A new multinational guideline for treating pain in the setting of inflammatory arthritis highlights the absence of well-designed studies to answer the myriad questions faced by clinicians. To use the recommendations as a starting point for alleviating this common condition, clinicians will need to read between the lines.
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References
Whittle, S. L. et al. Multinational evidence-based recommendations for pain management by pharmacotherapy in inflammatory arthritis: integrating systematic literature research and expert opinion of a broad panel of rheumatologists in the 3e Initiative. Rheumatology http://dx.doi.org/10.1093/rheumatology/kes032.
Heiberg, T. & Kvein, T. K. Preferences for improved health in 1,024 patients with rheumatoid arthritis: pain has highest priority. Arthritis Rheum. 47, 391–397 (2002).
American College of Rheumatology Pain Management Task Force. Report of the American College of Rheumatology Pain Management Task Force. Arthritis Care Res. 62, 590–599 (2010).
Hazelwood, G., van der Heijde, D. & Bombardier, C. Paracetamol for the management of pain in inflammatory arthritis: a systematic review. J. Rheumatol. (in press).
Tarner, I. H., Englbrecht, M., Schneifer, M., van der Heijde, D. & Muller-Ladner, U. The role of corticosteroids for pain relief in psersistent pain in inflammatory arthritis: a systematic literature review J. Rheumatol. (in press).
Sawynok, J., Esser, M. J. & Reid, A. R. Antidepressants as analgesics; an overview of central and peripheral mechanisms of action. J. Psych. Neurosci. 26, 21–29 (2001).
Richards, B. L., Whittle, S. L. & Buchbinder, R. Antidepressants for pain management in rheumatoid arthritis. Cochrane Database of Systematic Reviews, Issue 11. Art. No.: CD008920. http://dx.doi.org/10.1002/14651858.CD008920.pub2.
Borenstein, D. Opioids: To use or not to use? That is the question. Arthritis Rheum. 52, 6–10 (2005).
Strand, V. et al. Treatment of osteoarthritis with continuous versus intermittent celecoxib. J. Rheumatol. 38, 2625–2634 (2011).
Wanders, A. et al. Nonsteroidal anti-inflammatory drugs reduce radiographic progression in patients with ankylosing spondylitis: a randomized clinical trial. Arthritis Rheum. 52, 1756–1765 (2005).
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Borenstein, D. Pain therapy for 'hot' joints: what works?. Nat Rev Rheumatol 8, 376–377 (2012). https://doi.org/10.1038/nrrheum.2012.91
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DOI: https://doi.org/10.1038/nrrheum.2012.91
