Abstract
Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating the development of evidence-based recommendations for the health professional's approach to pain management. A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Overarching principles and recommendations regarding assessment and pain treatment were specified on the basis of reviewed evidence and expert opinion. From 2914 review studies initially identified, 186 met inclusion criteria. The task force emphasised the importance for the health professional to adopt a patient-centred framework within a biopsychosocial perspective, to have sufficient knowledge of IA and OA pathogenesis, and to be able to differentiate localised and generalised pain. Treatment is guided by scientific evidence and the assessment of patient needs, preferences and priorities; pain characteristics; previous and ongoing pain treatments; inflammation and joint damage; and psychological and other pain-related factors. Pain treatment options typically include education complemented by physical activity and exercise, orthotics, psychological and social interventions, sleep hygiene education, weight management, pharmacological and joint-specific treatment options, or interdisciplinary pain management. Effects on pain were most uniformly positive for physical activity and exercise interventions, and for psychological interventions. Effects on pain for educational interventions, orthotics, weight management and multidisciplinary treatment were shown for particular disease groups. Underpinned by available systematic reviews and meta-analyses, these recommendations enable health professionals to provide knowledgeable pain-management support for people with IA and OA.
| Original language | English |
|---|---|
| Journal | Annals of the Rheumatic Diseases |
| Volume | 77 |
| Issue number | 6 |
| Pages (from-to) | 797-807 |
| ISSN | 0003-4967 |
| DOIs | |
| Publication status | Published - Jun 2018 |
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Keywords
- osteoarthritis
- patient perspective
- psoriatic arthritis
- rheumatoid arthritis
- spondyloarthritis
Cite this
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EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis. / Geenen, Rinie; Overman, Cécile L.; Christensen, Robin; Åsenlöf, Pernilla; Capela, Susana; Huisinga, Karen L.; Husebø, Mai Elin P.; Köke, Albère J.A.; Paskins, Zoe; Pitsillidou, Irene A.; Savel, Carine; Austin, Judith; Hassett, Afton L.; Severijns, Guy; Stoffer-Marx, Michaela; Vlaeyen, Johan W.S.; Fernández-De-Las-Peñas, César; Ryan, Sarah J.; Bergman, Stefan.
In: Annals of the Rheumatic Diseases, Vol. 77, No. 6, 06.2018, p. 797-807.Research output: Contribution to journal › Journal article › Research › peer-review
TY - JOUR
T1 - EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis
AU - Geenen, Rinie
AU - Overman, Cécile L.
AU - Christensen, Robin
AU - Åsenlöf, Pernilla
AU - Capela, Susana
AU - Huisinga, Karen L.
AU - Husebø, Mai Elin P.
AU - Köke, Albère J.A.
AU - Paskins, Zoe
AU - Pitsillidou, Irene A.
AU - Savel, Carine
AU - Austin, Judith
AU - Hassett, Afton L.
AU - Severijns, Guy
AU - Stoffer-Marx, Michaela
AU - Vlaeyen, Johan W.S.
AU - Fernández-De-Las-Peñas, César
AU - Ryan, Sarah J.
AU - Bergman, Stefan
PY - 2018/6
Y1 - 2018/6
N2 - Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating the development of evidence-based recommendations for the health professional's approach to pain management. A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Overarching principles and recommendations regarding assessment and pain treatment were specified on the basis of reviewed evidence and expert opinion. From 2914 review studies initially identified, 186 met inclusion criteria. The task force emphasised the importance for the health professional to adopt a patient-centred framework within a biopsychosocial perspective, to have sufficient knowledge of IA and OA pathogenesis, and to be able to differentiate localised and generalised pain. Treatment is guided by scientific evidence and the assessment of patient needs, preferences and priorities; pain characteristics; previous and ongoing pain treatments; inflammation and joint damage; and psychological and other pain-related factors. Pain treatment options typically include education complemented by physical activity and exercise, orthotics, psychological and social interventions, sleep hygiene education, weight management, pharmacological and joint-specific treatment options, or interdisciplinary pain management. Effects on pain were most uniformly positive for physical activity and exercise interventions, and for psychological interventions. Effects on pain for educational interventions, orthotics, weight management and multidisciplinary treatment were shown for particular disease groups. Underpinned by available systematic reviews and meta-analyses, these recommendations enable health professionals to provide knowledgeable pain-management support for people with IA and OA.
AB - Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating the development of evidence-based recommendations for the health professional's approach to pain management. A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Overarching principles and recommendations regarding assessment and pain treatment were specified on the basis of reviewed evidence and expert opinion. From 2914 review studies initially identified, 186 met inclusion criteria. The task force emphasised the importance for the health professional to adopt a patient-centred framework within a biopsychosocial perspective, to have sufficient knowledge of IA and OA pathogenesis, and to be able to differentiate localised and generalised pain. Treatment is guided by scientific evidence and the assessment of patient needs, preferences and priorities; pain characteristics; previous and ongoing pain treatments; inflammation and joint damage; and psychological and other pain-related factors. Pain treatment options typically include education complemented by physical activity and exercise, orthotics, psychological and social interventions, sleep hygiene education, weight management, pharmacological and joint-specific treatment options, or interdisciplinary pain management. Effects on pain were most uniformly positive for physical activity and exercise interventions, and for psychological interventions. Effects on pain for educational interventions, orthotics, weight management and multidisciplinary treatment were shown for particular disease groups. Underpinned by available systematic reviews and meta-analyses, these recommendations enable health professionals to provide knowledgeable pain-management support for people with IA and OA.
KW - osteoarthritis
KW - patient perspective
KW - psoriatic arthritis
KW - rheumatoid arthritis
KW - spondyloarthritis
U2 - 10.1136/annrheumdis-2017-212662
DO - 10.1136/annrheumdis-2017-212662
M3 - Journal article
VL - 77
SP - 797
EP - 807
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
SN - 0003-4967
IS - 6
ER -