dc.contributor.author |
Anderson, Michelle A |
|
dc.contributor.author |
Akshintala, Venkata |
|
dc.contributor.author |
Albers, Kathryn M |
|
dc.contributor.author |
Amann, Stephen T |
|
dc.contributor.author |
Belfer, Inna |
|
dc.contributor.author |
Brand, Randall |
|
dc.contributor.author |
Chari, Suresh |
|
dc.contributor.author |
Cote, Greg |
|
dc.contributor.author |
Davis, Brian M |
|
dc.contributor.author |
Frulloni, Luca |
|
dc.contributor.author |
Gelrud, Andres |
|
dc.contributor.author |
Guda, Nalini |
|
dc.contributor.author |
Humar, Abhinav |
|
dc.contributor.author |
Liddle, Rodger A |
|
dc.contributor.author |
Slivka, Adam |
|
dc.contributor.author |
Gupta, Rachelle Stopczynski |
|
dc.contributor.author |
Szigethy, Eva |
|
dc.contributor.author |
Talluri, Jyothsna |
|
dc.contributor.author |
Wassef, Wahid |
|
dc.contributor.author |
Wilcox, C Mel |
|
dc.contributor.author |
Windsor, John |
|
dc.contributor.author |
Yadav, Dhiraj |
|
dc.contributor.author |
Whitcomb, David C |
|
dc.coverage.spatial |
Switzerland |
|
dc.date.accessioned |
2023-02-16T20:26:59Z |
|
dc.date.available |
2023-02-16T20:26:59Z |
|
dc.date.issued |
2016-01 |
|
dc.identifier.citation |
(2016). Pancreatology, 16(1), 83-94. |
|
dc.identifier.issn |
1424-3903 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/62914 |
|
dc.description.abstract |
<h4>Description</h4>Pain in patients with chronic pancreatitis (CP) remains the primary clinical complaint and source of poor quality of life. However, clear guidance on evaluation and treatment is lacking.<h4>Methods</h4>Pancreatic Pain working groups reviewed information on pain mechanisms, clinical pain assessment and pain treatment in CP. Levels of evidence were assigned using the Oxford system, and consensus was based on GRADE. A consensus meeting was held during PancreasFest 2012 with substantial post-meeting discussion, debate, and manuscript refinement.<h4>Results</h4>Twelve discussion questions and proposed guidance statements were presented. Conference participates concluded: Disease Mechanism: Pain etiology is multifactorial, but data are lacking to effectively link symptoms with pathologic feature and molecular subtypes. Assessment of Pain: Pain should be assessed at each clinical visit, but evidence to support an optimal approach to assessing pain character, frequency and severity is lacking.<h4>Management</h4>There was general agreement on the roles for endoscopic and surgical therapies, but less agreement on optimal patient selection for medical, psychological, endoscopic, surgical and other therapies.<h4>Conclusions</h4>Progress is occurring in pain biology and treatment options, but pain in patients with CP remains a major problem that is inadequately understood, measured and managed. The growing body of information needs to be translated into more effective clinical care. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier |
|
dc.relation.ispartofseries |
Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Pain |
|
dc.subject |
Analgesics |
|
dc.subject |
Pancreatitis, Chronic |
|
dc.subject |
Practice Guidelines as Topic |
|
dc.subject |
Chronic pain |
|
dc.subject |
Chronic pancreatitis |
|
dc.subject |
Inflammation |
|
dc.subject |
Pancreatic surgery |
|
dc.subject |
Quality of life |
|
dc.subject |
Therapeutic endoscopy |
|
dc.subject |
Cancer |
|
dc.subject |
Digestive Diseases |
|
dc.subject |
Pain Research |
|
dc.subject |
Neurosciences |
|
dc.subject |
Clinical Research |
|
dc.subject |
Musculoskeletal |
|
dc.subject |
Oral and gastrointestinal |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Gastroenterology & Hepatology |
|
dc.subject |
QUALITY-OF-LIFE |
|
dc.subject |
FUNCTIONAL GASTROINTESTINAL DISORDERS |
|
dc.subject |
RANDOMIZED CONTROLLED-TRIAL |
|
dc.subject |
ENZYME REPLACEMENT THERAPY |
|
dc.subject |
SHOCK-WAVE LITHOTRIPSY |
|
dc.subject |
RELEASE CAPSULES CREON |
|
dc.subject |
LONG-TERM |
|
dc.subject |
TOTAL PANCREATECTOMY |
|
dc.subject |
ENDOSCOPIC TREATMENT |
|
dc.subject |
ISLET AUTOTRANSPLANTATION |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1109 Neurosciences |
|
dc.subject |
Clinical |
|
dc.subject |
Clinical Medicine and Science |
|
dc.subject |
Pain Conditions - Chronic |
|
dc.title |
Mechanism, assessment and management of pain in chronic pancreatitis: Recommendations of a multidisciplinary study group. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.pan.2015.10.015 |
|
pubs.issue |
1 |
|
pubs.begin-page |
83 |
|
pubs.volume |
16 |
|
dc.date.updated |
2023-01-06T22:43:08Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
26620965 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/26620965 |
|
pubs.end-page |
94 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.subtype |
Research Support, N.I.H., Extramural |
|
pubs.elements-id |
512201 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Science |
|
pubs.org-id |
Science Research |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Surgery Department |
|
pubs.org-id |
Maurice Wilkins Centre (2010-2014) |
|
dc.identifier.eissn |
1424-3911 |
|
dc.identifier.pii |
S1424-3903(15)00685-7 |
|
pubs.record-created-at-source-date |
2023-01-07 |
|
pubs.online-publication-date |
2015-11-11 |
|