Bandolier's Little Book of Pain

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Acute and chronic pain place a huge burden on our society. Approximately 10% of the population in Western countries report suffering from chronic pain, and both chronic and acute pain are responsible for high absenteeism in the workplace. It is therefore crucial that we have effective ways of treating pain. Unfortunately though, we have no objective measures of pain - no blood tests, no urine dipsticks. We have to rely on what the patient tells us. So how then do we know what are and what are not effective pain treatments? It is here that the principles of evidence-based medicine have been of great value - helping us to understand the most effective forms of pain treatment. Bandolier's Little Book of Pain is a unique portable guide to evidence-based pain treatments. For each possible treatment, the book provides the evidence supporting the efficacy of the treatment, along with a clinical bottom line, for those requiring immediate information. Written by world leaders in the field of evidenced-based pain treatments, the book will be indispensible for the multi-disciplinary professionals managing acute and chronic pain in primary and secondary care, including GPs, nurses, and pharmacists.

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Editorial Reviews

From the Publisher

Review from the previous edition "This book should be purchased by all who have an interest in pain and its treatment."--British Journal of Anesthesia, Oct.-Nov. 98

"One example of a useful review is Bandolier's Little Book of Pain, a soft cover, lab-coat sized, convenient reference with evidence-based conclusions for a variety of compounds and pain states." -AANA Journal

"...a new and valuable resource on the current evidence regarding the management of acute and chronic pain...The teaching is laid out so that a newcomer to this sort of literature can follow it without anguish, and the seasoned 'evidence-based' researcher will find it a mine of valuable strategies, results, and references...This book will reward the reader and serve as a useful resource long afterward."--Eldon Tunks, Annals of the Royal College of Physcians and Surgeons of Canada, Vol. 32, No. 2, March 1999

"...What the authors have provided is an excellent summary of the methods for assessing the evidence on the treatment of pain..."--Jay Forrest, Canadian Journal of Anaesthesia, Vol. 46, no. 2, 1999

"This is an excellent reference. The authors arranged the book in such a way that it is easy for the reader to find a specific topic...This book will be useful as a resource for all physicians."--Doodys

Doody's Review Service
Reviewer: Leah D. Kroger, B.S, M.D.(University of Illinois at Chicago College of Medicine)
Description: This book on pain is divided into broad topics such as acute pain, migraine and headache, arthritis, etc. Each section is then broken into smaller chapters, covering either how to diagnose the problem or different treatments, along with adverse effects. Each chapter gives a brief summary of the topic, a systematic review, the findings and then the author's summary at the end.
Purpose: The authors' purpose is to gather the evidence about a topic, write a short and simple abstract with some quality filters, and make sure that it can demonstrate quality in its assessments. These are worthy objectives, as physicians often have neither the time nor the patience to do the research themselves. The book meets the authors' objectives.
Audience: The book is written for multidisciplinary professionals managing acute and chronic pain, including GPs, nurses, and pharmacists. The book would be helpful for all these audiences, although at times the information may be more detailed than a nurse or pharmacist needs. The author is a credible authority.
Features: This is an excellent reference. The authors arranged the book in such a way that it is easy for the reader to find a specific topic, such as Zolmitriptan, and the indications for the drug, the dosages and the evidence-based medicine supporting the use of the drug, plus references, in one succinct chapter. The authors also provide excellent tables, figures, and graphs to further explain their findings. The one shortcoming is that at times it is more verbose than is needed if the book is to be used as a quick reference. For the most part, it does provide an informative and succinct summary of the topic and the most recent research.
Assessment: This book will be useful as a resource for all physicians, since pain is something most physicians have to treat on a daily basis. With all the different treatments available, it is often difficult for physicians to know which therapy to choose. This book provides a quick summary of a variety of different options with the evidence to support them. I will use this book to help choose the correct treatment for my patients, knowing that I can be confident in my decision based on scientific evidence.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780192632470
  • Publisher: Oxford University Press, USA
  • Publication date: 8/14/2003
  • Pages: 468
  • Product dimensions: 7.00 (w) x 4.10 (h) x 0.70 (d)

Meet the Author

Andrew Moore, Pain Research, Churchill Hospital, Oxford, UK,Jayne Edwards, Pain Research, Churchill Hospital, Oxford, U,Jodie Barden, Pain Research, Churchill Hospital, Oxford, U,Henry McQuay, Pain Research, Churchill Hospital, Oxford, U

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Table of Contents

Sect. 1 Understanding EBM
1.1 Pain - there's a lot of it about 2
1.2 Measuring pain 7
1.3 Outcomes 14
1.4 Clinical trial methods 19
1.5 Systematic review and meta-analysis 28
1.6 Size 42
1.7 Outputs and utility 55
1.8 Adverse events 61
1.9 Placebo 68
1.10 Being sure of a result 74
Sect. 2 Acute pain
2.1 Introduction 86
2.2 League table of analgesics in acute pain 91
2.3 Aspirin in postoperative pain 101
2.4 Ibuprofen in postoperative pain 101
2.5 Paracetamol (acetaminophen) in acute postoperative pain 104
2.6 Paracetamol (acetaminophen) with codeine in acute postoperative pain 108
2.7 Diclofenac in postoperative pain 113
2.8 Injected morphine in postoperative pain 116
2.9 Dihydrocodeine in postoperative pain 118
2.10 Oral codeine in acute postoperative pain 120
2.11 Dextropropoxyphene alone and with paracetamol in postoperative pain 122
2.12 Intramuscular pethidine in postoperative pain 125
2.13 Naproxen in postoperative pain 128
2.14 Oral tramadol in postoperative pain 131
2.15 Paracetamol plus tramadol for acute pain 134
2.16 Oral rofecoxib in postoperative pain 136
2.17 Transcutaneous electrical nerve stimulation (TENS) in acute postoperative pain and labour pain 138
2.18 Topically applied non-steroidal anti-inflammatory drugs in acute pain 141
2.19 Analgesics for dysmenorrhoea 144
2.20 Other acute pain interventions with evidence of efficacy 147
2.21 Other acute pain interventions without evidence of efficacy 150
2.22 Do NSAIDs inhibit bone healing? 153
Sect. 3 Migraine and headache
3.1 Introduction 162
3.2 Diagnosing headache and migraine 170
3.3 Migraine: league tables of relative efficacy 175
3.4 Aspirin plus metoclopramide for acute migraine 183
3.5 Paracetamol for acute migraine 185
3.6 Ibuprofen for acute migraine 188
3.7 Sumatriptan for acute migraine 191
3.8 Oral naratriptan for acute migraine 195
3.9 Oral rizatriptan for acute migraine 197
3.10 Oral zolmitriptan for acute migraine 201
3.11 Oral eletriptan for acute migraine 204
3.12 Which migraine treatment strategy is most effective? 208
3.13 Prophylaxis for migraine 211
Sect. 4 Chronic pain
4.1 Introduction 218
4.2 Antidepressants for diabetic neuropathy and postherpetic neuralgia 228
4.3 Anticonvulsants for diabetic neuropathy and postherpetic neuralgia 234
4.4 Topical capsaicin for pain relief 238
4.5 TENS for chronic pain 241
4.6 Fibromyalgia 242
4.7 Back pain 245
4.8 Epidural corticosteroids for back pain 256
4.9 Steroid injection for shoulder and elbow disorders 260
4.10 Systemic local anaesthetic-type drugs in chronic pain 263
4.11 Cognitive behaviour therapy and behaviour therapy for chronic pain 266
4.12 Intravenous regional sympathetic blockade for reflex sympathetic dystrophy 269
4.13 Treatments for intermittent claudication 271
4.14 Cannabis for pain relief and for spasticity 279
Sect. 5 Arthritis
5.1 Arthritis and joints 288
5.2 Lifestyle and exercise 293
5.3 NSAIDs for treating Osteoarthritis 299
5.4 Topically applied NSAIDs for chronic pain 303
5.5 Coxibs for treating rheumatoid and osteoarthritis 307
5.6 Adverse effects of NSAIDs and coxibs 317
5.7 Paracetamol (acetaminophen) for osteoarthritis 331
5.8 TNF antibodies and rheumatoid arthritis 334
5.9 Fish oil for rheumatoid arthritis 339
5.10 Sulfasalazine for rheumatoid arthritis 340
Sect. 6 Complementary and alternative therapies
6.1 Complementary and alternative therapies 344
6.2 Supplements and herbal remedies 355
6.3 Acupuncture 364
6.4 Homeopathy 371
6.5 Other complementary or alternative therapies for pain 376
Sect. 7 Cancer and palliative care
7.1 Cancer and palliative care 392
7.2 Non-steroidal anti-inflammatory drugs for cancer pain 401
7.3 Radiotherapy for painful bone metastases 403
7.4 Strontium 89 therapy for painful bony metastases 405
7.5 Intracerebroventricular opioid therapy compared with epidural and subarachnoid opioids for intractable cancer pain 407
7.6 Neurolytic coeliac plexus block (NCPB) for cancer pain 410
7.7 Nilutamide plus orchidectomy for metastatic prostatic cancer 413
7.8 Complementary therapy at the end of life 415
7.9 Palliative care delivery systems 417
Sect. 8 Management issues
8.1 Easy targets are not always the right ones 420
8.2 Better prescribing of NSAIDs 425
8.3 Quality improvement by audit: Pain relief after day surgery 427
8.4 Improving oral postoperative analgesia 429
8.5 Do-it-yourself pain control 432
Sect. 9 Appendices
App. 9.1 Glossary 436
App. 9.2 Using the Oxman and Guyatt scoring system for reviews 441
App. 9.3 Bandolier's 10 tips for healthy living 443
App. 9.4 Cochrane Collaboration and Pain 445
App. 9.5 Evidence based organisations, websites and resources 450
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