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Implications for practice and research
■ The internet can deliver some elements of multidisciplinary pain care to patients (and clinical practices) where such services are desired but often unavailable.
■ Cognitive-behavioural therapy (CBT) is a non-pharmacological intervention for pain that appears in this study to have the greatest number of high-quality studies supporting its use over the internet as a means of decreasing pain, improving functional status and decreasing treatment costs.
■ The effects of internet-delivered CBT appear comparable with those of more traditional face-to-face treatment delivery, although none of the studies reviewed made this direct comparison.
Pharmacological pain treatments and interventional pain treatments (ie, injection therapies and surgery) are common approaches to chronic pain management. …
Competing interests DW is a consultant for Eli Lilly and Pfizer, Inc.
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