Editorial: The suppression of evidence-basis in pain medicine and the physician-driven quest to re-establish it.

摘要

Evidence-basis in chronic pain management in the United States has tragically fallen by the wayside over recent decades, resulting in the pernicious convergence of deterioration of care received by suffering patients with excessive profiteering by a number of the myriad stakeholders in the "business" of pain medicine [1]. As this special series on the transformation of the "profession" of pain medicine to the "business" of pain medicine has focused, for the most part, on the deleterious impact of non-medical stakeholders such as the insurance and pharmaceutical industries [2,3], later contributions will place more of an emphasis on the unfortunate and all-too-frequent contribution of physician self-interest on the delegitimization of the discipline [4]