The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update

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

doi:10.1038/s41393-021-00744-z

The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update

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 TownsonEva Widerström-Noga, Dalton L. Wolfe, Nancy Xia, Swati Mehta

Medicine

Résultat de recherche: Article › examen par les pairs

39 Citations (Scopus)

Résumé

Study design: Clinical practice guidelines. Objectives: The objective was to update the 2016 version of the Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). Setting: The guidelines are relevant for inpatient, outpatient and community SCI rehabilitation settings in Canada. Methods: The guidelines were updated 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 identified and reviewed 46 additional relevant articles published since the last version of the guidelines. The panel agreed on 3 new screening and diagnosis recommendations and 8 new treatment recommendations. Two key changes to these treatment recommendations included the introduction of general treatment principles and a new treatment recommendation classification system. No new recommendations to model of care were made. Conclusions: The CanPainSCI recommendations for the management of neuropathic pain after SCI should be used to inform practice.

Langue d'origine	English
Journal	Spinal Cord
DOI	https://doi.org/10.1038/s41393-021-00744-z
Statut de publication	Accepted/In press - 2022

Note bibliographique

Funding Information:
TJ is employed by the Ontario Neurotrauma Foundation. DEM reports personal fees from Canopy Growth Inc, outside the submitted work. CO’C reports grants from Praxis Spinal Cord Institute, other from Cytokinetics, other from Orion, other from Mallinckrodt, grants from New Brunswick Health Research Foundation, personal fees from Spectrum/Canopy, personal fees from Shoppers Drug Mart, grants and personal fees from IPSEN, personal fees from MT Pharma, personal fees from Tilray, personal fees from Allergan, personal fees from Roche, outside the submitted work. RT reports other funding from Allergan (Predictive Model for Treatment of Spasiticity Post Stroke (Botox), chair positions on data monitoring/advisory boards for studies on statins for osteoporosis after SCI and exercise in SCI, and medicolegal work for assessment of individuals with whiplash and other musculoskeletal injuries after motor vehicle accidents outside the submitted work. All other authors have nothing to disclose.

Funding Information:
Funding for the research and publication of this supplement is provided by the Ontario Neurotrauma Foundation in their mission to advance the care of people with spinal cord injury (Grant 2018-RHI-GUIDE-1049).

Publisher Copyright:
© 2022, The Author(s).

ASJC Scopus Subject Areas

Rehabilitation
Neurology
Clinical Neurology

PubMed: MeSH publication types

Journal Article
Practice Guideline

Accès au document

10.1038/s41393-021-00744-z

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Loh, E., Mirkowski, M., Agudelo, A. R., Allison, D. J., Benton, B., Bryce, T. N., Guilcher, S., Jeji, T., Kras-Dupuis, A., Kreutzwiser, D., Lanizi, O., Lee-Tai-Fuy, G., Middleton, J. W., Moulin, D. E., O’Connell, C., Orenczuk, S., Potter, P., Short, C., Teasell, R., ... Mehta, S. (Accepter/ En production). The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update. Spinal Cord. https://doi.org/10.1038/s41393-021-00744-z

Loh, E, Mirkowski, M, Agudelo, AR, Allison, DJ, Benton, B, Bryce, TN, Guilcher, S, Jeji, T, Kras-Dupuis, A, Kreutzwiser, D, Lanizi, O, Lee-Tai-Fuy, G, Middleton, JW, Moulin, DE, O’Connell, C, Orenczuk, S, Potter, P, Short, C, Teasell, R, Townson, A, Widerström-Noga, E, Wolfe, DL, Xia, N & Mehta, S 2022, 'The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update', Spinal Cord. https://doi.org/10.1038/s41393-021-00744-z

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title = "The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update",

abstract = "Study design: Clinical practice guidelines. Objectives: The objective was to update the 2016 version of the Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). Setting: The guidelines are relevant for inpatient, outpatient and community SCI rehabilitation settings in Canada. Methods: The guidelines were updated 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 identified and reviewed 46 additional relevant articles published since the last version of the guidelines. The panel agreed on 3 new screening and diagnosis recommendations and 8 new treatment recommendations. Two key changes to these treatment recommendations included the introduction of general treatment principles and a new treatment recommendation classification system. No new recommendations to model of care were made. Conclusions: The CanPainSCI recommendations for the management of neuropathic pain after SCI should be used to inform practice.",

author = "Eldon Loh and Magdalena Mirkowski and Agudelo, {Alexandria Roa} and Allison, {David J.} and Brooke Benton and Bryce, {Thomas N.} and Sara Guilcher and Tara Jeji and Anna Kras-Dupuis and Denise Kreutzwiser and Oda Lanizi and Gary Lee-Tai-Fuy and Middleton, {James W.} and Moulin, {Dwight E.} and Colleen O{\textquoteright}Connell and Steve Orenczuk and Patrick Potter and Christine Short and Robert Teasell and Andrea Townson and Eva Widerstr{\"o}m-Noga and Wolfe, {Dalton L.} and Nancy Xia and Swati Mehta",

note = "Funding Information: TJ is employed by the Ontario Neurotrauma Foundation. DEM reports personal fees from Canopy Growth Inc, outside the submitted work. CO{\textquoteright}C reports grants from Praxis Spinal Cord Institute, other from Cytokinetics, other from Orion, other from Mallinckrodt, grants from New Brunswick Health Research Foundation, personal fees from Spectrum/Canopy, personal fees from Shoppers Drug Mart, grants and personal fees from IPSEN, personal fees from MT Pharma, personal fees from Tilray, personal fees from Allergan, personal fees from Roche, outside the submitted work. RT reports other funding from Allergan (Predictive Model for Treatment of Spasiticity Post Stroke (Botox), chair positions on data monitoring/advisory boards for studies on statins for osteoporosis after SCI and exercise in SCI, and medicolegal work for assessment of individuals with whiplash and other musculoskeletal injuries after motor vehicle accidents outside the submitted work. All other authors have nothing to disclose. Funding Information: Funding for the research and publication of this supplement is provided by the Ontario Neurotrauma Foundation in their mission to advance the care of people with spinal cord injury (Grant 2018-RHI-GUIDE-1049). Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

doi = "10.1038/s41393-021-00744-z",

language = "English",

journal = "Spinal Cord",

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T1 - The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury

T2 - 2021 update

AU - Loh, Eldon

AU - Mirkowski, Magdalena

AU - Agudelo, Alexandria Roa

AU - Allison, David J.

AU - Benton, Brooke

AU - Bryce, Thomas N.

AU - Guilcher, Sara

AU - Jeji, Tara

AU - Kras-Dupuis, Anna

AU - Kreutzwiser, Denise

AU - Lanizi, Oda

AU - Lee-Tai-Fuy, Gary

AU - Middleton, James W.

AU - Moulin, Dwight E.

AU - O’Connell, Colleen

AU - Orenczuk, Steve

AU - Potter, Patrick

AU - Short, Christine

AU - Teasell, Robert

AU - Townson, Andrea

AU - Widerström-Noga, Eva

AU - Wolfe, Dalton L.

AU - Xia, Nancy

AU - Mehta, Swati

N1 - Funding Information: TJ is employed by the Ontario Neurotrauma Foundation. DEM reports personal fees from Canopy Growth Inc, outside the submitted work. CO’C reports grants from Praxis Spinal Cord Institute, other from Cytokinetics, other from Orion, other from Mallinckrodt, grants from New Brunswick Health Research Foundation, personal fees from Spectrum/Canopy, personal fees from Shoppers Drug Mart, grants and personal fees from IPSEN, personal fees from MT Pharma, personal fees from Tilray, personal fees from Allergan, personal fees from Roche, outside the submitted work. RT reports other funding from Allergan (Predictive Model for Treatment of Spasiticity Post Stroke (Botox), chair positions on data monitoring/advisory boards for studies on statins for osteoporosis after SCI and exercise in SCI, and medicolegal work for assessment of individuals with whiplash and other musculoskeletal injuries after motor vehicle accidents outside the submitted work. All other authors have nothing to disclose. Funding Information: Funding for the research and publication of this supplement is provided by the Ontario Neurotrauma Foundation in their mission to advance the care of people with spinal cord injury (Grant 2018-RHI-GUIDE-1049). Publisher Copyright: © 2022, The Author(s).

PY - 2022

Y1 - 2022

N2 - Study design: Clinical practice guidelines. Objectives: The objective was to update the 2016 version of the Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). Setting: The guidelines are relevant for inpatient, outpatient and community SCI rehabilitation settings in Canada. Methods: The guidelines were updated 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 identified and reviewed 46 additional relevant articles published since the last version of the guidelines. The panel agreed on 3 new screening and diagnosis recommendations and 8 new treatment recommendations. Two key changes to these treatment recommendations included the introduction of general treatment principles and a new treatment recommendation classification system. No new recommendations to model of care were made. Conclusions: The CanPainSCI recommendations for the management of neuropathic pain after SCI should be used to inform practice.

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The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update

Résumé

Note bibliographique

ASJC Scopus Subject Areas

PubMed: MeSH publication types

Accès au document

Autres fichiers et liens

Empreinte numérique

Citer