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Acute and subacute postsurgical pain in women with breast cancer: incidence and associations with biopsychosocial predictors-a secondary analysis of a randomized controlled trial. 乳腺癌患者的急性和亚急性术后疼痛:发病率及其与生物心理社会预测因子的关联——一项随机对照试验的二次分析
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001058
Alice Munk, Henrik Børsting Jacobsen, Julie Schnur, Guy Montgomery, Silje Endresen Reme
{"title":"Acute and subacute postsurgical pain in women with breast cancer: incidence and associations with biopsychosocial predictors-a secondary analysis of a randomized controlled trial.","authors":"Alice Munk,&nbsp;Henrik Børsting Jacobsen,&nbsp;Julie Schnur,&nbsp;Guy Montgomery,&nbsp;Silje Endresen Reme","doi":"10.1097/PR9.0000000000001058","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001058","url":null,"abstract":"<p><strong>Introduction: </strong>Women who undergo breast cancer surgery risk suffering from postsurgical pain long after their surgery. Still, research on postsurgical pain in the subacute phase has been neglected.</p><p><strong>Objective: </strong>This study aims to investigate the incidence, intensity, unpleasantness, and presurgical predictors of acute and subacute postsurgical pain after breast cancer surgery.</p><p><strong>Methods: </strong>The study used an observational design through secondary analyses of the control group in a randomized controlled trial. Data from 102 women undergoing breast cancer surgery were included. Levels of acute and subacute pain intensity and unpleasantness were measured using 100 mm Visual Analogue Scales on the day of surgery and 4 weeks postsurgery. Linear regression analyses were performed to identify presurgical biopsychosocial predictors of acute and subacute postsurgical pain.</p><p><strong>Results: </strong>Average levels of postsurgical pain intensity and unpleasantness were as follows: 22.7 mm for acute pain intensity, 19.0 mm for acute pain unpleasantness, 10.3 mm for subacute pain intensity, and 11.7 mm for subacute pain unpleasantness. Pain expectancy predicted acute pain intensity (R<sup>2</sup> = 0.04, <i>p</i> = 0.047) and acute unpleasantness (R<sup>2</sup> = 0.06, <i>p</i> = 0.02). Perceived social support inversely predicted acute pain unpleasantness (R<sup>2</sup> = 0.04, <i>p</i> = 0.014).</p><p><strong>Conclusion: </strong>Mild and moderate acute pain intensity and unpleasantness are common after breast cancer surgery, whereas levels of subacute pain intensity and unpleasantness are low. Pain expectancy predicts acute postsurgical pain intensity and unpleasantness, whereas expected social support inversely predicts acute postsurgical pain unpleasantness.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10623263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic pain concepts of pediatricians: a qualitative survey. 儿科医生的慢性疼痛概念:一项定性调查。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001060
Cosima Locher, Andreas Wörner, Maria Carlander, Joe Kossowsky, Julia Dratva, Helen Koechlin
{"title":"Chronic pain concepts of pediatricians: a qualitative survey.","authors":"Cosima Locher,&nbsp;Andreas Wörner,&nbsp;Maria Carlander,&nbsp;Joe Kossowsky,&nbsp;Julia Dratva,&nbsp;Helen Koechlin","doi":"10.1097/PR9.0000000000001060","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001060","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic pain is a prevalent, yet underrecognized, condition in children and adolescents. A biopsychosocial framework has been widely adopted over the past decades and resulted in a new pain classification in the International Classification of Diseases, 11th revision (ICD-11). Nevertheless, little is known about pediatricians' pain concepts.</p><p><strong>Objectives: </strong>We explored pain concepts of Swiss pediatricians by means of a qualitative analysis.</p><p><strong>Method: </strong>A cross-sectional online survey was sent to clinically active Swiss pediatricians registered with the Swiss Society for Pediatrics. A case vignette of a girl with chronic musculoskeletal pain was presented and pediatricians were asked (1) what they think caused the pain, and (2) how they would explain the pain to the patient and their family. Structuring content analysis was applied to describe major themes within the answers.</p><p><strong>Results: </strong>The following main categories emerged: psychological factors, biological factors, unclear etiology, social context, disorder specific, and multifactorial. Most pediatricians reported the belief that psychological factors explained the pain. However, when explaining the pain to the patient, biological factors were reported most often.</p><p><strong>Conclusion: </strong>There is a discrepancy between pediatricians' conviction that chronic pain is mostly explained by psychological factors and their exploratory model towards patients that focuses on biological factors. Promoting the biopsychosocial framework of chronic pain is key to ensure timely and effective treatment. The new pain classification in the ICD-11 has the potential to increase the use of the biopsychosocial model.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/47/painreports-8-e1060.PMC9845015.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10623262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Sensory processing sensitivity in adolescents reporting chronic pain: an exploratory study. 报告慢性疼痛的青少年感觉加工敏感性:一项探索性研究。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001053
Helen Koechlin, Carolina Donado, Cosima Locher, Joe Kossowsky, Francesca Lionetti, Michael Pluess
{"title":"Sensory processing sensitivity in adolescents reporting chronic pain: an exploratory study.","authors":"Helen Koechlin,&nbsp;Carolina Donado,&nbsp;Cosima Locher,&nbsp;Joe Kossowsky,&nbsp;Francesca Lionetti,&nbsp;Michael Pluess","doi":"10.1097/PR9.0000000000001053","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001053","url":null,"abstract":"<p><strong>Introduction: </strong>Sensory processing sensitivity (SPS) describes a genetically influenced trait characterized by greater <i>depth</i> of information <i>processing</i>, lower sensory threshold, and ease of overstimulation. It is hypothesized that SPS plays a crucial role in the context of chronic pain.<b>Objectives:</b> This exploratory study examined SPS as a correlate of pain intensity and pain-related disability in a sample of adolescents reporting chronic pain.</p><p><strong>Methods: </strong>Adolescents reporting chronic pain were contacted through social media and through specialized pain clinics. Participants completed online questionnaires on their levels of SPS, pain features, emotion regulation, and quality of life. A series of analysis of variances (ANOVAs) were calculated to detect differences between 3 SPS groups (ie, high, medium, and low sensitivity) regarding emotion regulation, quality of life, and pain features. Multiple linear regressions were conducted to predict pain intensity, pain-related disability, and quality of life.</p><p><strong>Results: </strong>In total, 103 participants completed the survey (68.9% female, M<sub>age</sub> 17.9). Back pain was the most frequently reported pain location. Proportion of highly sensitive individuals was large (45.68%). The ANOVA revealed significant differences between sensitivity groups related to quality-of-life subscales, namely, for physical (F(2, 100) = 7.42, <i>P</i> < 0.001), emotional (F(2, 100) = 6.11, <i>P</i> < 0.001), and school functioning (F(2, 100) = 3.75, <i>P</i> = 0.03). High sensitivity was not predictive of pain but of health-related quality of life.</p><p><strong>Conclusions: </strong>Our results indicate that SPS is an important and prevalent characteristic to consider in the context of chronic pain in adolescents, specifically regarding the quality of life.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10628789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain. 差异靶点多路脊髓刺激治疗慢性术后腹痛的成功应用。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001059
Ryusuke Tanaka, Kenji Shinohara, Yohei Hidai, Chiaki Kiuchi, Satoshi Tanaka, Mikito Kawamata, Junichi Sasao
{"title":"Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain.","authors":"Ryusuke Tanaka,&nbsp;Kenji Shinohara,&nbsp;Yohei Hidai,&nbsp;Chiaki Kiuchi,&nbsp;Satoshi Tanaka,&nbsp;Mikito Kawamata,&nbsp;Junichi Sasao","doi":"10.1097/PR9.0000000000001059","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001059","url":null,"abstract":"<p><strong>Introduction: </strong>Recent advances in stimulation techniques have improved the efficacy and expanded the applicability of spinal cord stimulation (SCS). Among these techniques, there are no reports on the efficacy of differential target multiplexed (DTM) SCS for chronic postsurgical pain (CPSP) after abdominal surgery. Therefore, we present the successful use of DTM SCS for CPSP after distal pancreatectomy.</p><p><strong>Methods: </strong>A 49-year-old man with hypertension and severe chronic low back pain presented with neuropathic CPSP involving the left abdomen in the area of a laparotomy incision. His pain was refractory to conservative treatment and was rated 10 on a numerical rating scale (NRS). He underwent permanent implantation of a pulse generator after a 14-day trial stimulation.</p><p><strong>Results: </strong>Chronic postsurgical pain was well controlled (NRS 1-2) at a 3-month follow-up with DTM SCS.</p><p><strong>Conclusion: </strong>Differential target multiplexed SCS can be a new treatment option for neuropathic CPSP that is resistant to conservative treatment. It is important to further examine the characteristics of CPSP and identify appropriate candidates for the successful use of DTM SCS.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9857349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10623259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Test-retest reliability of a simple bedside-quantitative sensory testing battery for chronic neuropathic pain. 慢性神经性疼痛简易床旁定量感觉测试的重测信度。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001049
Juliane Sachau, Christina Appel, Maren Reimer, Manon Sendel, Jan Vollert, Philipp Hüllemann, Ralf Baron
{"title":"Test-retest reliability of a simple bedside-quantitative sensory testing battery for chronic neuropathic pain.","authors":"Juliane Sachau,&nbsp;Christina Appel,&nbsp;Maren Reimer,&nbsp;Manon Sendel,&nbsp;Jan Vollert,&nbsp;Philipp Hüllemann,&nbsp;Ralf Baron","doi":"10.1097/PR9.0000000000001049","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001049","url":null,"abstract":"<p><strong>Introduction: </strong>The sensory phenotype is believed to provide information about the underlying pathophysiological mechanisms and to be used in the diagnosis and treatment of chronic neuropathic pain. However, the use of standardized quantitative sensory testing (QST) protocols is limited due to high expenditures of time and costs. Thus, a simple bedside-QST battery was recently developed showing good agreement when compared with laboratory QST. The aim of this study was to preliminary validate this bedside-QST protocol.</p><p><strong>Methods: </strong>Patients experiencing chronic pain with neuropathic features (n = 60) attended 3 visits. During the first visit, laboratory QST and bedside-QST were performed by the same trained investigator. Three hours and 3 weeks later, bedside-QST was repeated. Patients completed questionnaires regarding their pain (intensity, quality), depression/anxiety, and quality of life. Test-retest reliability and convergent/divergent validity were investigated.</p><p><strong>Results: </strong>Most of the bedside-QST parameters, including also those recommended in our first study as being indicative for sensory phenotypes, revealed a moderate to excellent test-retest reliability. Overall, results for short-term reliability and interval-scaled parameters were slightly better. Most of the bedside-QST parameters did not correlate with the depression and anxiety score, suggesting a good divergent validity.</p><p><strong>Conclusions: </strong>Bedside-QST has good criterion and divergent validity as well as reliability. This battery consists of 5 low-cost devices that can be quickly and easily used to characterize the sensory phenotype of patients with neuropathic pain. A combination of bedside-QST parameters can be used to investigate patients' subgroups with specific pathophysiological mechanisms and to identify treatment responders.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/31/painreports-8-e1049.PMC9842225.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Factors associated with persistent postsurgical pain after total knee or hip joint replacement: a systematic review and meta-analysis. 全膝关节或髋关节置换术后持续疼痛的相关因素:一项系统回顾和荟萃分析。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001052
Arunangshu Ghoshal, Shivam Bhanvadia, Som Singh, Lauren Yaeger, Simon Haroutounian
{"title":"Factors associated with persistent postsurgical pain after total knee or hip joint replacement: a systematic review and meta-analysis.","authors":"Arunangshu Ghoshal,&nbsp;Shivam Bhanvadia,&nbsp;Som Singh,&nbsp;Lauren Yaeger,&nbsp;Simon Haroutounian","doi":"10.1097/PR9.0000000000001052","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001052","url":null,"abstract":"<p><p>Studies have identified demographic, clinical, psychosocial, and perioperative variables associated with persistent pain after a variety of surgeries. This study aimed to perform a systematic review and meta-analysis of factors associated with persistent pain after total knee replacement (TKR) and total hip replacement (THR) surgeries. To meet the inclusion criteria, studies were required to assess variables before or at the time of surgery, include a persistent postsurgical pain (PPSP) outcome measure at least 2 months after a TKR or THR surgery, and include a statistical analysis of the effect of the risk factor(s) on the outcome measure. Outcomes from studies implementing univariate and multivariable statistical models were analyzed separately. Where possible, data from univariate analyses on the same factors were combined in a meta-analysis. Eighty-one studies involving 171,354 patients were included in the review. Because of the heterogeneity of assessment methods, only 44% of the studies allowed meaningful meta-analysis. In meta-analyses, state anxiety (but not trait anxiety) scores and higher depression scores on the Beck Depression Inventory were associated with an increased risk of PPSP after TKR. In the qualitative summary of multivariable analyses, higher preoperative pain scores were associated with PPSP after TKR or THR. This review systematically assessed factors associated with an increased risk of PPSP after TKR and THR and highlights current knowledge gaps that can be addressed by future research.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10628787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Global series: Complex regional pain syndrome: abstracts from the International Association for the Study of Pain complex regional pain syndrome SIG virtual symposia 2021. 全球系列:复杂区域性疼痛综合征:国际疼痛研究协会复杂区域性疼痛综合征SIG虚拟专题讨论会2021的摘要。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001056
Jennifer S Lewis, Muhammad Kashif, Aasam Maan, Daniel Ciampi de Andrade, Michelle Casey, Jee Youn Moon, Chih-Peng Lin, Lena Danielsson, Terence Quek, Rodrigo Díez Tafur, Abdelkarim Aloweidi, Frank Birklein, Lone Knudsen, Andreas Goebel
{"title":"Global series: Complex regional pain syndrome: abstracts from the International Association for the Study of Pain complex regional pain syndrome SIG virtual symposia 2021.","authors":"Jennifer S Lewis,&nbsp;Muhammad Kashif,&nbsp;Aasam Maan,&nbsp;Daniel Ciampi de Andrade,&nbsp;Michelle Casey,&nbsp;Jee Youn Moon,&nbsp;Chih-Peng Lin,&nbsp;Lena Danielsson,&nbsp;Terence Quek,&nbsp;Rodrigo Díez Tafur,&nbsp;Abdelkarim Aloweidi,&nbsp;Frank Birklein,&nbsp;Lone Knudsen,&nbsp;Andreas Goebel","doi":"10.1097/PR9.0000000000001056","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001056","url":null,"abstract":"<p><p>The aim of this IASP complex regional pain syndrome (CRPS) SIG Global Series 2021 was to bring together clinicians including those from developing countries to better understand the clinical presentation of complex regional pain syndrome in countries with less well-published patient populations. The purpose was to learn from each other about the range of treatments, successful outcomes, and challenges experienced. These meeting proceedings comprise abstracts from nine countries that span 4 continents and are summaries of online presentations delivered by speakers representing these countries over the course of 2 symposia. The symposia were attended by a global audience of approximately 360 people. Patients with CRPS were described and treated by clinicians from countries across Asia (Pakistan, Jordan, South Korea, Taiwan, and Singapore), South America (Brazil and Peru), Africa (South Africa), and Europe (Norway). This reflects that CRPS exists across borders, ethnicities, and cultures. These proceedings provide a broader perspective within the international pain community about how we can better understand and treat CRPS across the globe.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/6b/painreports-8-e1056.PMC9845011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9281799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Analgesic efficacy of sleep-promoting pharmacotherapy in patients with chronic pain: a systematic review and meta-analysis. 促进睡眠药物治疗对慢性疼痛患者的镇痛效果:一项系统综述和荟萃分析。
IF 4.8
Pain Reports Pub Date : 2023-01-01 DOI: 10.1097/PR9.0000000000001061
Emelie Andersson, Thomas Kander, Mads U Werner, Joshua H Cho, Eva Kosek, Martin F Bjurström
{"title":"Analgesic efficacy of sleep-promoting pharmacotherapy in patients with chronic pain: a systematic review and meta-analysis.","authors":"Emelie Andersson,&nbsp;Thomas Kander,&nbsp;Mads U Werner,&nbsp;Joshua H Cho,&nbsp;Eva Kosek,&nbsp;Martin F Bjurström","doi":"10.1097/PR9.0000000000001061","DOIUrl":"https://doi.org/10.1097/PR9.0000000000001061","url":null,"abstract":"<p><p>Dysregulation of sleep heightens pain sensitivity and may contribute to pain chronification. Interventions which consolidate and lengthen sleep have the potential to improve pain control. The main objective of this systematic review was to examine the effects of sleep-promoting pharmacotherapy on pain intensity in patients with chronic pain. Multiple electronic databases were searched from inception to January 2022 to identify relevant randomized controlled trials (RCTs). Two independent reviewers screened titles, abstracts, and full-text articles; extracted data; and assessed risk of bias for each included study. The GRADE approach was used to determine the strength of evidence. The search identified 624 articles. After full-text screening, 10 RCTs (n = 574 randomized participants) involving 3 pharmacologic interventions (melatonin, zopiclone, and eszopiclone) and 7 different chronic pain populations were included. Minimum clinically significant pain reduction ≥30% was reported in 4 studies. There is low-quality evidence (downgraded due to inconsistency and imprecision) that 2 to 8 weeks treatment with a sleep-promoting medication alone or in combination with an analgesic (6 trials, n = 397) decreases pain intensity compared with placebo or the same analgesic treatment alone (SMD -0.58 [95% confidence interval -1.00, -0.17], <i>P</i> = 0.006). Analyses of associations between changes in sleep and pain outcomes were only provided in 2 articles, with inconsistent findings. Notably, pain-relieving effects were most consistent in melatonin trials. Only 3 studies implemented polysomnography to obtain objective sleep measures. Low-quality evidence indicates that pharmacologic sleep promotion may decrease pain intensity in chronic pain populations. More research is needed to fully understand the influence of sleep-targeting interventions on pain control.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/9c/painreports-8-e1061.PMC9829257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10628788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The declaration of lima on pain in childhood. 利马关于童年疼痛的宣言
IF 3.4
Pain Reports Pub Date : 2022-12-20 eCollection Date: 2022-11-01 DOI: 10.1097/PR9.0000000000001055
Jordi Miró, Marco A Narváez, Enrique Orrillo, Pablo Ingelmo, João Batista S Garcia
{"title":"The declaration of lima on pain in childhood.","authors":"Jordi Miró, Marco A Narváez, Enrique Orrillo, Pablo Ingelmo, João Batista S Garcia","doi":"10.1097/PR9.0000000000001055","DOIUrl":"10.1097/PR9.0000000000001055","url":null,"abstract":"<p><p>The Declaration of Lima on Pain in Childhood is a call into action to improve the care provided to children and adolescents with pain.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10444792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pain severity at emergency department discharge as a predictor for chronification of pain. 急诊室出院时的疼痛严重程度是疼痛慢性化的预测因素。
IF 3.4
Pain Reports Pub Date : 2022-12-14 eCollection Date: 2022-11-01 DOI: 10.1097/PR9.0000000000001048
Stephanie F H Ten Doesschate, T Martijn Kuijper, Seppe S H A Koopman, Sander Mol, Linda Colen-Kroon, Vanessa V Brown
{"title":"Pain severity at emergency department discharge as a predictor for chronification of pain.","authors":"Stephanie F H Ten Doesschate, T Martijn Kuijper, Seppe S H A Koopman, Sander Mol, Linda Colen-Kroon, Vanessa V Brown","doi":"10.1097/PR9.0000000000001048","DOIUrl":"10.1097/PR9.0000000000001048","url":null,"abstract":"<p><strong>Introduction: </strong>Inadequate pain management remains a problem in the emergency department (ED) and might increase the risk of chronic pain. Previous studies suggested that pain intensity is associated with pain chronification in specific patient groups. This study aims to study the association between pain intensity {[verbal] numeric rating scale ([V]NRS) ≥ 7} at discharge from the ED and pain chronification in the general population.</p><p><strong>Objective: </strong>To assess whether a high pain score at discharge from the ED increases the risk of chronic pain development.</p><p><strong>Methods: </strong>Adults who visited the ED with pain as their main complaint, and who were not hospitalized, were eligible for inclusion. Chronic pain was defined as pain with an (V)NRS score ≥1 90 days after the ED visit and with a similar location to the acute pain.</p><p><strong>Results: </strong>We included 1906 patients, of whom 825 participants completed 90 days of follow-up. Approximately 34.1% left the ED with an (V)NRS score ≥7, and 67.8% reported an (V)NRS score of ≥1 90 at days. Of all patients leaving the ED with an (V)NRS score ≥7, 76.5% developed chronic pain vs 63.2% of patients with (V)NRS score <7 (<i>P</i> < 0.01). After correction, this difference was borderline statistically significant with an odds ratio of 1.45 (95% confidence interval: 0.99-2.13, <i>P</i> = 0.054). Various sensitivity analyses using a different (V)NRS at discharge and different definitions of chronic pain at 90 days showed a significant difference in the chronification of pain.</p><p><strong>Conclusion: </strong>This study suggests that pain intensity at discharge from the ED, regardless of the localization or cause of pain, increased the risk of developing chronic pain. By distinguishing patients at risk and providing an effective treatment, chronic pain and the associated burden of disease might be preventable.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/e4/painreports-7-e1048.PMC9762928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10438197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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