PDF(Pubmed)
Abstract：
UNASSIGNED: Evidence-based guidelines for managing anterior cutaneous nerve entrapment syndrome (ACNES) in children are absent. The primary aim of this review was to scrutinize the evidence supporting currently used treatment interventions. In accordance with the World Health Organization (WHO) guidelines for managing chronic pain in children, these patients and their families and caregivers should be treated within the context of the biopsychosocial model; pain should not be treated purely as a biomedical problem. Therefore, our second aim was to evaluate whether these interventions are applied within the context of the biopsychosocial model, utilizing an inter- or multidisciplinary approach.
UNASSIGNED: A scoping review of the literature was conducted to explore treatment strategies for ACNES in children. To ensure a comprehensive overview of published literature on this topic, the search was not restricted based on study type. Two reviewers independently assessed titles and abstracts. After excluding records unrelated to children, full texts were screened for inclusion. Any discrepancies in judgement were resolved through discussion with a third reviewer.
UNASSIGNED: Out of 35 relevant titles, 22 were included in this review. Only 4 articles provided information on long-term outcomes. The overall quality of the review was deemed low. The majority of reports did not address treatment or education within the psychological and social domains. A structural qualitative analysis was not feasible due to the substantial heterogeneity of the data.
UNASSIGNED: The evidence supporting current treatment strategies in children with ACNES is of low quality. More research is needed to establish an evidence-based treatment algorithm for patients with this challenging pain problem. In line with the WHO recommendation, greater emphasis should be placed on a biopsychosocial approach. The ultimate goal should be the development of a generic treatment algorithm outlining an approach to ACNES applicable to all professionals involved.
UNASSIGNED: A scoping review of the literature was conducted to explore treatment strategies for ACNES in children. To ensure a comprehensive overview of published literature on this topic, the search was not restricted based on study type. Two reviewers independently assessed titles and abstracts. After excluding records unrelated to children, full texts were screened for inclusion. Any discrepancies in judgement were resolved through discussion with a third reviewer.
UNASSIGNED: Out of 35 relevant titles, 22 were included in this review. Only 4 articles provided information on long-term outcomes. The overall quality of the review was deemed low. The majority of reports did not address treatment or education within the psychological and social domains. A structural qualitative analysis was not feasible due to the substantial heterogeneity of the data.
UNASSIGNED: The evidence supporting current treatment strategies in children with ACNES is of low quality. More research is needed to establish an evidence-based treatment algorithm for patients with this challenging pain problem. In line with the WHO recommendation, greater emphasis should be placed on a biopsychosocial approach. The ultimate goal should be the development of a generic treatment algorithm outlining an approach to ACNES applicable to all professionals involved.
摘要：
■没有治疗儿童前皮神经卡压综合征（ACNES）的循证指南。本综述的主要目的是审查支持当前使用的治疗干预措施的证据。根据世界卫生组织（WHO）儿童慢性疼痛管理指南，这些患者及其家属和护理人员应在生物心理社会模式的背景下进行治疗;疼痛不应纯粹作为生物医学问题进行治疗.因此,我们的第二个目的是评估这些干预措施是否在生物心理社会模型的背景下应用，利用跨学科或多学科方法。
■对文献进行范围审查，以探索儿童ACNES的治疗策略。为了确保对有关该主题的已发表文献进行全面概述，搜索不受研究类型的限制.两名审稿人独立评估标题和摘要。排除与儿童无关的记录后，对全文进行筛选纳入。任何判断上的差异都是通过与第三名审稿人讨论来解决的。
■在35个相关标题中，这次审查中包括22人。只有4篇文章提供了有关长期结果的信息。审查的总体质量被认为较低。大多数报告没有涉及心理和社会领域的治疗或教育。由于数据的实质性异质性，结构定性分析是不可行的。
■支持当前ACNES儿童治疗策略的证据质量较低。需要更多的研究来为患有这种具有挑战性的疼痛问题的患者建立基于证据的治疗算法。根据世卫组织的建议，应该更加重视生物心理社会方法。最终目标应该是开发通用治疗算法，概述适用于所有相关专业人员的ACNES方法。
■对文献进行范围审查，以探索儿童ACNES的治疗策略。为了确保对有关该主题的已发表文献进行全面概述，搜索不受研究类型的限制.两名审稿人独立评估标题和摘要。排除与儿童无关的记录后，对全文进行筛选纳入。任何判断上的差异都是通过与第三名审稿人讨论来解决的。
■在35个相关标题中，这次审查中包括22人。只有4篇文章提供了有关长期结果的信息。审查的总体质量被认为较低。大多数报告没有涉及心理和社会领域的治疗或教育。由于数据的实质性异质性，结构定性分析是不可行的。
■支持当前ACNES儿童治疗策略的证据质量较低。需要更多的研究来为患有这种具有挑战性的疼痛问题的患者建立基于证据的治疗算法。根据世卫组织的建议，应该更加重视生物心理社会方法。最终目标应该是开发通用治疗算法，概述适用于所有相关专业人员的ACNES方法。
