These celebrations diminish over time and are at risk of side effects, such as vomiting and constipation, according to a review of nearly 100 randomized trials published in the American Medical Association. Down the line, risks can be physical dependence and overdose.
"The benefits of chronic opioid pain management continue to be quite modest," said Jason Busse, researcher at the McMaster University Medical School Anesthesia Department, Ontario, Canada.
Analysis by federal agencies and other officials in the past years has been prescribing opioids, recognized as an important tool for pain management and access to physical dependence and addiction.
"We have seen a lot of complementary evidence that has not been taken into account by the CDC guidelines," he said.
Dr. Jianguo Cheng, president of the American Academy of Medical Medicine, said that new analyzes reinforce conventional wisdom amongst specialists. There was no participation in the study.
"We need to try a few dangerous drugs in the first place, so opioids [are] It is not the first line of treatment in most cases, "said Cheng, director of the multidisciplinary Pain Medical Scholarship Program at the Cleveland Clinic." It is not the second line of treatment, and it may not be a third line of treatment. "
"The population of the population is very complex and diverse," said Cheng, who has suffered from injuries, who have lived with multiple surgeries or with disability.
It is distinguished by other types of pain, such as acute pain and cancer. In the end, Cheng said, the use of opioids is less controversial.
Most of these patients will not see significant improvement, however, but not to exclude the subset they live on, Busse said.
"Problematic Interpretation [the study findings] Opioids do not offer significant pain, "he said." With this interpretation, the challenge is that every patient gets pain relief. "
His research explains how many chronic pain patients have to treat the doctor to achieve significant improvements: there will be roughly eight patients to obtain pain. In terms of physical function, there are 12 patients. To sleep quality, 17 patients.
And this is the "best case," published by a publisher published in the same journal, by PhD in the Department of Anesthesiology and Criticism at the University of Pennsylvania.
The studies examined in the study largely excluded patients with past or present disorders, and Busse was described as "choosing patients who would be better prognostically." Almost half of their studies were excluded from patients diagnosed or treated with mental illness.
According to Cheng, many alternative treatments (such as physical and cognitive therapy) may be available to many patients, in some cases, because insurance does not return.
However, although chronic pain is a source of knowledge, experts say that opioids are part of this arsenal, although risks and benefits are better understood.
"For people who suffer daily chronic dangers of life, if you have tried other alternatives that have not worked, in some cases they can still decide to start trial [opioid] therapy, "said Buss," and now they have evidence that they have the opportunity to get meaningful preferences. "
CNN's Nadia Kounang helped her with this report.[ad_2]