Reply to comments from Ulf Kongsgaard to our study
-
Jan Henrik Rosland
and
Jonn Terje Geitung
To the editor,
We are grateful for Professor Ulf Kongsgaard’s interest in our article and his important comments to our experience with neurolytic block of the coeliac plexus for otherwise intractable pain from upper abdominal malignancies [1]. We appreciate that he emphasizes the discussion of when to use such an invasive treatment and how to choose patients who will most likely benefit.
Professor Kongsgaard proposes a large international registry study. This could be of great value, and we hope readers among the leadership of palliative care societies will take on such an important challenge. A comprehensive review, perhaps with a meta-analysis, of published data could be repeated [2]. We would surely applaud such studies, but as Ulf Kongsgaard also emphasizes, our study is a small study, similar to most other published studies on this subject, making meta-analyses of less scientific value [3].
We performed our study within a setting where we have close control of the patients’ symptoms, the performance of the procedure, and the follow-up of the patients. Our observations should therefore be a valuable contribution to this significant clinical pain problem that still is without large scientific evidence.
References
[1] Rosland JH, Geitung JT. CT guided neurolytic blockade of the coeliac plexus in patients with advanced and intractable painful pancreatic cancer. Scand J Pain 2018;18:247–51.10.1515/sjpain-2017-0185Search in Google Scholar PubMed
[2] Mercadante S, Klepstad P, Kurita GP, Sjøgren P, Giarratano A; European Palliative Care Research Collaborative (EPCRC). Sympathetic blocks for visceral cancer pain management: a systematic review and EAPC recommendations. Crit Rev Oncol Hematol 2015;96:577–83.10.1016/j.critrevonc.2015.07.014Search in Google Scholar PubMed
[3] Zhong W, Yu Z, Zeng JX, Lin Y, Yu T, Min XH, Yuan YH, Chen QK. Celiac plexus block for treatment of pain associated with pancreatic cancer: a meta-analysis. Pain Pract 2014;14:43–51.10.1111/papr.12083Search in Google Scholar PubMed
©2018 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston. All rights reserved.
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- Impact of the economic crisis on pain research: a bibliometric analysis of pain research publications from Ireland, Greece, and Portugal between 1997 and 2017
- Measurement of skin conductance responses to evaluate procedural pain in the perioperative setting
- Original experimental
- An observational study of pain self-management strategies and outcomes: does type of pain, age, or gender, matter?
- Fibromyalgia patients and healthy volunteers express difficulties and variability in rating experimental pain: a qualitative study
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- Observational study
- Winning or not losing? The impact of non-pain goal focus on attentional bias to learned pain signals
- Gabapentin and NMDA receptor antagonists interacts synergistically to alleviate allodynia in two rat models of neuropathic pain
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- Assessment of CPM reliability: quantification of the within-subject reliability of 10 different protocols
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- The response to radiofrequency neurotomy of medial branches including a bipolar system for thoracic facet joints
- Letter to the Editor
- Diagnosis of carpal tunnel syndrome – implications for therapy
- Reply to the Letter to the Editor by Ly-Pen and Andréu
- Letter to the Editor regarding “CT guided neurolytic blockade of the coeliac plexus in patients with advanced and intractably painful pancreatic cancer”
- Reply to comments from Ulf Kongsgaard to our study
Articles in the same Issue
- Frontmatter
- Editorial comment
- Support for mirror therapy for phantom and stump pain in landmine-injured patients
- Lifting with straight legs and bent spine is not bad for your back
- Bipolar radiofrequency neurotomy for spinal pain – a promising technique but still some steps to go
- Topical review
- Prevalence, localization, perception and management of pain in dance: an overview
- Clinical pain research
- Pain assessment in native and non-native language: difficulties in reporting the affective dimensions of pain
- Colored body images reveal the perceived intensity and distribution of pain in women with breast cancer treated with adjuvant taxanes: a prospective multi-method study of pain experiences
- Physiotherapy pain curricula in Finland: a faculty survey
- Mirror therapy for phantom limb and stump pain: a randomized controlled clinical trial in landmine amputees in Cambodia
- Pain and alcohol: a comparison of two cohorts of 60 year old women and men: findings from the Good Aging in Skåne study
- Prolonged, widespread, disabling musculoskeletal pain of adolescents among referrals to the Pediatric Rheumatology Outpatient Clinic from the Päijät-Häme Hospital District in southern Finland
- Impact of the economic crisis on pain research: a bibliometric analysis of pain research publications from Ireland, Greece, and Portugal between 1997 and 2017
- Measurement of skin conductance responses to evaluate procedural pain in the perioperative setting
- Original experimental
- An observational study of pain self-management strategies and outcomes: does type of pain, age, or gender, matter?
- Fibromyalgia patients and healthy volunteers express difficulties and variability in rating experimental pain: a qualitative study
- Effect of the market withdrawal of dextropropoxyphene on use of other prescribed analgesics
- Observational study
- Winning or not losing? The impact of non-pain goal focus on attentional bias to learned pain signals
- Gabapentin and NMDA receptor antagonists interacts synergistically to alleviate allodynia in two rat models of neuropathic pain
- Offset analgesia is not affected by cold pressor induced analgesia
- Central and peripheral pain sensitization during an ultra-marathon competition
- Reduced endogenous pain inhibition in adolescent girls with chronic pain
- Evaluation of implicit associations between back posture and safety of bending and lifting in people without pain
- Assessment of CPM reliability: quantification of the within-subject reliability of 10 different protocols
- Cerebrospinal fluid cutaneous fistula after neuraxial anesthesia: an effective treatment approach
- Pain in the hand caused by a previously undescribed mechanism with possible relevance for understanding regional pain
- The response to radiofrequency neurotomy of medial branches including a bipolar system for thoracic facet joints
- Letter to the Editor
- Diagnosis of carpal tunnel syndrome – implications for therapy
- Reply to the Letter to the Editor by Ly-Pen and Andréu
- Letter to the Editor regarding “CT guided neurolytic blockade of the coeliac plexus in patients with advanced and intractably painful pancreatic cancer”
- Reply to comments from Ulf Kongsgaard to our study
