Organizzato dalla Officina Algologica Triveneta, dal 15 al 16 gennaio si svolgerà a Venezia il XII Corso di Neuromodulazione.

Presidenti: M. Bevilacqua, E. Polati

Presidente Onorario: G. Pinato

Segreteria Scientifica: M. Bevilacqua, G. Calcarella, I. Dones, M. Meglio,
M. Parolini, A. Martini, E. Polati, C. Reverberi, V. Schweiger

Segreteria Organizzativa: Officina Algologica Triveneto

giampaolo.pinato@yahoo.it

De Prato Congressi sas

www.depratocongressi.it

Sede: Hotel Monaco & Grand Canal , Venezia 15-16 Gennaio 2018

Programma

The IASP Council in October approved new definitions aimed at clarifying terminology for different multicomponent treatment approaches, following the recommendations of a Presidential Task Force on Multimodal Pain Treatment. 

Responding to concerns about potential confusion in the terminology often used to describe approaches to treating chronic pain, the task force unanimously agreed to definitions of the terms “unimodal,” “multimodal,” “multidisciplinary,” and “interdisciplinary.” Clarification was essential, task force members agreed, because the lines had become blurred over the years as pain treatment centers with different types of specialists used the terms interchangeably.Following are the definitions:

  • Unimodal treatment is defined as a single therapeutic intervention directed at a specific pain mechanism or pain diagnosis. For example: the application of exercise treatment by a physiotherapist.
  • Multimodal treatment is defined as the concurrent use of separate therapeutic interventions with different mechanisms of action within one discipline aimed at different pain mechanisms. For example: the use of pregabalin and opioids for pain control by a physician; the use of NSAID and orthosis for pain control by a physician.
  • Multidisciplinary treatment is defined as multimodal treatment provided by practitioners from different disciplines. For example: the prescription of an anti-depressant by a physician alongside exercise treatment from a physiotherapist, and cognitive behavioral treatment by a psychologist, all the professions working separately with their own therapeutic aim for the patient and not necessarily communicating with each other.
  • Interdisciplinary treatment is defined as multimodal treatment provided by a multidisciplinary team collaborating in assessment and treatment using a shared biopsychosocial model and goals. For example: the prescription of an anti-depressant by a physician alongside exercise treatment from a physiotherapist, and cognitive behavioral treatment by a psychologist, all working closely together with regular team meetings (face to face or online), agreement on diagnosis, therapeutic aims and plans for treatment and review.

The international task force consisted of experienced members of multidisciplinary and interdisciplinary pain treatment services and research teams from such backgrounds as pain medicine, orthopedics, physical therapy, anesthesiology, and clinical psychology. Members of the task force, which conducted its work from December 2015 through May 2017, were Michael Nicholas, Takahiro Ushida, Mark Wallace, Amanda Williams, Harriet Wittink, Robert Edwards, and M.R. Rajagopal. Ulrike Kaiser and Kathleen Slukachaired the group.

Dec 14, 2017

Pubblicato sul Journal of Pain Research lo studio curato dal prof. Stefano Coaccioli e coll. in collaborazione con il Comune di Narni.

Abstract dell'articolo

Background Chronic pain (CP) has been shown as an important public health problem, and several studies emphasize the need to strengthen the health care and social systems to reduce its marginalization. This study aimed to: evaluate the epidemiology of CP in the general population in an Italian area; and assess the awareness of a specific law, unanimously approved in Parliament, which provides citizens the right to access pain management (Italian Law 38/2010). Methods A cross-sectional population-based study carried out during the spring of 2014 at Narni, Umbria, Italy. All the citizens residing in that area, aged >18, were enrolled in the study. Outcome measures were: prevalence of CP and therapies. The awareness of the Italian Law 38/2010 was also recorded. Results Data of 1293 questionnaires were analyzed. The prevalence of CP was 28.4%. In 51.5% of cases, pain was severe, with higher prevalence in females (p<0.001). Moreover, pain was generally increasing with age (p<0.001). The risk of suffering from severe pain was modeled using logistic regression. Significant predictors were female gender (OR 2.59; 95% CI: 1.77–3.79), living in an urban area (OR 0.63; 95% CI 0.45–0.88), and age (OR 1.06; 95% CI: 1.04–1.08). Among people with CP, 77.9% were receiving therapy; the proportion of individuals in therapy for severe pain significantly increased with age (OR 1.03; 95% CI: 1.02–1.05) and was smaller in individuals with light pain (OR 0.21; 95% CI: 0.07–0.66). The majority of subjects (61.9%) are not aware of the existence of a specific law stating their rights to receive pain management. Conclusion CP, at least in the rural part of the community investigated in Italy, is not perceived as a chronic disease in its own right. A socio-cultural transformation in patients and in the health care system seems necessary.

Per leggere tutto lo studio clicca qui

Il tema del fine vita e del cosiddetto accanimento terapeutico è delicatissimo e oggetto di ampie discussioni e prese di posizione.
Nel suo messaggio al Meeting Regionale Europeo della World Medical Association, organizzato in Vaticano dalla Pontificia Accademia per la Vita, il Papa si è espresso così (riprendiamo il testo dal sito ufficiale Vaticano sulle attività di Papa Francesco; per ulteriori approfondimenti e per un inquadramento del dibattito degli ultimi anni, segnaliamo gli articoli nella pagina Biblioteca del sito AISD, sezione articoli da riviste).

Leggi tutto...

Se cliccate il menu DOCUMENTI di questo sito troverete nella lista il sottomenu BIBLIOTECA. In questa pagina abbiamo creato una sezione ARTICOLI DA RIVISTE dove mettiamo a disposizione dei nostri lettori una lista di titoli di articoli della letteratura specialistica, sia articoli che vedono i soci AISD come primi autori o coautori, sia articoli di riferimento importanti nell'ambito della medicina del dolore. 

Ci auguriamo in questo modo di far conoscere meglio la produzione scientifica dei soci AISD.
Ovviamente la redazione del sito accoglierà con piacere le segnalazioni di articoli da inserire nella lista. Basta scrivere a redazione@aisd.it, indicando con precisione i riferimenti bibliografici e il link al testo o all'abstract, se non il pdf stesso dell'articolo.

Ringraziamo anticipatamente tutti per la collaborazione.