Priority 20 from the Degenerative Cervical Myelopathy PSP
| UNCERTAINTY: What are the most effective therapies for treating pain in patients with DCM? (JLA PSP Priority 20) | |
|---|---|
| Overall ranking | 20 |
| JLA question ID | 0097/20 |
| Explanatory note | Pain may be a significant complaint in patients with DCM and may negatively impact quality of life. Unfortunately, there is a paucity of high-quality studies that evaluate (i) the incidence and severity of preoperative pain; (ii) the impact of surgery on pain outcomes; (iii) important clinical, imaging and surgical predictors of pain outcomes; and (iv) appropriate management strategies for pain. Further research is required to address these important knowledge gaps. |
| Evidence |
No systematic reviews, scoping reviews or guidelines identified |
| Health Research Classification System category | Neurological |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples |
What are the most effective medication regimes to manage pain? ~ What is the best pharmacological management for chronic pain associated with DCM? ~ What can be done to minimise pain? ~ How to address chronic pain? ~ Are opioids helpful for DCM patients with severe pain? ~ What is the best 'treatment' for sufferers of pain associated with the condition? |
| Submitted by | Spinal Surgeons x 12, Other healthcare professionals x 12, People with DCM and their supporters x 47 |
| PSP information | |
|---|---|
| PSP unique ID | 0097 |
| PSP name | Degenerative Cervical Myelopathy |
| Total number of uncertainties identified by this PSP. | 76 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 20 November 2019 |