Revista de la Sociedad Espanola del Dolor最新文献

{"title":"Problemas éticos en el manejo del dolor. Estudio cualitativo mediante entrevista de reflexión abierta.","authors":"Jaime Boceta, A. Peiró, F. J. Cevas, Loreto M Vidal, M. Acedo, V. Mayoral","doi":"10.20986/resed.2020.3729/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3729/2019","url":null,"abstract":"Introduction: The medical practice in the area of pain associates ethical problems in the care of patients with a disease that causes a functional deterioration, with an uncertain prognosis for their labor reintegration, and a great consumption of family and social resources. After the creation of a working group on bioethics within the Spanish Society of Pain (SED), an attempt is made to analyze these problems. Objective: To know which are the ethical problems that identify professionals (clinical practice, environment and institutions) which concerns SED members; encouranging an ethical reflection. Methodology: Qualitative study, based on a semi-structured, open interview, sent to members of the SED (n░=░1035), through electronic access, on 4 bioethical aspects: the problems detected in clinical practice, the problems of the work environment, the problems in the work organizations, and possible suggestions. These are grouped as they refer to the indications (beneficence and non-maleficence), justice (understood as equity), autonomy (information and preferences). Results: A total of 6░% professionals participated in the interview (n░=░62/1035). A panel was prepared with the 10 main issues identified (Top10). They emphasize the uncertainty in the taking of decisions in the therapeutic, the limitation of the therapeutic effort, the conditioning of the sanitary system, the relations with the pharmaceutical industry and the search of the excellence. Conclusions: This qualitative study allows identifying ethical problems that interest professionals dedicated to pain. It is convenient to confirm and size them through quantitative studies.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumo de fármacos utilizados en el tratamiento del dolor musculoesquético en una cohorte de trabajadores manuales de Zaragoza","authors":"Elena Maria Gaspar Calvo, M� Jesús Lallana Álvarez, Sara Malo Fumanal","doi":"10.20986/resed.2020.3749/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3749/2019","url":null,"abstract":"Introduction: The high prevalence of musculoskeletal diseases (MSDs) in certain populaion groups may cause a high consumption of non steroideal antiinflamatory drugs (NSAIDs). The present study aims to identify the continuous consumers of NSAIDs in a cohort of workers, who mainly perform manual tasks, analyzing the use of other drugs prescribed for the treatment of musculoskeletal pain (MSP). Material and methods: Observational retrospective study. It has been analyzed data of all subjects, included on the AWHS (Aragon Workers Health Study) cohort, who received at least one NSAID prescription during 2016. It has been calculated the rate of use of NSAID, as well as the number of DDD per 1000 inhabitants per day (DHD). It has been identified continuous consumers, as those who used 182 defined daily dose (DDD) or more. For this group, it has been analyzed all prescriptions including other drugs used to treat MSP. Results: The rate of use of NSAIDs in the AWHS cohort in 2016 was 41.6% (95% CI: 40.1%-42.7%), being higher in women (47.0%, 95% CI: 41.9%52.1%). 5.7% of NSAID users were continuous consumers. Among them, etoricoxib was the most used NSAIDs (4,9 DHD), followed by ibuprofen (4,0 DHD). Refering to other drugs prescribed for MSP, the prescription rate of tramadol for continuous consumers was RESUMEN Introducción: La alta prevalencia de enfermedades musculoesqueléticas (EME) en determinados grupos de población puede condicionar que el consumo de antiinflamatorios no esteroideos (AINE) sea elevado. El presente estudio pretende identificar a los consumidores continuados de AINE en una cohorte de trabajadores que realizan fundamentalmente tareas de tipo manual, analizando el uso que hacen de otros fármacos indicados en el tratamiento del dolor musculoesquelético (DME). Material y métodos: Estudio observacional retrospectivo, en el que se han analizado los datos, recogidos en la base de consumo farmacéutico Farmasalud, de todos los sujetos de la cohorte AWHS (Aragon Workers Health Study), que presentaron al menos una receta de un AINE durante el año 2016. Se ha calculado la tasa de utilización de AINE, así como el número de dosis diarias definidas (DDD) por 1000 habitantes por día (DHD). Se han identificado los consumidores continuados como aquellos que utilizaron 182 DDD o más. Para este grupo de consumo, se han analizado otros fármacos prescritos que suelen asociarse al tratamiento del DME. Resultados: La tasa de utilización de AINE en la cohorte AWHS en 2016 fue del 41,6 % (IC 95 %: 40,1-42,7 %), siendo mayor en mujeres (47,0 %, IC 95 %: 41,9-52,1 %). El 5,7 % de los usuarios de AINE ORIGINAL DOI: 10.20986/resed.2020.3749/2019","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"150-159"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo del dolor irruptivo asociado a la cura de úlceras cutáneas","authors":"Domingo-Triadó, D López-Alarcón, F Villegas-Estévez, C Alba-Moratilla, B Massa-Domínguez, L Alepuz, F. Palomar-Llatas, A. Mínguez-Martí, A. Sanz, A. Jiménez, L Debón-Vicent, Grupo de investigación Udodic","doi":"10.20986/resed.2020.3755/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3755/2019","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"147 1","pages":"113-126"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identificación de signos y síntomas para el diagnóstico del dolor lumbar de origen discogénico: revisión de mapeo","authors":"Sara Romero, J. González, Luis Eduardo Basto Aluja, Isabel del Socorro Moreno Luna","doi":"10.20986/resed.2020.3803/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3803/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bloqueos de las ramas periféricas del trigémino: factor predictivo de la respuesta a la radiofrecuencia pulsada del ganglio de Gasser: ¿deberíamos cambiar el protocolo?","authors":"ML Cánovas Martínez","doi":"10.20986/resed.2020.3819/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3819/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"146-147"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estudio del dolor en los tratamientos de rehabilitación","authors":"J. M. M. Palacios, María Isabel Bonilla Delgado, Marta Casallo Cerezo, Laura Gómez González, Maiola Cortina Barranco, I. Martínez","doi":"10.20986/resed.2020.3809/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3809/2020","url":null,"abstract":"Introduction: Pain is an important health problem and the symptom that most often generates a medical consultation. The aim of this study is to describe the prevalence of pain and its intensity in patients who perform a rehabilitation treatment in a third level hospital. Material and methods: Observational, cross-sectional, descriptive study. The sample includes 318 patients treated by a rehabilitation technique during a day of February, in 2019. We studied: Diagnosis. Pain during the last 24 hours and its intensity. Presence and intensity of the pain during the treatment. Characteristics of the pain. Analgesic treatment. We used the visual analogue scale VAS (0-10) to measure the intensity of the pain. The statistical analysis were conducted using the IBM SPSS Statistics 21.0 for Windows, with a statistically significant p-value of 0.05. Results: Of 318 patients, 94.9 % had pain, average age of 58.7 years old, 67.4 % were women. The musculoskeletal pathologies (88.4 %) and the nociceptive, chronic and intermittent pain were the most frequent cause and type. The average intensity of the maximum pain noticed with VAS was 5.7 and 4.8 during the treatment. The shock waves and the kinesitherapy were the most painful techniques. 36.4 % didn’t take any analgesics. Conclusions: The prevalence of patients with pain seen in the Rehabilitation Services is very high. It is necessary to set regular checks to identify the pain before and during the treatment techniques, as well as analgesic protocols according to its intensity.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecografía pulmonar, medida de seguridad en la radiofrecuencia térmica de los nervios esplácnicos","authors":"N. Landa, A Fernández Fernández de Quincoces, C Velasco Oficialdegui, R Malanda Callejo, F. Mollinedo, O González-Larrocha, N. García","doi":"10.20986/resed.2020.3779/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3779/2019","url":null,"abstract":"Instrucciones de citación para el artículo / Citation instructions for the article: Azpiazu Landa Nerea, Azpiazu Landa Nerea, Fernandez Fernandez de Quincoces Alba, Velasco Oficialdegui Claudia , Malanda Callejo Raquel, Torre Mollinedo Fernando, Gonzalez Larrocha Oscar, Calvo Garcia Noelia. Ecografía pulmonar, medida de seguridad en la radiofrecuencia térmica de los nervios esplácnicos / Application of lung ultrasound for a safer technique of splanchnic nerve radiofrequency ablation . Rev. Soc. Esp. Dolor. 2020. doi: 10.20986/resed.2020.3779/2019.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"138-139"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Características de los pacientes con dolor musculoesquelético moderado a intenso tratados con comprimidos bucodispersables de paracetamol 325 mg/tramadol HCI 37,5 mg (Paxiflas�) respecto a otras formas orales de la misma combinación. Estudio PROPAX.","authors":"M. Aguilar, C. Aranda, Grupo Propax","doi":"10.20986/resed.2020.3771/2019","DOIUrl":"https://doi.org/10.20986/resed.2020.3771/2019","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"168-177"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uso inadecuado de opioides en pacientes con dolor oncológico: revisión sistemática integradora de la literatura.","authors":"Maria Labori Trias, Rosa Hernández-Ribas, Josep Porta-Sales","doi":"10.20986/resed.2020.3801/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3801/2020","url":null,"abstract":"Background: Opioids are widely used for the treatment of cancer pain and nonmalignant pain. There is a lot of information about opioid misuse (OM) in patients with non-malignant pain, however in cancer patients there is less evidence. Objectives: To identify, appraise and synthesize existing evidence about epidemiology, risk factors, clinical tools and evolution of OM in patients with cancer pain. Methods: Integrative systematic review with data extraction and narrative synthesis. PubMed, Web of Science y PsychINFO databases were searched for articles published through 31 December 2017. Study inclusion criteria were as follows: 1) published in English, Spanish or French language; and 2) containing data on the prevalence or incidence of OM in patients with cancer pain; or/and 3) providing information about OM risk factors, mortality, duration and remission.","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidencia de síndrome de dolor postmastectomía. Análisis retrospectivo.","authors":"M. M. Moldes, T. F. Rodríguez, G. I. Miramontes, A. Rañó, M. J. Iglesias","doi":"10.20986/resed.2020.3797/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3797/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}