, Colombia. 12. Rehabilitation Residency Program, UCV, Unidad de Rehabilitación DM, Maracay, Venezuela. 13. Orthopaedic Residency Program, UFFS-HSVP-IOT, Passo Fundo, Brazil. 14. Hospital 'Luis Vernaza', Universidad Católica Santiago de Guayaquil, Guayaquil, Ecuador. 15. Hospital General San Juan de Dios, Universidad de San Carlos de Guatemala, HUMANA, Centro de Tratamiento e Investigación de Epilepsia en Guatemala. 16. Physical Medicine & Rehabilitation, Panama. 17. Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. 18. Pain Clinic, Hospital Metropolitano, Quito, Ecuador.
Abstract
AIM: Latin-American experts in the use of opioids in patients with chronic nononcologic pain (CNOP) have updated existing recommendations to current Latin-American reality. METHODS: Several key opinion leaders from Latin America participated in a face-to-face meeting in Guatemala (April 2015) to discuss the use of opioids in CNOP. Subgroups of experts worked on specific topics, reviewed the literature and shaped the final manuscript. RESULTS: The expert panel developed guidelines taking into consideration the utility of both opioid and nonopioid analgesics and factors pertaining to their efficacy, safety, adherence, administration and risks for abuse/addiction. CONCLUSION: Latin-American guidelines for the use of opioids in CNOP should improve pain relief and patients' quality of life by increasing access to these effective agents.
AIM: Latin-American experts in the use of opioids in patients with chronic nononcologic pain (CNOP) have updated existing recommendations to current Latin-American reality. METHODS: Several key opinion leaders from Latin America participated in a face-to-face meeting in Guatemala (April 2015) to discuss the use of opioids in CNOP. Subgroups of experts worked on specific topics, reviewed the literature and shaped the final manuscript. RESULTS: The expert panel developed guidelines taking into consideration the utility of both opioid and nonopioid analgesics and factors pertaining to their efficacy, safety, adherence, administration and risks for abuse/addiction. CONCLUSION: Latin-American guidelines for the use of opioids in CNOP should improve pain relief and patients' quality of life by increasing access to these effective agents.
Entities:
Keywords:
Latin America; analgesics; guidelines; opioids; pain
Authors: David Goodman-Meza; Maria Elena Medina-Mora; Carlos Magis-Rodríguez; Raphael J Landovitz; Steve Shoptaw; Dan Werb Journal: Am J Public Health Date: 2018-11-29 Impact factor: 9.308
Authors: Saul Francisco Pacurucu-Castillo; José Marcelo Ordóñez-Mancheno; Adrián Hernández-Cruz; Renato D Alarcón Journal: Psychiatr Res Clin Pract Date: 2019-01-24
Authors: Joseph V Pergolizzi; Robert Taylor; Jo Ann LeQuang; Argelia Lara; Andres Hernandez Ortiz; Miguel A Ruiz Iban Journal: Pain Ther Date: 2019-05-17