Korean Journal of Pain最新文献_第2页

Pain invalidation is an independent determinant of fibromyalgia, irrespective of depression. 疼痛无效是纤维肌痛的独立决定因素，与抑郁症无关。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI: 10.3344/kjp.25035

Banafsheh Ghavidel-Parsa, Milad Kazemi Taskoh, Ehsan Kazemnezhad Leili, Ali Bidari, Nader Abazari, Irandokht Shenavar Masooleh

{"title":"Pain invalidation is an independent determinant of fibromyalgia, irrespective of depression.","authors":"Banafsheh Ghavidel-Parsa, Milad Kazemi Taskoh, Ehsan Kazemnezhad Leili, Ali Bidari, Nader Abazari, Irandokht Shenavar Masooleh","doi":"10.3344/kjp.25035","DOIUrl":"10.3344/kjp.25035","url":null,"abstract":"Background: This study evaluated and compared invalidation domains (discounting and lack of understanding) in patients with fibromyalgia (FM) and non-FM chronic musculoskeletal pain. The relationship between invalidation and depression was also investigated to clarify the role of FM.Methods: A total of 207 patients (145 FM and 62 non-FM) completed questionnaires including the Illness Invalidation Inventory (3*I), Widespread Pain Index (WPI), Revised Fibromyalgia Impact Questionnaire (FIQR), and Beck Depression Inventory-second edition (BDI-II). Adjusted linear regression analyses were performed to assess the association between the 3*I and BDI-II, and univariate and multivariate logistic regression analyses were used to examine the relationships between FM (as the dependent variable) and other variables.Results: WPI, FIQR, BDI-II, and 3*I scores were significantly higher in FM patients than in non-FM patients. The BDI-II total score was found to be a significant predictor of discounting and lack of understanding stemming from spouse and family sources in both groups, with slightly stronger effects in the non-FM group than in FM patients. In multivariate regression analysis, discounting from family sources (odds ratio [OR] = 1.81, 95% confidence interval [CI] = 1.02-3.20, P = 0.040) and the BDI-II total score (OR = 1.12, 95% CI = 1.06-1.20, P = 0.001) remained a determinant of having FM.Conclusions: The higher frequency of invalidation in FM patients is not fully explained by depression because of weaker statistical relationships between invalidation and depression in FM rather than other pain disorders.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"427-436"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Steroid rotation in persistent hiccups associated with recurrent intra-articular glenohumeral dexamethasone injection. 类固醇旋转治疗复发性关节内肩关节地塞米松注射相关的持续性呃逆。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI: 10.3344/kjp.25108

Alper Mengi, Melis Dilbil

引用次数: 0

Authors' response to comments on "Efficacy and safety of low-dose naltrexone for the management of fibromyalgia: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis". 作者对“低剂量纳曲酮治疗纤维肌痛的疗效和安全性：随机对照试验的系统回顾和荟萃分析”评论的回应。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-10-01 Epub Date: 2025-09-17 DOI: 10.3344/kjp.25264

Timotius Ivan Hariyanto, Akhil Deepak Vatvani, Pratik Patel, Theo Audi Yanto

引用次数: 0

Trends in non-opioid analgesic use following major abdominal surgery: a retrospective single-center cohort study. 腹部大手术后非阿片类镇痛药使用趋势：一项回顾性单中心队列研究。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-10-01 Epub Date: 2025-08-21 DOI: 10.3344/kjp.25131

Soo-Hyuk Yoon, Ho-Jin Lee

{"title":"Trends in non-opioid analgesic use following major abdominal surgery: a retrospective single-center cohort study.","authors":"Soo-Hyuk Yoon, Ho-Jin Lee","doi":"10.3344/kjp.25131","DOIUrl":"10.3344/kjp.25131","url":null,"abstract":"Background: Non-opioid analgesics are essential in multimodal analgesia and opioid-sparing strategies; however, their clinical use remains suboptimal. This study aimed to investigate trends in perioperative non-opioid analgesic administration and associated adverse effects in patients undergoing major abdominal surgery at a tertiary hospital.Methods: Prescription data for acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) were retrospectively collected from January 2020 to December 2024. Actual administration was assessed at three perioperative phases: preemptive, intraoperative, and postoperative (postoperative day [POD] 0-3). The study period was divided into 20 quarters. Trends of administration rates over time were analyzed using a linear regression model. Postoperative drug-induced liver injury (DILI) and acute kidney injury (AKI) were evaluated, and Poisson regression was applied to adjust for covariates within each quarter.Results: A total of 24,688 surgical cases involving 24,084 patients were analyzed. The administration rate of acetaminophen exhibited a significant upward trend throughout the study from the preemptive phase to POD 2. NSAID administration increased significantly, mainly up to POD 1, though the overall magnitude of the increase was modest. Postoperatively, less than 5% of patients received both analgesic classes concurrently. The analgesic administration rate was not significantly associated with DILI or AKI.Conclusions: The use of non-opioid analgesics for major abdominal surgery has increased significantly over the past 5 years. However, their overall utilization, particularly postoperatively, remains limited. Further efforts are required to promote their broader integration into clinical practice.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"401-411"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erector spinae plane block for postoperative analgesia in vertebral surgery: an umbrella review of systematic reviews and meta-analyses. 竖脊肌平面阻滞用于椎体手术术后镇痛：系统综述和荟萃分析。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-10-01 Epub Date: 2025-09-17 DOI: 10.3344/kjp.25149

Alessandro De Cassai, Maria Bisi, Marco Nardelli, Irene Paiusco, Serafino Talarico, Valentina Fincati, Burhan Dost, Annalisa Boscolo, Paolo Navalesi

{"title":"Erector spinae plane block for postoperative analgesia in vertebral surgery: an umbrella review of systematic reviews and meta-analyses.","authors":"Alessandro De Cassai, Maria Bisi, Marco Nardelli, Irene Paiusco, Serafino Talarico, Valentina Fincati, Burhan Dost, Annalisa Boscolo, Paolo Navalesi","doi":"10.3344/kjp.25149","DOIUrl":"10.3344/kjp.25149","url":null,"abstract":"Background: The erector spinae plane (ESP) block has gained attention as a regional anesthesia technique for pain management in vertebral surgeries. This umbrella review synthesizes data from systematic reviews (SRs) and meta-analyses to evaluate the effectiveness of the ESP block in reducing postoperative opioid consumption, pain, and postoperative nausea and vomiting (PONV) in patients undergoing vertebral surgeries.Methods: A search was conducted in CENTRAL, Embase, PubMed Central, and Scopus from 2016 to 2025. The authors included SRs and meta-analyses that investigated the use of the ESP block in vertebral surgeries. Primary outcomes were opioid consumption at 24 postoperative hours (measured as milligrams of morphine equivalent), pain scores at 12 and 24 hours, PONV incidence, and the need for additional analgesics. Quality was assessed using the AMSTAR 2 tool.Results: Thirteen SRs were included. The ESP block reduced opioid consumption at 24 postoperative hours (mean morphine equivalents difference, -8.70 to -18.69), although high heterogeneity was observed. Pain reduction at 12 and 24 hours was statistically significant but clinically modest, with most SRs reporting reductions of less than one point in Numeric Rating Scale or Visual Analog Scale pain scales. The ESP block also significantly reduced PONV and additional analgesic use. However, most SRs were rated as low quality due to inadequate pre-registration and justification for excluding studies.Conclusions: The ESP block demonstrates potential as a multimodal analgesia component in vertebral surgeries, reducing opioid consumption, pain intensity, and PONV. However, high heterogeneity and low methodological quality highlight the need for further research.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"437-448"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 as a brain disease: bridging neuroscience and global health. 慢性疼痛作为一种脑部疾病：连接神经科学和全球健康。

IF 3.1 3区医学

Korean Journal of Pain Pub Date : 2025-09-08 DOI: 10.3344/kjp.25160

Jose Eric Mella Lacsa

引用次数: 0

The power of data sharing: strengthening research integrity and advancing scientific discovery. 数据共享的力量：加强研究诚信，推进科学发现。

IF 3.4 3区医学

Korean Journal of Pain Pub Date : 2025-07-01 Epub Date: 2025-06-18 DOI: 10.3344/kjp.25103

Jose Eric Mella Lacsa

引用次数: 0

Glucagon-like peptide-1 receptor agonists in neuropathic pain: hype or hope? 胰高血糖素样肽-1受体激动剂治疗神经性疼痛：炒作还是希望？

IF 3.4 3区医学

Korean Journal of Pain Pub Date : 2025-07-01 DOI: 10.3344/kjp.25214

Jeong Il Choi

引用次数: 0

Knowledge, mechanisms, and intervention of the polytrauma clinical triad in military pain medicine. 军事疼痛医学中多创伤临床三联征的认识、机制及干预。

IF 3.4 3区医学

Korean Journal of Pain Pub Date : 2025-07-01 DOI: 10.3344/kjp.24425

Qinghua Liu, Peipei Qiu, Tao Ma, Yali Zhao, Shihui Fu, Minglong Gao, Zeguo Feng, Long Feng

{"title":"Knowledge, mechanisms, and intervention of the polytrauma clinical triad in military pain medicine.","authors":"Qinghua Liu, Peipei Qiu, Tao Ma, Yali Zhao, Shihui Fu, Minglong Gao, Zeguo Feng, Long Feng","doi":"10.3344/kjp.24425","DOIUrl":"10.3344/kjp.24425","url":null,"abstract":"This up-to-date review focused on the recent advances in the concept, interrelationship, and mechanisms of the polytrauma clinical triad (PCT), and intervention knowledge and approaches to its prevention and treatment from the perspective of military pain medicine, hoping to provide a scientific basis and reference of PCT. Many soldiers suffering from chronic pain coexist with post-traumatic stress disorder and traumatic brain injury. If the above three diseases exist, it is called PCT. Three diseases in this common triad are interrelated and reinforce each other. This triad is challenging to treat and often leads to chronic issues, especially if not adequately monitored and managed. Although each disease of this triad could occur in isolation, it is valuable to know whether the rest of PCT needs to be screened. Current treatment of this triad emphasizes accurate identification and assessment of each disease, the new interdisciplinary and multimodal system of care, individualized customization principles, and shared medical decisions. To maximize clinical success and military service, interdisciplinary providers may benefit from the joint development of complementary treatment and biopsychosocial approach supported by theoretical and empirical evidence. The management of the PCT should emphasize integrative medicine and new interdisciplinary, multimodal nursing. Furthermore, cognitive behavioral therapy, standard rehabilitation care, and integrated health therapy have yielded valuable efficacy. It also should encourage the establishment of harmonious treatment relationships, shared medical decisions, and individualized customization principles to care for military service members with these comorbidities.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":"38 3","pages":"222-243"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the efficacy of the lumbar sympathetic ganglion block and the use of perfusion index as a predictor of its technical success: a prospective observational study. 评估腰交感神经节阻滞的疗效和使用灌注指数作为其技术成功的预测指标：一项前瞻性观察研究。

IF 3.4 3区医学

Korean Journal of Pain Pub Date : 2025-07-01 Epub Date: 2025-06-18 DOI: 10.3344/kjp.24373

Seungpyo Nam, Shiback Lee, Soo Hyuk Yoon, Ho Jin Lee, Jee Youn Moon, Yongjae Yoo, Jeongsoo Kim

{"title":"Evaluation of the efficacy of the lumbar sympathetic ganglion block and the use of perfusion index as a predictor of its technical success: a prospective observational study.","authors":"Seungpyo Nam, Shiback Lee, Soo Hyuk Yoon, Ho Jin Lee, Jee Youn Moon, Yongjae Yoo, Jeongsoo Kim","doi":"10.3344/kjp.24373","DOIUrl":"10.3344/kjp.24373","url":null,"abstract":"Background: This study aimed to evaluate the 4-week clinical efficacy of the lumbar sympathetic ganglion block (LSGB), assess the perfusion index (PI) as a marker for the LSGB's technical success, and examine the relationship between the PI change and post-procedure pain relief.Methods: In this prospective observational study, pain scores of 40 patients who underwent LSGB were measured using the Numeric Rating Scale (NRS) at pre-procedure, 20 minutes post-procedure, and at 1 and 4 weeks. The primary outcome was a positive LSGB response, defined as a reduction of ≥ 2 on the NRS at 20 minutes post-procedure. Skin temperature and PI were recorded every minute for 20 minutes post-procedure. The reliability of the PI was assessed using area under the curve (AUC) and receiver operating characteristic curves.Results: An immediate positive response to the LSGB was observed in 72.5% of patients, with 30.8% responding at 1 week and 17.9% responding at 4 weeks. NRS scores significantly decreased from baseline to 4.1 ± 2.5 immediately post-procedure and to 5.9 ± 2.7 at 4 weeks. A Δ PI of > 1.6% in the ipsilateral foot was a reliable indicator of technical success (sensitivity: 90.0%; specificity: 90.0%; AUC: 0.925; P < 0.001). However, neither temperature increase (R = 0.091, P = 0.577) nor PI increase (R = 0.029, P = 0.859) correlated significantly with pain reduction.Conclusions: Although the number of LSGB responders declined over 4 weeks, overall pain levels significantly decreased. The PI may serve as a quick and reliable indicator of technical success, but it does not correlate with post-procedure pain relief.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"308-319"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0