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"Pain ladder", or analgesic ladder, was created by the World Health Organization (WHO) as a guideline for the use of drugs in the management of pain. Originally published in 1986 for the management of cancer pain , it is now widely used by medical professionals for the management of all types of pain .
However, a 2017 Cochrane Review found that there is no high-quality evidence to support or refute the use of non-steroidal anti-inflammatories alone or in combination with opioids for the three steps of the three-step WHO cancer pain ladder and that there is very low-quality evidence that some people with moderate or severe cancer pain can ...
It was first described for use in cancer pain. However it can be used by medical professionals as a general principle when managing any type of pain. [58] [59] In the treatment of chronic pain, the three-step WHO Analgesic Ladder provides guidelines for selecting the appropriate medicine. The exact medications recommended will vary by country ...
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