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Published in: Current Pain and Headache Reports 1/2014

01-01-2014 | Anesthetic Techniques in Pain Management (D Wang, Section Editor)

Intrathecal Therapy for Chronic Pain: Current Trends and Future Needs

Authors: Salim M. Hayek, Michael C. Hanes

Published in: Current Pain and Headache Reports | Issue 1/2014

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Abstract

The management of chronic pain continues to pose many challenges to healthcare providers. Intrathecal drug delivery systems (IDDS) provide an effective therapy for patients suffering from chronic pain intractable to medical management. However, the clinical growth of intrathecal therapy continues to face many challenges, and is likely underutilized secondary to its high-complexity and limited reimbursement. The clinical utility of IDDS remains limited by lack of prospective randomized, placebo-controlled studies. In addition, there remains a need to enhance physician knowledge on the pharmacodynamics and pharmacokinetics of intrathecal drug delivery and promote further research into this field and drug delivery modalities. The purpose of this article is to provide a comprehensive review of the determinants of successful intrathecal drug delivery with an emphasis on its use in noncancer pain.
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Metadata
Title
Intrathecal Therapy for Chronic Pain: Current Trends and Future Needs
Authors
Salim M. Hayek
Michael C. Hanes
Publication date
01-01-2014
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 1/2014
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-013-0388-x

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