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  4. Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

CANADIAN JOURNAL OF PAIN/REVUE CANADIENNE DE LA DOULEUR, 2017 · DOI: https://doi.org/10.1080/24740527.2017.1385370 · Published: January 1, 2017

Spinal Cord InjuryPain Management

Simple Explanation

Neuropathic pain (NP) is a common complication after spinal cord injury (SCI) that significantly impacts quality of life. This article summarizes the key findings from a Canadian summit focused on improving NP management after SCI. The summit brought together a multidisciplinary panel of Canadian stakeholders to assess the current state of NP management, envision long-term improvements, and identify actionable steps. The summit participants identified strengths in evidence syntheses and practice landscape documentation, while also highlighting gaps such as limited evidence, lack of a national strategy, and limited consumer involvement.

Study Duration
Not specified
Participants
18 Canadian stakeholders
Evidence Level
Not specified

Key Findings

  • 1
    Strengths in the field include rigorous evidence syntheses and practice landscape documentation, such as the CanPainSCI Clinical Practice Guidelines and the SCIRE website.
  • 2
    Gaps identified include limited evidence on NP, absence of a national strategy, care silos with limited cross-continuum connections, limited consumer involvement, and limited practice standard implementation.
  • 3
    Key themes for a long-term vision to improve the management of SCI NP include establishing an integrated collaborative network, standardized care and outcome evaluation, education, advocacy, and directing resources to innovative solutions.

Research Summary

A national Canadian summit was held to develop a strategic plan for improving neuropathic pain (NP) management after spinal cord injury (SCI). The summit identified strengths, such as evidence syntheses, and gaps, including limited evidence and the absence of a national strategy, in the current state of NP management. A strategic plan outlining a long-term vision to improve management of NP after SCI in Canada was developed and will inform future activities of the sponsors.

Practical Implications

Integrated Collaborative Network

Establish a network of consumers, clinicians, and researchers focused on improving NP management after SCI by integrating existing resources.

Standardized Care and Evaluation

Implement standardized assessment tools, outcome measures, and treatment care pathways nationally, including the implementation of guideline recommendations.

Empowerment through Education and Advocacy

Improve knowledge of NP management among clinicians and consumers, and advocate for policies ensuring equitable access to pain services and expertise.

Study Limitations

  • 1
    Limited inclusion of all relevant disciplines (e.g., industry, acute care, neurosurgery, social work, pharmacy) at the summit.
  • 2
    The summit findings primarily reflect the perspectives and experiences of the panel members.
  • 3
    The limited evidence base for NP treatment, which is a challenge relevant to the SCI community internationally.

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