Use one of the following AI chatbots to explore current best practices in chronic pancreatitis pain management based on the prompt:
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Analyze and summarize current best practices in managing pain in chronic pancreatitis across multiple clinical settings, focusing on the multifactorial nature of pain mechanisms including central sensitization. Address: (1) evidence-based assessment approaches for identifying central sensitization, segmental hyperalgesia, and overlapping comorbidities, (2) updates in pharmacological management comparing traditional approaches with current best practices, (3) the role and limitations of invasive interventions for ductal obstruction, and (4) emerging therapeutic strategies including cognitive behavioral therapy. Create a decision-support framework for healthcare providers that includes:
- A comprehensive pain assessment protocol incorporating validated tools like COMPAT Short Form
- Evidence-based comparison table of pharmacological options (gabapentinoids, SSRIs, SNRIs, opioids) with efficacy data
- Clear algorithm for identifying candidates who might benefit from invasive interventions versus those who likely won't respond
- Guidelines for treatment sequencing based on pain phenotype (no hyperalgesia, segmental, or widespread)
- Red flags requiring multimodal specialist referral
Include practical considerations for implementing these approaches in various clinical settings, strategies for managing psychiatric comorbidities, and patient monitoring guidance during both pharmacological and interventional management phases.