Canadian Journal of Pain-Revue Canadienne de la Douleur最新文献

{"title":"Editorial commitment to trust and integrity in science: Implications for pain and anesthesiology research.","authors":"Tonya M Palermo, Didier Bouhassira, Karen D Davis, Hugh C Hemmings, Robert W Hurley, Joel Katz, Jaideep J Pandit, Theodore J Price, Michael E Schatman, Stephan K W Schwarz, Dennis C Turk, Marc Van de Velde, Matthew D Wiles, Tony L Yaksh, David Yarnitsky","doi":"10.1080/24740527.2025.2506941","DOIUrl":"10.1080/24740527.2025.2506941","url":null,"abstract":"","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2506941"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627712","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}

{"title":"Percutaneous auricular neuromodulation to treat pain after ambulatory breast surgery: A randomized, double-masked, sham-controlled pilot study.","authors":"Brian M Ilfeld, Wendy B Abramson, Engy T Said, Jacklynn F Sztain, John J Finneran, Jonna L Griggs, Baharin Abdullah, Evan J Jensen, Adam Schaar, Anne M Wallace","doi":"10.1080/24740527.2025.2521117","DOIUrl":"10.1080/24740527.2025.2521117","url":null,"abstract":"<p><strong>Introduction: </strong>Percutaneous auricular neuromodulation involves implanting electrodes around the ear and administering an electric current. A device is currently available that is cleared to treat symptoms from opioid withdrawal, and multiple reports suggest a possible postoperative analgesic effect. This randomized, controlled pilot study aimed to (1) assess the feasibility of a postoperative auricular neuromodulation protocol and (2) provide an estimate of its treatment effects on postoperative pain and opioid consumption.</p><p><strong>Methods: </strong>Adults undergoing unilateral or bilateral ambulatory breast surgery with anticipated moderate-severe pain and a single-injection paravertebral nerve block(s) received an auricular neuromodulation device (NSS-2 Bridge, Masimo) following surgery. Participants were randomized to 5 days of electrical stimulation or sham in a double-masked fashion.</p><p><strong>Results: </strong>In the first 5 days, the median pain for those receiving active stimulation (<i>n</i> = 15) was 0 (interquartile range [IQR] = 0, 0.5] versus 1.5 (IQR = 0, 3.8) for the sham group (<i>n</i> = 15, <i>P</i> = 0.084). Concurrently, the median oxycodone use for active stimulation was 0 mg (IQR = 0, 2.5) compared to 0 mg (IQR = 0, 3) for the sham group (<i>P</i> = 0.905). Various secondary outcomes reached statistical significance, including maximum and average daily pain scores.</p><p><strong>Conclusions: </strong>This pilot study demonstrates that percutaneous auricular neuromodulation is a feasible approach for managing pain in ambulatory surgical procedures and shows potential as an effective analgesic following discharge. Considering its ease of application, absence of systemic side effects, and lack of significant complications, conducting a definitive clinical trial seems justified because the current study was underpowered, which possibly resulted in the lack of statistical significance for the primary outcome.<b>Registry</b>: Clinicaltrials.gov NCT05521516.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2521117"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627714","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}

{"title":"Comparison of opioid use among long-term care residents in Ontario and Alberta, Canada: A multi-jurisdictional, repeated cross-sectional study.","authors":"Colleen J Maxwell, Michael A Campitelli, Andrea Gruneir, Andrea Iaboni, Laura C Maclagan, David B Hogan, Erik Youngson, Xueyi Chen, Zhiyin Li, Susan E Bronskill","doi":"10.1080/24740527.2025.2518151","DOIUrl":"10.1080/24740527.2025.2518151","url":null,"abstract":"<p><strong>Background: </strong>Exploring regional variation in opioid use for pain among long-term care (LTC) residents may help identify modifiable factors associated with suboptimal prescribing practices.</p><p><strong>Aims: </strong>We aimed to compare recent trends in prevalent opioid use and higher risk prescribing among LTC residents in Ontario and Alberta, and to examine variation in opioid trends across resident subgroups within each province.</p><p><strong>Methods: </strong>Utilizing comparable linked clinical and health administrative databases for LTC residents (aged >65) in each province, we examined trends in monthly use of any opioid, specific drug types and formulations, high daily doses (≥90 Morphine Equivalents), and concurrent use with a benzodiazepine or gabapentinoid. Prevalence ratios comparing change in opioid measures, overall and across resident subgroups, from the first (March 2015) to last study (March 2022) months were estimated using age-sex adjusted log-binomial regression models.</p><p><strong>Results: </strong>Opioid prevalence (any, select types, long-acting formulations, high daily doses) was consistently higher among Ontario residents whereas concurrent use with a benzodiazepine or gabapentinoid was higher among Alberta residents. Overall use remained stable in Ontario but increased by 23% in Alberta LTC. In both provinces, there were significant decreases in higher risk opioid prescribing over time, including concurrent use with benzodiazepines, but also significant increases in the concurrent use with gabapentinoids and tramadol use (Alberta only).</p><p><strong>Conclusions: </strong>Although both provinces showed trends toward more appropriate opioid use in LTC, the factors driving observed provincial differences in opioid prescribing and the rise in concurrent opioid and gabapentinoid use among residents, warrant further investigation.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2518151"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627711","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}

{"title":"Highlighting the success of the Canadian Journal of Pain's inaugural Editorial Review Mentorship Program.","authors":"M G Pagé, J Katz","doi":"10.1080/24740527.2025.2518148","DOIUrl":"10.1080/24740527.2025.2518148","url":null,"abstract":"","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2518148"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627713","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}

{"title":"Development of a pain management competency assessment for physiotherapy students: Integrating simulation and written assessments.","authors":"Nathan Augeard, Jordan Miller, Geoff Bostick, Christina St-Onge, Yannick Tousignant-Laflamme, Anne Hudon, David Walton, Lesley Singer, Lynn Cooper, André Bussières, Aliki Thomas, Kadija Perreault, Susan Tupper, Lisa C Carlesso, Peter Stilwell, Fatima Amari, Kevin Varette, Claire Ashton-James, Timothy H Wideman","doi":"10.1080/24740527.2025.2512728","DOIUrl":"10.1080/24740527.2025.2512728","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic pain is a global challenge resulting in substantial healthcare costs. Despite its prevalence, gaps in pain management education persist across health professions education programs. Developing an assessment to evaluate student competency in pain management is essential to identify and address the potential impact of these disparities on learning outcomes. This study describes the development and initial evaluation of the Pain Education in Physiotherapy (PEP) competency assessment, aimed at assessing student level of competency in pain management across entrylevel physiotherapy (PT) programs.</p><p><strong>Methods: </strong>The assessment was developed using the DeVellis process, incorporating integrated knowledge translation principles and ongoing partner engagement. A steering group guided the creation of case-based multiple choice questions (MCQs) and simulation-based stations to assess competencies for pain management at different levels of Miller's Pyramid. Initial evidence supporting the validity argument was gathered from PT students in their final semester of education (<i>n</i> = 146 for MCQs; <i>n</i> = 53 for simulations).</p><p><strong>Results: </strong>Twenty-eight MCQ items and three simulation-based stations were selected. The MCQ component showed moderate internal consistency (α = 0.65), and the simulation-based assessments demonstrated moderate internal consistency (α = 0.63) with good interrater reliability (ICC_2,1 range: 0.73-0.86).</p><p><strong>Discussion: </strong>The PEP assessment incorporates case-based MCQs and simulation-based assessment stations to address critical interpersonal skills such as communication and empathy, often overlooked in traditional written assessments. This approach fills gaps in pain management education and provides a more comprehensive assessment tailored to PT needs.</p><p><strong>Conclusion: </strong>This assessment represents an important advancement in the assessment of pain management competencies. Its rigorous development process, partner engagement, and promising initial evaluation underscore its potential to identify gaps in pain education and help improve outcomes related to PT education.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2512728"},"PeriodicalIF":2.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602192","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}

{"title":"Associations between military sexual trauma and chronic pain in men and women active military members and veterans.","authors":"Joy C MacDermid, Dimitra V Pouliopoulou, David M Walton, Angel Kibble, Pavlos Bobos","doi":"10.1080/24740527.2025.2494582","DOIUrl":"10.1080/24740527.2025.2494582","url":null,"abstract":"<p><strong>Introduction: </strong>We evaluated gendered risks and the associations between demographics, anxiety, and depressive symptoms, military sexual trauma (MST), and severe pain in Canadian military personnel and veterans.</p><p><strong>Methods: </strong>A cross-sectional sample of 328 veterans and military members with chronic pain completed confidential surveys, including demographics, disability, pain location, and intensity, as well as a Patient Health Questionnaire (PHQ-4). We evaluated gendered exposures (rates, odds ratios), associations between MST and severe pain (logistic regression), and associations with pain severity and PHQ-4 (linear regression), adjusting for age, race, and education.</p><p><strong>Results: </strong>We found high levels of chronic pain and disability for women and men (6.8 or 6.9/10), PHQ-4 scores (6.6 or 6.2/12), and SANE scores (11% or 10%). Women reported higher exposure to MST (e.g. 69% for sexual harassment, 76% for emotional abuse) than men (8% and 13%). Odds of severe pain were not gendered (OR = 1.05). Physical abuse (<i>β</i> = 1.09, <i>p</i> = .030) and gender discrimination (<i>β</i> = 1.10, <i>p</i> = .033) were associated with higher PHQ-4 scores. Sexual harassment was not independently associated (OR = 1.57, <i>p</i> = .354) with chronic pain, but was associated with increased anxiety and depressive symptoms (<i>β</i> = 1.06, <i>p</i> = .016). Higher PHQ-4 scores were significantly associated with higher pain scores (<i>β</i> = 0.18, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>MST exposures are much more common among women, but the associations of MST with severe pain and PHQ-4 scores are similar across genders. Differences in operational trauma and occupational trauma may influence occupational stress injuries and chronic pain.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2494582"},"PeriodicalIF":2.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200813","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}

{"title":"Racial/ethnic disparities in pain among Canadian adults.","authors":"Merita Limani, Anna Zajacova","doi":"10.1080/24740527.2025.2496683","DOIUrl":"10.1080/24740527.2025.2496683","url":null,"abstract":"<p><strong>Background: </strong>Understanding pain disparities is critical for fostering health equity and guiding effective health policies. However, little is known about racial/ethnic disparities in pain among adults in Canada.</p><p><strong>Aims: </strong>We provide a comprehensive analysis of racial/ethnic disparities in pain among Canadian adults, focusing on two dimensions of pain - frequent pain and interfering pain.</p><p><strong>Methods: </strong>We use two-wave cross-sectional data collected in 2020 and 2022 from a representative sample of 4,637 adults aged 18 and older residing in Canada. We calculate the prevalence of pain among White, Black, East/Southeast Asian, South Asian, Indigenous, Multiracial, and \"Other\" groups and estimate relative differences adjusted for key covariates in a multivariable framework.</p><p><strong>Results: </strong>The data reveal large and statistically significant pain disparities; specific patterns, however, vary across the two pain outcomes and by gender. Indigenous Canadians have relatively high prevalence of both frequent pain (38.4%) and interfering pain (27.8%), while East/Southeast Asian Canadians have the lowest prevalence of both (8.2% and 14.4%, respectively). Black Canadians have a relatively low prevalence of frequent pain (16.9%) but a very high prevalence of interfering pain (27.8%). Covariates are associated with pain levels but less so with the racial/ethnic patterns in pain.</p><p><strong>Conclusions: </strong>Our analysis highlights substantial racial/ethnic disparities in pain prevalence among Canadian adults. Further research is essential to better understand the root causes of the observed disparities and ultimately improve the lives of Canadians living with pain.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"8 2","pages":"2496683"},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112705","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}

{"title":"Meaning-making and coping in youth with chronic pain: A palliative and cultural perspective from the Philippines.","authors":"Jeff Clyde G Corpuz","doi":"10.1080/24740527.2025.2496678","DOIUrl":"https://doi.org/10.1080/24740527.2025.2496678","url":null,"abstract":"","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2496678"},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082053","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}

{"title":"Initial evaluation of an intervention to address provider implicit bias in pediatric sickle cell disease pain care: A mixed methods pilot study.","authors":"Siddika S Mulchan, Christopher B Theriault, Susan DiVietro, Mark D Litt, Emily O Wakefield, Javeed Sukhera, Paula Tanabe, Hannah R Thomas, Melissa Santos, William T Zempsky, Donna Boruchov, Adam T Hirsh","doi":"10.1080/24740527.2025.2486819","DOIUrl":"https://doi.org/10.1080/24740527.2025.2486819","url":null,"abstract":"<p><strong>Background: </strong>Health care provider (HCP) implicit bias can impact health outcomes for youth with sickle cell disease (SCD).</p><p><strong>Aims: </strong>: The aim of this study was to evaluate the feasibility, acceptability, and preliminary impact of an individuation and perspective-taking (IPT) intervention to decrease implicit bias and improve pain treatment clinical decision making in pediatric SCD HCPs.</p><p><strong>Methods: </strong>This mixed methods pilot randomly assigned HCPs (<i>N</i> = 36) to an intervention (<i>n</i> = 17) or control condition (<i>n</i> = 19). Implicit and explicit bias measures were administered pretreatment and 3 months postintervention. Differences were analyzed using repeated measures analyses of variance. HCP ratings of virtual patient vignettes depicting Black and White youth with SCD or cancer pain were used to assess differential clinical decision making based on race and diagnosis and analyzed using hierarchical linear mixed model analysis. Focus groups with intervention participants were analyzed using thematic analysis.</p><p><strong>Results: </strong>No significant differences in scores on bias measures across time, condition, or the Condition × Time interaction were found (all <i>P</i> < 0.05). Significant differences in HCP ratings were found between types of HCPs (<i>P</i> < 0.001), but no effects were attributable to condition, time, virtual patient race, or diagnosis. Ten themes were extracted regarding the intervention's format, structure, and content.</p><p><strong>Conclusions: </strong>This study is the first to evaluate an IPT intervention in pediatric SCD HCPs. HCPs deemed the intervention feasible, acceptable, and impactful and suggested areas for improvement. Future research should refine the intervention to incorporate greater patient involvement and skills practice to improve health outcomes for this underserved population.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"8 2","pages":"2486819"},"PeriodicalIF":2.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052607","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}

{"title":"The pain funding gap: A database analysis of pain research funding in Canada from 2008-2023.","authors":"S S Abssy, R Bosma, S Miles, H Clarke, M Moayedi","doi":"10.1080/24740527.2025.2486835","DOIUrl":"https://doi.org/10.1080/24740527.2025.2486835","url":null,"abstract":"<p><strong>Background: </strong>One in five Canadians experiences chronic pain, at a cost of $40.3 billion in 2019. Despite this significant burden, there are few effective treatments for pain. This gap has been recognized by Health Canada, which has put forth the <i>Action Plan for Pain in Canada</i>. Advancing our understanding of pain mechanisms and clinical trials to identify novel therapeutics are essential to address this treatment gap. However, it remains unknown whether the recommendations of the <i>Action Plan</i> have increased research investments.</p><p><strong>Methods: </strong>We investigate research investments in pain by the Canadian Institutes of Health Research (CIHR) based on publicly available data. We performed a systematic database search focused on operating funds from competitions between 2008 and 2023 and tabulated pain funding as a proportion of total CIHR operational funds granted each year. Next, we examined the proportion of pain funding across CIHR institutes aggregated across funding years.</p><p><strong>Results: </strong>We identified 20,126 operational grants, of which 459 were pain focused. The highest level of pain funding was 3.32% in 2019, and the average (SD) was 2.13% (0.70%). Funding was stagnant from 2008 to 2023 (<i>R</i> ² = 0.10, <i>P</i> = 0.23). The Institute of Musculoskeletal Health and Arthritis allocated the largest proportion of funding to pain research (11.40%). Eight of the 13 institutes allocated less than 1% of their operating funds to pain research.</p><p><strong>Interpretation: </strong>In sum, CIHR pain research funding does not match the socioeconomic burden posed by pain. We propose three action items to improve pain research funding and to ultimately relieve the burden of pain in Canada.</p>","PeriodicalId":53214,"journal":{"name":"Canadian Journal of Pain-Revue Canadienne de la Douleur","volume":"9 1","pages":"2486835"},"PeriodicalIF":2.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058164","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}