Chronic Pain: A Systematic Review of Current Treatment Approaches and the Impact on Patient Outcomes

12.33
Hdl Handle:
http://hdl.handle.net/10755/565067
Category:
Full-text
Format:
Text-based Document
Type:
DNP Project
Level of Evidence:
Systematic Review
Research Approach:
Other
Title:
Chronic Pain: A Systematic Review of Current Treatment Approaches and the Impact on Patient Outcomes
Author(s):
O'Hare, Anne M.
Additional Author Information:
Anne M. O'Hare, MSN, RN
Advisors:
Nogueras, Debra J.; Hayhurst, Janet; Farrell, Eileen
Degree:
DNP
Degree Year:
2015
Grantor:
Capella University
Abstract:

Abstract

Objective: To explore the effectiveness of treatment modalities considered alternative to opioid medication for non-malignant chronic pain. Design: A systematic review of the literature was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. Methods: Seven treatment modalities were studied including cognitive behavioral therapy, physical therapy, yoga, meditation, chiropractic, acupuncture, and opioid therapy. Search databases included CINHAL, ProQuest, OVID, and Google Scholar. Search terms included chronic pain as well as each of the seven treatment modalities. Exclusion criteria included studies published before 2009 or not peer reviewed, pilot studies, dissertations, studies including children, and diagnoses such as fibromyalgia and rheumatoid arthritis. Study validity was determined using the United States Preventive Services Task Force (USPSTF) scoring system.  Results: A total of 3799 articles were identified in the initial search. After the exclusion criteria, 35 studies were deemed appropriate for analysis. Mean effect sizes were obtained from the data representing the efficacy of each of the seven modalities, and a meta-analysis was performed. Yoga had the largest effect size and, apart from opioids, was deemed to have the greatest impact on lowering pain scores. Meditation and cognitive behavioral therapy were shown to have a significant impact on reducing anxiety and depression, and improved quality of life. Limitations: There was heterogeneity and publication bias noted. In addition, the study had one reviewer thereby reducing the scientific validity of results. Conclusion: Alternative pain treatment modalities can have a significant effect on pain outcomes and help reduce the use of opioids.

 

Citation:
O'Hare, A. M. (2015). Chronic pain: A systematic review of current treatment approaches and the impact on patient outcomes (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/565067
Keywords:
Chronic Pain; Yoga; Acupuncture; chiropractic; Physical Therapy; Meditation; Opioids; cognitive behavioral therapy (CBT)
MeSH:
Chronic Pain--therapy; Chronic Pain; Patient Outcome Assessment; Complementary Therapies
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-08-04T19:23:40Z
Date of Publication:
2015-08-04

Full metadata record

DC FieldValue Language
dc.contributor.advisorNogueras, Debra J.en
dc.contributor.advisorHayhurst, Janeten
dc.contributor.advisorFarrell, Eileenen
dc.contributor.authorO'Hare, Anne M.en
dc.date.accessioned2015-08-04T19:23:40Zen
dc.date.available2015-08-04T19:23:40Zen
dc.date.issued2015-08-04en
dc.identifier.citationO'Hare, A. M. (2015). Chronic pain: A systematic review of current treatment approaches and the impact on patient outcomes (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/565067en
dc.identifier.urihttp://hdl.handle.net/10755/565067en
dc.description.abstract<p align="center"><strong>Abstract</strong></p> <p><strong><em>Objective:</em></strong><strong> </strong>To explore the effectiveness of treatment modalities considered alternative to opioid medication for non-malignant chronic pain. <strong><em>Design:</em> </strong>A systematic review of the literature was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. <strong><em>Methods:</em></strong> Seven treatment modalities were studied including cognitive behavioral therapy, physical therapy, yoga, meditation, chiropractic, acupuncture, and opioid therapy. Search databases included CINHAL, ProQuest, OVID, and Google Scholar. Search terms included <em>chronic pain</em> as well as each of the seven treatment modalities. Exclusion criteria included studies published before 2009 or not peer reviewed, pilot studies, dissertations, studies including children, and diagnoses such as fibromyalgia and rheumatoid arthritis. Study validity was determined using the United States Preventive Services Task Force (USPSTF) scoring system.  <strong><em>Results:</em></strong><strong> </strong>A total of 3799 articles were identified in the initial search. After the exclusion criteria, 35 studies were deemed appropriate for analysis. Mean effect sizes were obtained from the data representing the efficacy of each of the seven modalities, and a meta-analysis was performed. Yoga had the largest effect size and, apart from opioids, was deemed to have the greatest impact on lowering pain scores. Meditation and cognitive behavioral therapy were shown to have a significant impact on reducing anxiety and depression, and improved quality of life. <strong><em>Limitations:</em></strong><em> </em>There was heterogeneity and publication bias noted. In addition,<em> </em>the study had one reviewer thereby reducing the scientific validity of results. <strong><em>Conclusion:</em></strong> Alternative pain treatment modalities can have a significant effect on pain outcomes and help reduce the use of opioids.</p> <p><strong> </strong></p>en
dc.formatText-based Documenten
dc.subjectChronic Painen
dc.subjectYogaen
dc.subjectAcupunctureen
dc.subjectchiropracticen
dc.subjectPhysical Therapyen
dc.subjectMeditationen
dc.subjectOpioidsen
dc.subjectcognitive behavioral therapy (CBT)en
dc.subject.meshChronic Pain--therapyen
dc.subject.meshChronic Painen
dc.subject.meshPatient Outcome Assessmenten
dc.subject.meshComplementary Therapiesen
dc.titleChronic Pain: A Systematic Review of Current Treatment Approaches and the Impact on Patient Outcomesen
dc.typeDNP Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.primary-author.detailsAnne M. O'Hare, MSN, RNen
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelSystematic Reviewen
dc.research.approachOtheren
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