Pain management in people with inflammatory arthritis: British Society for Rheumatology guideline scope

Ian C Scott^{1

2}, Opeyemi Babatunde¹, Christopher Barker³, Rebecca Beesley⁴, Richard Beesley⁴, Hollie Birkinshaw⁵, Mel Brooke⁶, Hema Chaplin^{7

8}, Lara Chapman⁹, Coziana Ciurtin¹⁰, James Dale¹¹, Dervil Dockrell¹², Emma Dures¹³, Kathyrn Harrison¹⁴, Meghna Jani^{15

16}, Charlotte Lee¹⁷, Maura McCarron^{18

19}, Christian D Mallen¹, Assie O'Connor², Claire Pidgeon²⁰, Tamar Pincus¹⁷, Dee Pratt²¹, Yeliz Prior²², Karim Raza^{23

24}, Zoe Rutter-Locher²⁵, Seema Sharma²⁶, Katie Shaw²⁷, Samantha Small²⁸, Tilli Smith¹, Lesley Tiffin²⁹, Jordan Tsigarides^{30

31}, Mikalena Xenophontos^{32

33}, Nicholas G Shenker^{34

35}

Affiliations

¹ Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Staffordshire, UK.
² Haywood Academic Rheumatology Centre, Midlands Partnership University NHS Foundation Trust, Staffordshire, UK.
³ Community Pain Management Service, Mersey Care NHS Foundation Trust, Mersey, UK.
⁴ Juvenile Arthritis Research (JAR), Tonbridge, UK.
⁵ School of Primary Care, Population Sciences and Medical Education, Primary Care Research Centre, University of Southampton, Southampton, UK.
⁶ Expert by experience, Bath, UK.
⁷ Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁸ School of Health and Society, Centre for Applied Health Research, University of Salford, Salford, UK.
⁹ Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
¹⁰ Division of Medicine, Centre for Adolescent Rheumatology, University College London, London, UK.
¹¹ Department of Rheumatology, NHS Lanarkshire, Lanarkshire, UK.
¹² Bone Research Group, University of Edinburgh and NHS Lothian, Edinburgh, UK.
¹³ School of Health and Social Wellbeing, University of the West of England (UWE), Bristol, UK.
¹⁴ Department of Paediatric Rheumatology, Birmingham Children's Hospital, Birmingham, UK.
¹⁵ Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, The University of Manchester, Manchester, UK.
¹⁶ NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
¹⁷ School of Psychology, University of Southampton, Southampton, UK.
¹⁸ Department of Rheumatology, Belfast Health and Social Care Trust, Belfast, UK.
¹⁹ School of Psychology, Queen's University Belfast, Belfast, UK.
²⁰ Department of Paediatric Occupational Therapy, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
²¹ Department of Musculoskeletal Physiotherapy, Surrey Downs Health and Care Community Services, Epsom and St Helier University Hospitals NHS Trust, Surrey, UK.
²² Centre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.
²³ Department of Rheumatology, Hywel Dda University Health Board, Wales, UK.
²⁴ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁵ Department of Rheumatology, Guy's and St Thomas' NHS Trust, London, UK.
²⁶ Department of Rheumatology, Manchester University NHS Foundation Trust, Manchester, UK.
²⁷ Department of Physiotherapy, Bolton NHS Foundation Trust, Bolton, UK.
²⁸ Department of Paediatric Rheumatology, Southampton Children's Hospital, Southampton, UK.
²⁹ Department of Rheumatology, Newcastle Hospitals NHS Foundation Trust, Newcastle, UK.
³⁰ Department of Rheumatology, Norfolk and Norwich Hospital, Norwich, UK.
³¹ Norwich Medical School, University of East Anglia, Norwich, UK.
³² Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
³³ Department of Rheumatology, Oxford University Hospitals, Oxford, UK.
³⁴ Department of Rheumatology, Cambridge University Hospitals, Cambridge, UK.
³⁵ Department of Medicine, University of Cambridge, Cambridge, UK.

PMID: 39563967
PMCID: PMC11573413
DOI: 10.1093/rap/rkae128

Review

Pain management in people with inflammatory arthritis: British Society for Rheumatology guideline scope

Ian C Scott et al. Rheumatol Adv Pract. 2024.

. 2024 Nov 19;8(4):rkae128.

doi: 10.1093/rap/rkae128. eCollection 2024.

Authors

Affiliations

¹ Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Staffordshire, UK.
² Haywood Academic Rheumatology Centre, Midlands Partnership University NHS Foundation Trust, Staffordshire, UK.
³ Community Pain Management Service, Mersey Care NHS Foundation Trust, Mersey, UK.
⁴ Juvenile Arthritis Research (JAR), Tonbridge, UK.
⁵ School of Primary Care, Population Sciences and Medical Education, Primary Care Research Centre, University of Southampton, Southampton, UK.
⁶ Expert by experience, Bath, UK.
⁷ Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁸ School of Health and Society, Centre for Applied Health Research, University of Salford, Salford, UK.
⁹ Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
¹⁰ Division of Medicine, Centre for Adolescent Rheumatology, University College London, London, UK.
¹¹ Department of Rheumatology, NHS Lanarkshire, Lanarkshire, UK.
¹² Bone Research Group, University of Edinburgh and NHS Lothian, Edinburgh, UK.
¹³ School of Health and Social Wellbeing, University of the West of England (UWE), Bristol, UK.
¹⁴ Department of Paediatric Rheumatology, Birmingham Children's Hospital, Birmingham, UK.
¹⁵ Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, The University of Manchester, Manchester, UK.
¹⁶ NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
¹⁷ School of Psychology, University of Southampton, Southampton, UK.
¹⁸ Department of Rheumatology, Belfast Health and Social Care Trust, Belfast, UK.
¹⁹ School of Psychology, Queen's University Belfast, Belfast, UK.
²⁰ Department of Paediatric Occupational Therapy, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
²¹ Department of Musculoskeletal Physiotherapy, Surrey Downs Health and Care Community Services, Epsom and St Helier University Hospitals NHS Trust, Surrey, UK.
²² Centre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.
²³ Department of Rheumatology, Hywel Dda University Health Board, Wales, UK.
²⁴ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁵ Department of Rheumatology, Guy's and St Thomas' NHS Trust, London, UK.
²⁶ Department of Rheumatology, Manchester University NHS Foundation Trust, Manchester, UK.
²⁷ Department of Physiotherapy, Bolton NHS Foundation Trust, Bolton, UK.
²⁸ Department of Paediatric Rheumatology, Southampton Children's Hospital, Southampton, UK.
²⁹ Department of Rheumatology, Newcastle Hospitals NHS Foundation Trust, Newcastle, UK.
³⁰ Department of Rheumatology, Norfolk and Norwich Hospital, Norwich, UK.
³¹ Norwich Medical School, University of East Anglia, Norwich, UK.
³² Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
³³ Department of Rheumatology, Oxford University Hospitals, Oxford, UK.
³⁴ Department of Rheumatology, Cambridge University Hospitals, Cambridge, UK.
³⁵ Department of Medicine, University of Cambridge, Cambridge, UK.

PMID: 39563967
PMCID: PMC11573413
DOI: 10.1093/rap/rkae128

Abstract

Pain is a common symptom in people with inflammatory arthritis (IA), which has far-reaching impacts on their lives. Recent electronic health record studies demonstrate that UK-based pain care in people with IA commonly involves the prescribing of long-term opioids and gabapentinoids, despite an absence of trial evidence for their efficacy. Patient surveys suggest that non-pharmacological pain management is underused. A UK-specific guideline on pain management for people with IA is required to resolve this. This scoping document outlines the context and prioritized clinical questions for the first British Society for Rheumatology (BSR) guideline on pain management for people with IA. The guideline aims to provide evidence-based recommendations on how pain can be best managed in people with IA (including its assessment, and pharmacological and non-pharmacological treatments), ensuring that people with IA in the UK are offered evidence-based pain management strategies. The guideline is for healthcare professionals involved in the care of people with IA of all ages and genders, people with IA and their families and carers, NHS managers and healthcare commissioners, and other relevant stakeholders such as patient organizations. It will be developed using the methods outlined in the BSR's 'Creating Clinical Guidelines' protocol.

Keywords: analgesic; axial spondyloarthritis; inflammatory arthritis; juvenile idiopathic arthritis; non-pharmacological; pain; pharmacological; psoriatic arthritis; rheumatoid arthritis.

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References

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1. Scott IC, Whittle R, Bailey J. et al. Analgesic prescribing in patients with inflammatory arthritis in England: observational studies in the Clinical Practice Research Datalink. Rheumatol Oxf Engl 2024;63:1672–81. - PMC - PubMed
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Pain management in people with inflammatory arthritis: British Society for Rheumatology guideline scope

Affiliations

Pain management in people with inflammatory arthritis: British Society for Rheumatology guideline scope

Authors

Affiliations

Abstract

References

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LinkOut - more resources

Full Text Sources