2017 HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV

被引：68

作者：

Bruce, R. Douglas ^{[1
,2
]}

Merlin, Jessica ^{[3
,4
]}

Lum, Paula J. ^{[5
]}

Ahmed, Ebtesam ^{[6
]}

Alexander, Carla ^{[7
]}

Corbett, Amanda H. ^{[8
]}

Foley, Kathleen ^{[9
]}

Leonard, Kate ^{[10
]}

Treisman, Glenn Jordan ^{[11
]}

Selwyn, Peter ^{[12
]}

机构：

[1] Cornell Scott Hill Hlth Ctr, Dept Med, New Haven, CT USA

[2] Yale Univ, New Haven, CT USA

[3] Univ Alabama Birmingham, Div Infect Dis, Birmingham, AL USA

[4] Univ Alabama Birmingham, Div Gerontol Geriatr & Palliat Care, Birmingham, AL USA

[5] Univ Calif San Francisco, Div HIV Infect Dis & Global Med, San Francisco, CA 94143 USA

[6] St Johns Univ, Coll Pharm & Hlth Sci, Metropolitan Jewish Hlth Syst Inst Innovat Pallia, New York, NY USA

[7] Univ Maryland, Sch Med, Inst Human Virol, Baltimore, MD 21201 USA

[8] Univ N Carolina, Eshelman Sch Pharm, Chapel Hill, NC USA

[9] Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA

[10] Cornell Univ, Div Neurosci & Clin Pharmacol, New York, NY 10021 USA

[11] Johns Hopkins Med Ctr, Div HIV Med, Baltimore, MD USA

[12] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Family & Social Med, Bronx, NY 10467 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2017年 / 65卷 / 10期

关键词：

CHRONIC NONCANCER PAIN; LOW-BACK-PAIN; PLACEBO-CONTROLLED TRIAL; PHARMACOKINETIC DRUG-INTERACTIONS; DESCRIPTOR DIFFERENTIAL SCALE; ACTIVE ANTIRETROVIRAL THERAPY; DISTAL SENSORY POLYNEUROPATHY; OPIOID-PRESCRIBING PRACTICES; RANDOMIZED-CONTROLLED-TRIAL; SUBSTANCE USE DISORDERS;

D O I：

10.1093/cid/cix636

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Pain has always been an important part of human immunodeficiency virus (HIV) disease and its experience for patients. In this guideline, we review the types of chronic pain commonly seen among persons living with HIV (PLWH) and review the limited evidence base for treatment of chronic noncancer pain in this population. We also review the management of chronic pain in special populations of PLWH, including persons with substance use and mental health disorders. Finally, a general review of possible pharmacokinetic interactions is included to assist the HIV clinician in the treatment of chronic pain in this population. It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. The Infectious Diseases Society of American considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.

引用

页码：E1 / E37

页数：37

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