PERSON-CENTERED MEDICINE VERSUS PERSONALIZED MEDICINE: IS IT JUST A SOPHISM? A VIEW FROM CHRONIC PAIN MANAGEMENT

摘要

The main aim of this brief overview is to explore the concepts of person-centered medicine and personalized medicine in theareas of chronic pain research and management. Through several definitions and paradigms of pain, the authors introduce thecomplexity of pain phenomenology in order to establish the challenge of person-centered and personalized medicine in everydaypractice. By providing deeper insight into fibromyalgia, its presentation, biology and treatment, several questions are addressed,ranging from person-centered diagnosis to personalizing the various processes of the fibromyalgia spectrum complex. By reviewingcurrent treatment options and evaluating treatment pitfalls derived from methodological flaws in current research, the authorsdiscuss various possibilities of personalizing treatment and, therefore, propose how the use of these two paradigms could enhanceoutcomes in chronic pain management.If we wish to make comments about enhanced outcomes we need to talk about outcomes of pain treatments, we need to discusswhat successful treatment is from the patient’s point of view as well as in the reviewed models.