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Journal of Pain & Palliative Care Pharmacotherapy^TM...advances in acute, chronic, and end-of-life pain and symptom control

Arthur Lipman (Ed.). The Haworth Press, Inc., 2002. 120 pages. ISSN 1536-0288

Halifax, Nova Scotia

Journal of Pain & Palliative Care Pharmacotherapy (JPPCP) is a new journal, combining the Hospice Journal and Journal of Pharmaceutical Care in Pain and Symptom Control. It is published by the Haworth Press, Inc. and Pharmaceutical Products Press in a small-book format, four times yearly.

I received the inaugural issue, which contains editorials, two review articles, commentaries, a case report, letters, news, and book and media reviews. Missing from the entire first year are prospective experimental studies. Why read a journal which presents no new high level evidence?

The editors perhaps feel there is more to medicine than randomized controlled trials. JPPCP seems to emphasize reviews, and pearls from distinguished authors. It does this well. The clinical review of driving fitness and opioids had immediate meaning in my practice, and the review of methadone was second to none. The lead commentary was from the father of palliative care, Robert Tywcross, and was delightful and inspiring reading.

On the down side, the one real study in this first issue is at best shameful. It presents the successful treatment of a patient with myofascial pain with lidocaine patch, but later admits this is the only impressive responder in an open label trial.

Will this journal give tidbits and pearls relevant to practitioners in chronic pain or palliative care units? Certainly. But if the editors cannot find more experimental content, JPPCP should be considered only a source for news, views, and reviews.

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