Pain medicine

Pain medication tapering in chronic pain patients: a concept analysis

J Clin AnesthPublished Concept analysis

Authors' conclusion

Conceptualization of PMT for patients with CNCP creates a common ground for improving current knowledge about PMT programs

Study context

Population
Chronic pain (CP) patients on long-term pain medication therapy to whom pain medication tapering (PMT) is beneficial110 articles included
Outcome
Attributes of PMT
Methodological detailsWalker and Avant eight-step method, PRISMA-guided literature search, 4,162 articles screened, 110 included, Literature search up to July 2023 in six databases: MEDLINE (via PubMed), Web of Science, Embase, Scopus, PsychINFO, Cochrane database
  • Walker and Avant eight-step method
  • PRISMA-guided literature search
  • 4,162 articles screened, 110 included
  • Literature search up to July 2023 in six databases: MEDLINE (via PubMed), Web of Science, Embase, Scopus, PsychINFO, Cochrane database

Main finding

As reported in the abstract

Attributes identified: medication use and decrease, support, patient preparation/education, personalization, controlling and monitoring throughout and following tapering, alternative treatments for pain relief

6

Cases developed, illustrating PMT programs containing all, some or none of the attributes

3

Original publication

Pain medication tapering in chronic pain patients: a concept analysis. J Clin Anesth. Published 22 February 2025. doi:10.1016/j.jclinane.2025.111784

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