Burn Pain: A Systematic and Critical Review of Epidemiology, Pathophysiology, and Treatment

Abstract Objective This review aims to examine the available literature on the epidemiology, pathophysiology, and treatment of burn-induced pain. Methods A search was conducted on the epidemiology of burn injury and treatment of burn pain utilizing the database Medline, and all relevant articles wer...

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Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2018-04, Vol.19 (4), p.708-734
Hauptverfasser: Morgan, Michael, Deuis, Jennifer R, Frøsig-Jørgensen, Majbrit, Lewis, Richard J, Cabot, Peter J, Gray, Paul D, Vetter, Irina
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container_end_page 734
container_issue 4
container_start_page 708
container_title Pain medicine (Malden, Mass.)
container_volume 19
creator Morgan, Michael
Deuis, Jennifer R
Frøsig-Jørgensen, Majbrit
Lewis, Richard J
Cabot, Peter J
Gray, Paul D
Vetter, Irina
description Abstract Objective This review aims to examine the available literature on the epidemiology, pathophysiology, and treatment of burn-induced pain. Methods A search was conducted on the epidemiology of burn injury and treatment of burn pain utilizing the database Medline, and all relevant articles were systemically reviewed. In addition, a critical review was performed on the pathophysiology of burn pain and animal models of burn pain. Results The search on the epidemiology of burn injury yielded a total of 163 publications of interest, 72 of which fit the inclusion/exclusion criteria, with no publications providing epidemiological data on burn injury pain management outcomes. The search on the treatment of burn pain yielded a total of 213 publications, 14 of which fit the inclusion/exclusion criteria, highlighting the limited amount of evidence available on the treatment of burn-induced pain. Conclusions The pathophysiology of burn pain is poorly understood, with limited clinical trials available to assess the effectiveness of analgesics in burn patients. Further studies are needed to identify new pharmacological targets and treatments for the effective management of burn injury pain.
doi_str_mv 10.1093/pm/pnx228
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Methods A search was conducted on the epidemiology of burn injury and treatment of burn pain utilizing the database Medline, and all relevant articles were systemically reviewed. In addition, a critical review was performed on the pathophysiology of burn pain and animal models of burn pain. Results The search on the epidemiology of burn injury yielded a total of 163 publications of interest, 72 of which fit the inclusion/exclusion criteria, with no publications providing epidemiological data on burn injury pain management outcomes. The search on the treatment of burn pain yielded a total of 213 publications, 14 of which fit the inclusion/exclusion criteria, highlighting the limited amount of evidence available on the treatment of burn-induced pain. Conclusions The pathophysiology of burn pain is poorly understood, with limited clinical trials available to assess the effectiveness of analgesics in burn patients. Further studies are needed to identify new pharmacological targets and treatments for the effective management of burn injury pain.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnx228</identifier><identifier>PMID: 29036469</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Analgesia ; Analgesics ; Analysis ; Animal models ; Burn patients ; Burns ; Burns - complications ; Care and treatment ; Clinical trials ; Epidemiology ; Evidence-based medicine ; Humans ; Medical research ; Pain ; Pain - epidemiology ; Pain - etiology ; Pain - physiopathology ; Pain management ; Pain Management - methods</subject><ispartof>Pain medicine (Malden, Mass.), 2018-04, Vol.19 (4), p.708-734</ispartof><rights>2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2017</rights><rights>COPYRIGHT 2018 Oxford University Press</rights><rights>Copyright © 2017 American Academy of Pain Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-1915ec34c889ea6091e407926da15ea785eb4b8b3997d6f24edac75c9957c6fe3</citedby><cites>FETCH-LOGICAL-c470t-1915ec34c889ea6091e407926da15ea785eb4b8b3997d6f24edac75c9957c6fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29036469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morgan, Michael</creatorcontrib><creatorcontrib>Deuis, Jennifer R</creatorcontrib><creatorcontrib>Frøsig-Jørgensen, Majbrit</creatorcontrib><creatorcontrib>Lewis, Richard J</creatorcontrib><creatorcontrib>Cabot, Peter J</creatorcontrib><creatorcontrib>Gray, Paul D</creatorcontrib><creatorcontrib>Vetter, Irina</creatorcontrib><title>Burn Pain: A Systematic and Critical Review of Epidemiology, Pathophysiology, and Treatment</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objective This review aims to examine the available literature on the epidemiology, pathophysiology, and treatment of burn-induced pain. Methods A search was conducted on the epidemiology of burn injury and treatment of burn pain utilizing the database Medline, and all relevant articles were systemically reviewed. In addition, a critical review was performed on the pathophysiology of burn pain and animal models of burn pain. Results The search on the epidemiology of burn injury yielded a total of 163 publications of interest, 72 of which fit the inclusion/exclusion criteria, with no publications providing epidemiological data on burn injury pain management outcomes. The search on the treatment of burn pain yielded a total of 213 publications, 14 of which fit the inclusion/exclusion criteria, highlighting the limited amount of evidence available on the treatment of burn-induced pain. Conclusions The pathophysiology of burn pain is poorly understood, with limited clinical trials available to assess the effectiveness of analgesics in burn patients. Further studies are needed to identify new pharmacological targets and treatments for the effective management of burn injury pain.</description><subject>Analgesia</subject><subject>Analgesics</subject><subject>Analysis</subject><subject>Animal models</subject><subject>Burn patients</subject><subject>Burns</subject><subject>Burns - complications</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Epidemiology</subject><subject>Evidence-based medicine</subject><subject>Humans</subject><subject>Medical research</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>Pain - etiology</subject><subject>Pain - physiopathology</subject><subject>Pain management</subject><subject>Pain Management - methods</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kVtr3DAQhUVpyLUP_QPF0D6kkM3qZsnq22bZXCCQ0G6f8iC08jhRsC1HstPuv6-W3TQkhKAHDTPfOQxzEPpM8DHBio27Zty1fyktPqBdklMx4oLJj5uaMpnvoL0Y7zEmghdsG-1QhZngQu2im5MhtNm1ce2PbJL9WsYeGtM7m5m2zKbBpdLU2U94dPAn81U261wJjfO1v10eJV1_57u7ZXxqrFTzAKZvoO0P0FZl6gifNv8--n06m0_PR5dXZxfTyeXIcon7EVEkB8u4LQoFRmBFgGOpqChNGhhZ5LDgi2LBlJKlqCiH0liZW6VyaUUFbB8drn274B8GiL1uXLRQ16YFP0RNVE5JcpQioV9fofc-HSBtpymhkkmeDvNM3ZoatGsr3wdjV6Z6khcF40RKlajjN6j0VgeyvoXKpf4Lwfe1wAYfY4BKd8E1Jiw1wXoVpO4avQ4ysV82iw6LBsr_5FNyCfi2BvzQvePzD8_uo0g</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Morgan, Michael</creator><creator>Deuis, Jennifer R</creator><creator>Frøsig-Jørgensen, Majbrit</creator><creator>Lewis, Richard J</creator><creator>Cabot, Peter J</creator><creator>Gray, Paul D</creator><creator>Vetter, Irina</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180401</creationdate><title>Burn Pain: A Systematic and Critical Review of Epidemiology, Pathophysiology, and Treatment</title><author>Morgan, Michael ; 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Further studies are needed to identify new pharmacological targets and treatments for the effective management of burn injury pain.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>29036469</pmid><doi>10.1093/pm/pnx228</doi><tpages>27</tpages><oa>free_for_read</oa></addata></record>
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subjects Analgesia
Analgesics
Analysis
Animal models
Burn patients
Burns
Burns - complications
Care and treatment
Clinical trials
Epidemiology
Evidence-based medicine
Humans
Medical research
Pain
Pain - epidemiology
Pain - etiology
Pain - physiopathology
Pain management
Pain Management - methods
title Burn Pain: A Systematic and Critical Review of Epidemiology, Pathophysiology, and Treatment
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