• Publications
  • Influence
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
It is documented that chronic pain is a major health care problem in Europe that needs to be taken more seriously and interesting differences between countries were observed, possibly reflecting differences in cultural background and local traditions in managing chronic pain. Expand
Cancer-related pain: a pan-European survey of prevalence, treatment, and patient attitudes.
Pain and pain relief should be considered integral to the diagnosis and treatment of cancer; management guidelines should be revised to improve pain control in patients with cancer. Expand
Opioid tolerance: the clinical perspective.
  • B. Collett
  • Medicine
  • British journal of anaesthesia
  • 1 July 1998
Clinical aspects of tolerance and the associated phenomena of dependence, withdrawal and addiction to opioids as they apply to the practice of clinicians who manage patients with chronic malignant and non-malignant pain are discussed. Expand
Functional benefits and cost/benefit analysis of continuous intrathecal baclofen infusion for the management of severe spasticity.
In carefully selected patients who have not responded to less invasive treatments, continuous intrathecal baclofen infusion is likely to lead to worthwhile functional benefits and has an acceptable cost/benefit ratio compared with other interventions that are funded by the health service. Expand
Selective memory for sensory and affective information in chronic pain and depression.
Signal detection analysis of the recognition results suggested that selective memory in chronic pain and depression may to some extent be accounted for by differences in 'true memory', the contribution of response bias remaining less clear. Expand
Pharmacological treatment of chronic pain – the need for CHANGE
Universal, user-friendly educational tools are required to familiarise physicians with pain mechanisms, sensitisation and multi-mechanistic management, and also to improve communication between physicians and their pain patients, so that realistic expectations of treatment can be established. Expand
A holistic approach to chronic pain management that involves all stakeholders: change is needed
Improved medical training for physicians could be addressed by making pain medicine a compulsory core subject of the undergraduate medical curriculum, which would improve physician/patient communication, increase the use of standardized pain assessment tools, and allow more patients to participate in treatment decisions. Expand
Make a CHANGE: optimising communication and pain management decisions
The CHANGE PAIN Scale was adopted – a simple, user-friendly assessment tool to improve communication between physician and patient and to establish the efficacy and tolerability of pain management, and the rate of progress towards individual treatment targets. Expand