Key message: The Internet offers a means of delivering therapies to people in their homes to help them manage chronic pain and a new Cochrane review has explored the evidence on how well these work. Current evidence suggests that psychological treatments delivered in this way may help adults with non-headache pain, reducing pain, disability, depression and anxiety, but more research is needed before we can be confident about these results. Continue reading
Key message: if your baby has to have a painful procedure, evidence shows that there are things you can do to minimise their pain, including holding their bare chest to yours, giving a sugar solution or breast milk and allowing them to suck or to breastfeed. Continue reading
If you read my last blog, you’ll know I’ve been getting hot under the collar about evidence gaps and I’m not about to quieten down about those any time soon, as you’ll see if you read to the end of the blog. There are not just gaps but some enormous black holes, this time not because no evidence was found but because so much of it was unusable. But at least there’s good news too; some reviewers find what they’re looking for and can give us evidence which shows benefits from particular interventions. So, if you logged on thinking you’d like to read about teeth, pain (from several causes), schizophrenia treatments, gut bacteria and jellyfish (really!), you’ve come to the right place. Continue reading
It turns out that Cochrane’s for Christmas, not just for life, with evidence in the Cochrane Library on all manner of festive things from gold, frankincense and myrrh to stockings! Ok, some of the links are a bit tenuous, but we hope you’ll enjoy our advent calendar.
Owing to some trouble with the technology elves, we couldn’t make it interactive (boo!) but each day we’ll post some Cochrane evidence related to the day’s picture, below the calendar. If you think of any others, do share them via the comments box.
There’s a man in my mum’s sewing box. Staggeringly handsome and, until recently, rather mysterious. I hadn’t expected to be writing about a mystery again quite so soon after learning of the woman who may have been the face of Resusci Anne, but today I’m back with new Cochrane evidence which takes some of the mystery out of medicines for migraine, plus a look at migraine art and the man behind it. The man whose face has nestled among the cotton reels for the past sixty years. Continue reading
Key message: There is good evidence that home palliative care increases the chance of dying at home and reduces symptom burden, especially for people with cancer, without increasing caregiver grief.
Where would you prefer to die, if you had an advanced illness? More than 50% of people say they would like to die at home, given the choice, but in many countries relatively few people do; just 21% in England in 2010, for example. The need for home palliative care services is increasing as the ageing population expands and an understanding of their impact on death at home and on things that matter to patients and their carers, such as how well symptoms are controlled and how they feel about their care, is important in working out how current services need to be expanded or improved. Continue reading
If your idea of a present is a new or updated Cochrane review then it’s now Christmas every day with the arrival of Publish When Ready here in Cochraneland. In a huge change to the system for publishing reviews and protocols in the Cochrane Library, new arrivals appear daily, throughout the day, instead of once a month. In the time it takes me to make a cup of tea, a new review may have popped into the Library, ready for my consumption. It’s all rather exciting! It’s also rather alarming, as I have the distinct feeling that with such a rapid flow of evidence I may miss things and fail to shout about stuff that you might like to know about. It may calm down (or I may speed up!) but with the sudden arrival of a very large amount of new evidence I thought I’d give you a bit of a round-up. So here are my picks of the week on surgery, drugs and rock’n’roll, with some talking treatment thrown in. Continue reading
Key message: Psychological therapies can be helpful in reducing pain in childen and adolescents with chronic and recurrent pain.
Living with chronic pain is a miserable business. It can be a major cause of disability and distress and affects not only the person themselves but those close to them. Any parent will tell you how upsetting it is to see their child in pain and I was surprised to learn how many children live with it, around 15% to 30%, with around 8% having severe and frequent pain. So what can be done to help them? Continue reading
Key message: Cognitive behavioural therapy (CBT), when delivered by experienced staff, can be helpful in the management of chronic pain, though it is not known which components of CBT work best for different types of patients and for which outcomes Continue reading
|Key message:Aerobic exercise may help reduce cancer-related fatigue during and after treatment for solid tumours.|
“Exercise is good for you” is a familiar mantra and now there is evidence that aerobic exercise, such as walking or cycling, may help relieve the tiredness experienced by people having treatment for cancer, particularly solid tumours. A Cochrane review published in 2008 has now been updated, with 28 additional randomized controlled trials (RCTs) bringing the total to 56 RCTs with over 4000 people. Half the trials involved people with breast cancer. Exercise interventions varied between studies. Continue reading