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The Lancet Profile picture
@TheLancet
May 29, 2021 • 6 tweets • 5 min read • Read on X
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#ChronicPain affects over 30% of people worldwide and exerts an enormous personal and economic burden.

A new @TheLancet Series on #ChronicPain presents recent findings across specialties, with implications for health care providers and patients: hubs.li/H0PgfvK0

Thread⬇️
The Series explores 3 types of pain—nociceptive, neuropathic, nociplastic—and the biopsychosocial model of pain—interactions between #chronicpain, biological, psychological, and social factors.

Read an update on burden, best practices, and new advances: hubs.li/H0Pgfv10
Nociplastic pain is a new descriptor of pain arising from abnormal pain signal processing. It applies to a range of conditions, such as fibromyalgia, that lack clear mechanisms or biomarkers—a challenge to diagnose and treat.

Learn more ➡️ hubs.li/H0Pgfv30
Neuromodulation is an expanding area of pain medicine including surgical techniques—deep brain and spinal cord stimulation.

However, their current role in practice is limited—evidence is inconsistent and often weak.

Read more here: hubs.li/H0PgfvZ0
"Chronic pain is real. It deserves to be taken more seriously. And this @TheLancet series explains why."

Read our latest Editorial—Rethinking chronic pain: hubs.li/H0PghNb0
"...the NICE guideline takes an oversimplified approach and presents chronic primary pain as a diagnosis of exclusion..."

Read a linked Comment from @Chris_Eccleston et al—Pragmatic but flawed: the NICE guideline on #ChronicPain: hubs.li/H0Pgpcf0.

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More from @TheLancet

The Lancet Profile picture
Mar 24, 2023
World TB Day 2023.

“Another year of both progress and setbacks for tuberculosis research and control efforts”, write @LancetRespirMed editors.

We begin this #WorldTBDay thread with an Editorial 🧵 hubs.li/Q01J2k780
Tuberculosis (TB) remains one of the world’s deadliest—yet preventable and curable—infectious killers.

In 2021, 1.6 million deaths were caused by the disease, and a further 10.6 million people fell ill with TB. #EndTB
According to WHO, estimated TB incidence and deaths have increased for the first time in over a decade.

“It is important to find hope and keep the fight going”, state @TerezaKasaeva and colleagues.

They outline 10 priorities for accelerating progress: hubs.li/Q01J2jJM0 Panel: Ten crucial prioriti...
Read 4 tweets
The Lancet Profile picture
Mar 23, 2023
‘Policy inertia’ is enabling the products and practices of some commercial actors to cause significant, ongoing harm to health, warn experts.

A new Lancet Series argues for a bold system overhaul that puts people and planet first: hubs.li/Q01HD8h_0 Alt text: Headline card for...
What are the commercial determinants of health?

Lack of consensus on the definition has been a sticking point, hampering action.

The Series authors provide an explanation and outline potential pathways to health benefits or harms: hubs.li/Q01J2gbV0 Quote from paper 1 of the S...
While commercial actors can contribute positively to health and society, a significant proportion are not.

Just 4 industry sectors are responsible for at least 1/3 of global deaths every year:
🚬 Tobacco
🍺 Alcohol
🍔 Unhealthy foods
🏭 Fossil fuels
hubs.li/Q01J2gbV0
Read 8 tweets
The Lancet Profile picture
Sep 14, 2022
New Lancet Commission details "massive global failures" of the #COVID19 response & issues recommendations to help:
1️⃣ End the pandemic emergency
2️⃣ Protect against future health shocks
3️⃣ Achieve sustainable development for all
Access the report: hubs.li/Q01mlD0h0 The Lancet COVID-19 Commission card. Image credit: Boris SV/
Glaring deficiencies in pandemic preparedness & response have cost lives, livelihoods, & progress towards the #SDGs.

The Lancet COVID-19 Commission identifies several failures of governance ⤵ hubs.li/Q01mmNZd0
Synthesising evidence from the first 2 years of #COVID19, Commission authors make 11 essential recommendations for a resilient post-pandemic world 👇 hubs.li/Q01mmNZd0
Read 4 tweets
The Lancet Profile picture
Sep 13, 2022
📢 The Lancet Group is pleased to announce an important step towards advancing equity, diversity, & inclusion in our publishing practices:

Authors & reviewers will now be invited to (optionally) self-report their gender, race, & ethnicity via our Editorial Manager sites. 1/4
Understanding the demographics of our authors & reviewers is integral to the work of the Lancet Group for Racial Equity (GRacE) & the Gender & Diversity Taskforce; to identify gaps in representation & propose solutions to address them. 2/4
This approach has already proven successful for gender data collection; we hope to build on this with the introduction of the schema & the addition of race & ethnicity as categories. 3/4
Read 4 tweets
The Lancet Profile picture
Apr 7, 2022
An estimated 13 million deaths a year are due to avoidable environmental causes.

On #WorldHealthDay, here's evidence on the link between human & planetary health to inspire stronger, whole-of-society action ⤵️ At a climate protest, a young girl on someone's shoulders ca
Since 2016, @LancetCountdown has been tracking key indicators of the impacts of climate change on health worldwide.

The 2021 report painted a bleak picture—code red for health: hubs.li/H0ZNzkk0

#LancetClimate21 #WorldHealthDay People in every region of the world are increasingly seeing
Extreme heat events are becoming permanent features of summer seasons worldwide.

What are the impacts on health? How can we adapt our environments to reduce related morbidity & mortality?

Find out in a Lancet Series: hubs.li/Q017CQhW0 #WorldHealthDay
Read 6 tweets
The Lancet Profile picture
Apr 5, 2022
Strengthened primary health care (PHC) could be our ticket to universal health coverage.

But only with the right financing arrangements.

New @LancetGH Commission outlines ways to #FinancePHC, placing people & equity at the
centre ➡️ hubs.li/Q017p3NK0 "All countries need to...
When successfully delivered, primary health care can:
1⃣ Improve equity, promote good health, & reduce risk of disease
2⃣ Limit the financial burden of health-care for households
3⃣ Save governments money

👉 hubs.li/Q017p3NK0 #FinancePHC
Although a staple of high-performing health systems, #PrimaryHealthCare lacks funding, quality, & accessibility in many low- & middle-income countries (LMICs).

🔻 Annual government spending on PHC is just US$3 per capita in LICs. hubs.li/Q017p5qz0 #FinancePHC Image
Read 8 tweets

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