Analysis of the predictors of hypertrophic scarring pain and neuropathic pain after burn
Burns. 2021 Aug 15:S0305-4179(21)00218-7. doi: 10.1016/j.burns.2021.08.007. Online ahead of print.ABSTRACTINTRODUCTION: Burn hypertrophic scarring pain is a common and perennial complaint which not only affects patients' quality of life, but also their recovery and reintegration. Physical therapy and medicine regimens are all available for the treatment of hypertrophic scarring pain. Unfortunately, the efficacy of clinical practice is not very satisfactory and the management of hypertrophic scarring pain remains challenging. Therefore, it is of utmost importance to explore the risk factors for hypertrophic scarring pain an...
Source: Pain Physician - October 21, 2021 Category: Anesthesiology Authors: Futing Shu Huazhen Liu Xiaozhen Lou Zixuan Zhou Zhihao Zhao Yingying Liu Xueli Bai Pengfei Luo Yongjun Zheng Shichu Xiao Zhaofan Xia Source Type: research

Diagnostic difficulty, delayed diagnosis, and increased tendencies of surgical treatment in fibromyalgia syndrome
CONCLUSION: The diagnosis of FMS reduces healthcare use, including referrals and examinations. Educating clinicians in the recognition and diagnosis of FMS will provide both patients and healthcare providers with benefits. Key Points • Early detection of FMS reduces healthcare utilization and expenditure, including referrals and examinations. • Educating clinicians in the recognition and diagnosis of FMS will provide both patients and healthcare providers with benefits. Therefore, it is important to understand why the diagnosis of FMS is made in a delayed manner. • Providing pragmatic tools to improve the me...
Source: Pain Physician - October 21, 2021 Category: Anesthesiology Authors: Sevin ç Külekçioğlu Source Type: research

Low back pain and methods of coping with low back pain in nurses
Agri. 2021 Oct;33(4):243-252. doi: 10.14744/agri.2021.77528.ABSTRACTOBJECTIVES: This research was conducted to determine low back pain in nurses and their methods of coping with low back pain.METHODS: This descriptive, cross-sectional study was performed with 356 nurses in three university hospitals in the province of Istanbul in April-August 2016. Percentage calculations and Chi-square tests were used in statistical analyses.RESULTS: The mean age of the nurses in the study was 28.70±5.92, 25.3% were working in intensive care, 46.6% worked 41-48 h a week, and 55.6% stood for 5-8 h within a 24 h period. Low back pain...
Source: Pain Physician - October 21, 2021 Category: Anesthesiology Authors: C üneyt Gündüz Aylin Ayd ın Sayılan Source Type: research

Cost-utility analysis of single nucleotide polymorphism panel-based machine learning algorithm to predict risk of opioid use disorder
Conclusion: OUDTEST was expected to be a cost-effective solution for personalizing postsurgical pain management in orthopedic patients.PMID:34672212 | DOI:10.2217/cer-2021-0115 (Source: Pain Physician)
Source: Pain Physician - October 21, 2021 Category: Anesthesiology Authors: Peter J Mallow Kathy W Belk Source Type: research

Experiences with an addiction consultation service on care provided to hospitalized patients with opioid use disorder: a qualitative study of hospitalists, nurses, pharmacists, and social workers
Conclusions: An ACS reportedly supports hospitalists and medical staff to best care for hospitalized patients with OUD. Notably, care provided to patients with OUD may not be uniform depending on various physician-level factors. Future work to address the concerns reported by study participants may include education for OUD treatment, early involvement of the ACS, and incorporation of buprenorphine prescribing algorithms to standardize care.PMID:34666634 | DOI:10.1080/08897077.2021.1975873 (Source: Pain Physician)
Source: Pain Physician - October 20, 2021 Category: Anesthesiology Authors: Catherine Callister Steven Lockhart Jodi Summers Holtrop Kaitlyn Hoover Susan L Calcaterra Source Type: research

Google trends as a tool for evaluating public interest in total knee arthroplasty and total hip arthroplasty
CONCLUSION: GT may provide a high utility as a convenient and informative data set for orthopedic surgeons to analyze public interest in TKA and THA procedures. The data provided by GT have the potential to provide real-time, actionable information that may help surgeons and health systems to characterize public interest in TKA and THA and to best identify and address patient needs.RELEVANCE FOR PATIENTS: The GT tool can be used to measure public interest in TKA/THA, which can inform physician expectations for the patient encounter and lead to the creation of decision aids that better inform the public about the risks and ...
Source: Pain Physician - October 20, 2021 Category: Anesthesiology Authors: Samuel A Cohen Landon E Cohen Jonathan D Tijerina Gabriel Bouz Rachel Lefebvre Milan Stevanovic Nathanael D Heckmann Source Type: research

An Advanced Nursing Directive for Children With Suspected Appendicitis: Protocol for a Quality Improvement Feasibility Study
CONCLUSIONS: This study proposes a novel protocol for improving the diagnosis and treatment of suspected pediatric appendicitis through implementation of an evidence-based AND. This model may provide a standardized, international pathway for management of common pediatric and adult emergencies.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/33158.PMID:34668867 | DOI:10.2196/33158 (Source: Pain Physician)
Source: Pain Physician - October 20, 2021 Category: Anesthesiology Authors: Hanu Chaudhari Michelle Schneeweiss Reid Rebinsky Enrico Rullo Mohamed Eltorki Source Type: research

Experiences with an addiction consultation service on care provided to hospitalized patients with opioid use disorder: a qualitative study of hospitalists, nurses, pharmacists, and social workers
Conclusions: An ACS reportedly supports hospitalists and medical staff to best care for hospitalized patients with OUD. Notably, care provided to patients with OUD may not be uniform depending on various physician-level factors. Future work to address the concerns reported by study participants may include education for OUD treatment, early involvement of the ACS, and incorporation of buprenorphine prescribing algorithms to standardize care.PMID:34666634 | DOI:10.1080/08897077.2021.1975873 (Source: Pain Physician)
Source: Pain Physician - October 20, 2021 Category: Anesthesiology Authors: Catherine Callister Steven Lockhart Jodi Summers Holtrop Kaitlyn Hoover Susan L Calcaterra Source Type: research

Gender-based differences in physician payments within the fee-for-service system in Ontario: a retrospective, cross-sectional study
In this study, we aimed to understand differences in fee-for-service payments to men and women physicians in Ontario.METHODS: We conducted a cross-sectional analysis of all Ontario physicians who submitted claims to the Ontario Health Insurance Plan (OHIP) in 2017. For each physician, we gathered demographic information from the College of Physicians and Surgeons of Ontario registry. We compared differences in physician claims between men and women in the entire cohort and within each specialty using multivariable linear regressions, controlling for length of practice, specialty and practice location.RESULTS: We identified...
Source: Pain Physician - October 19, 2021 Category: Anesthesiology Authors: Zamir Merali Armaan K Malhotra Michael Balas Gianni R Lorello Alana Flexman Tara Kiran Christopher D Witiw Source Type: research

Coronary CT angiography for improved assessment of patients with acute chest pain and low-range positive high-sensitivity troponins: study protocol for a prospective, observational, multicentre study (COURSE trial)
This study was approved by the Medical Research Ethics Committee of Erasmus Medical Center in Rotterdam, the Netherlands (registration number MEC-2017-506). Written informed consent to participate will be obtained from all participants. This study's findings will be published in a peer-reviewed journal.TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (NCT03129659).PMID:34663657 | DOI:10.1136/bmjopen-2021-049349 (Source: Pain Physician)
Source: Pain Physician - October 19, 2021 Category: Anesthesiology Authors: Murat Arslan Jeroen Schaap Bart Van Gorsel Ricardo Pj Budde Sebastiaan Cam Bekkers Yvonne Jm Van Cauteren Peter Damman Jesse Habets Eric A Dubois Admir Dedic Source Type: research

Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline
CONCLUSIONS: We were unable to identify any evidence that confirms that depression or anxiety screening in ED patients with recurrent and undifferentiated abdominal pain improves outcomes or changes management downstream.PMID:34665903 | DOI:10.1111/acem.14394 (Source: Pain Physician)
Source: Pain Physician - October 19, 2021 Category: Anesthesiology Authors: Lucas Oliveira J E Silva Steven D Prakken Andrew C Meltzer Joshua S Broder Danielle J Gerberi Suneel Upadhye Christopher R Carpenter Fernanda Bellolio Source Type: research

Medical decisions concerning the end of life for cancer patients in three Colombian hospitals - a survey study
CONCLUSIONS: Decisions concerning the end of life were common for patients with cancer in three Colombian hospitals, including euthanasia and palliative sedation. Physicians and patients often fail to communicate about advance care directives and potentially life-shortening effects of treatment decisions. Specific end-of-life procedures, patients' wishes, and availability of palliative care should be further investigated.PMID:34657613 | DOI:10.1186/s12904-021-00853-9 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Esther de Vries Fabi án Alexander Leal Arenas Agnes van der Heide Fritz E Gempeler Rueda Raul Murillo Olga Morales Eduardo Diaz-Amado Nelcy Rodr íguez Beatriz Juliana Gonzalez Danny Steven Castilblanco Delgado Jose A Calvache Source Type: research

Comparison of attitudes and beliefs of physical therapists and primary care physicians regarding low back pain management: A cross-sectional study
CONCLUSIONS: HCPs in Saudi Arabia should receive additional training to adopt a biopsychosocial approach to managing LBP. In this study, the HCPs' treatment recommendations may not correspond with contemporary clinical guidelines. Research to facilitate the implementation of optimal professional education and training to adopt a biopsychosocial approach is an urgent priority.PMID:34657870 | DOI:10.3233/BMR-200295 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Ahmed Alhowimel Faris Alodibi Mazad Alotaibi Dalyah Alamam Julie Fritz Source Type: research

The Role of a Bone SPECT/CT Scan in the Follow-up of a Solitary Bone Lesion in a Patient with Langerhans' Cell Histiocytosis
Mol Imaging Radionucl Ther. 2021 Oct 15;30(3):187-189. doi: 10.4274/mirt.galenos.2020.20981.ABSTRACTLangerhans' cell histiocytosis (LCH) is a rare disease observed in childhood characterized by the proliferation of Langerhans' cells resulting in focal or systemic manifestations (including the bones). Here, we present a pediatric case with a localized biopsy-proven LCH, who underwent progression from solitary to multifocal form detected on bone scintigraphy and single photon emission computerized tomography/computed tomography (SPECT/CT) performed within four months. Emphasizing on localized bone pain (predictive of osseous...
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Selin Kesim Halil Turgut Turo ğlu Sabahat İnanır Salih Özgüven Tanju Yusuf Erdil Source Type: research

Patient values and preferences in pulmonary embolism testing in the emergency department
CONCLUSION: Addressing each of these four themes by realigning ED processes could provide patient-centered PE testing.PMID:34661318 | DOI:10.1111/acem.14400 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Vidushi Swarup Asfia Soomro Solen Abdulla Kerstin de Wit Source Type: research

Thromboembolic and bleeding risks in edoxaban patients with pacemaker and cardiac monitoring procedures: Outcomes of the Global EMIT program
CONCLUSION/RELEVANCE: The periprocedural complication risk for edoxaban treated patients undergoing pacemaker or invasive cardiac monitoring implantation was low. This population of patients was well managed in routine practice. This article is protected by copyright. All rights reserved.PMID:34662445 | DOI:10.1111/pace.14381 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Martin Unverdorben Christian von Heymann Amparao Santamaria Manish Saxena Thomas Vanassche Robert Wilkins James Jin Cathy Chen Paolo Colonna Source Type: research

Medical decisions concerning the end of life for cancer patients in three Colombian hospitals - a survey study
CONCLUSIONS: Decisions concerning the end of life were common for patients with cancer in three Colombian hospitals, including euthanasia and palliative sedation. Physicians and patients often fail to communicate about advance care directives and potentially life-shortening effects of treatment decisions. Specific end-of-life procedures, patients' wishes, and availability of palliative care should be further investigated.PMID:34657613 | DOI:10.1186/s12904-021-00853-9 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Esther de Vries Fabi án Alexander Leal Arenas Agnes van der Heide Fritz E Gempeler Rueda Raul Murillo Olga Morales Eduardo Diaz-Amado Nelcy Rodr íguez Beatriz Juliana Gonzalez Danny Steven Castilblanco Delgado Jose A Calvache Source Type: research

Comparison of attitudes and beliefs of physical therapists and primary care physicians regarding low back pain management: A cross-sectional study
CONCLUSIONS: HCPs in Saudi Arabia should receive additional training to adopt a biopsychosocial approach to managing LBP. In this study, the HCPs' treatment recommendations may not correspond with contemporary clinical guidelines. Research to facilitate the implementation of optimal professional education and training to adopt a biopsychosocial approach is an urgent priority.PMID:34657870 | DOI:10.3233/BMR-200295 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Ahmed Alhowimel Faris Alodibi Mazad Alotaibi Dalyah Alamam Julie Fritz Source Type: research

The Role of a Bone SPECT/CT Scan in the Follow-up of a Solitary Bone Lesion in a Patient with Langerhans' Cell Histiocytosis
Mol Imaging Radionucl Ther. 2021 Oct 15;30(3):187-189. doi: 10.4274/mirt.galenos.2020.20981.ABSTRACTLangerhans' cell histiocytosis (LCH) is a rare disease observed in childhood characterized by the proliferation of Langerhans' cells resulting in focal or systemic manifestations (including the bones). Here, we present a pediatric case with a localized biopsy-proven LCH, who underwent progression from solitary to multifocal form detected on bone scintigraphy and single photon emission computerized tomography/computed tomography (SPECT/CT) performed within four months. Emphasizing on localized bone pain (predictive of osseous...
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Selin Kesim Halil Turgut Turo ğlu Sabahat İnanır Salih Özgüven Tanju Yusuf Erdil Source Type: research

Patient values and preferences in pulmonary embolism testing in the emergency department
CONCLUSION: Addressing each of these four themes by realigning ED processes could provide patient-centered PE testing.PMID:34661318 | DOI:10.1111/acem.14400 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Vidushi Swarup Asfia Soomro Solen Abdulla Kerstin de Wit Source Type: research

Thromboembolic and bleeding risks in edoxaban patients with pacemaker and cardiac monitoring procedures: Outcomes of the Global EMIT program
CONCLUSION/RELEVANCE: The periprocedural complication risk for edoxaban treated patients undergoing pacemaker or invasive cardiac monitoring implantation was low. This population of patients was well managed in routine practice. This article is protected by copyright. All rights reserved.PMID:34662445 | DOI:10.1111/pace.14381 (Source: Pain Physician)
Source: Pain Physician - October 18, 2021 Category: Anesthesiology Authors: Martin Unverdorben Christian von Heymann Amparao Santamaria Manish Saxena Thomas Vanassche Robert Wilkins James Jin Cathy Chen Paolo Colonna Source Type: research

Attitudes of Physicians toward Palliative Care in Intensive Care Units: a Nationwide Cross-Sectional Survey in Japan
CONCLUSIONS: These data suggest a need for primary palliative care education in ICUs and improved access to specialized palliative care consultations.PMID:34656654 | DOI:10.1016/j.jpainsymman.2021.09.015 (Source: Pain Physician)
Source: Pain Physician - October 17, 2021 Category: Anesthesiology Authors: Yuta Tanaka Akane Kato Kaori Ito Yuko Igarashi Satomi Kinoshita Yoshiyuki Kizawa Mitsunori Miyashita Source Type: research

No efficacy of anti-IL-23 therapy for axial spondyloarthritis in randomised controlled trials but in post-hoc analyses of psoriatic arthritis-related 'physician-reported spondylitis'?
Ann Rheum Dis. 2021 Oct 16:annrheumdis-2021-221422. doi: 10.1136/annrheumdis-2021-221422. Online ahead of print.ABSTRACTThe three monoclonal antibodies ustekinumab, guselkumab and risankizumab targeting the p 40 or the 19 subunit of interleukin -23 have now been approved for the indication psoriasis and the former two also for psoriatic arthritis (PsA). Ustekinumab and risankizumab have appeared ineffective in randomised controlled trials with patients with axial spondyloarthritis (axSpA), but post-hoc analyses of PsA trials have now suggested that they may improve back pain symptoms potentially induced by axial inflammati...
Source: Pain Physician - October 17, 2021 Category: Anesthesiology Authors: Juergen Braun Robert Bm Landew é Source Type: research

Pandemic-related factors predicting physician burnout beyond established organizational factors: cross-sectional results from the COPING survey
Psychol Health Med. 2021 Oct 14:1-15. doi: 10.1080/13548506.2021.1990366. Online ahead of print.ABSTRACTThe COVID-19 pandemic has increased physician burnout beyond high baseline levels. We aimed to determine whether pandemic-related factors contribute to physician burnout beyond known organizational factors. This was a cross-sectional survey of Canadian physicians using a convenience sample. Eligible participants included any physician currently holding a license to practice in Canada. Responses were gathered from May 13 to 12 June 2020. Risk factors measured included the newly developed Pandemic Experiences and Perceptio...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jonathan G Bailey Michael Wong Kristen Bailey Jillian C Banfield Garrett Barry Allana Munro Susan Kirkland Michael Leiter Source Type: research

Pain-related health care costs for long-term care residents
CONCLUSION: The higher costs incurred by CSP residents compared to NP/NDMP residents are likely underestimated because pain problems are often missed in residents with dementia, who comprise a large portion of the LTC population. Improved pain care can reduce such costs and improve quality of life.PMID:34649517 | DOI:10.1186/s12877-021-02424-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Harminder Guliani Thomas Hadjistavropoulos Shan Jin Lisa M Lix Source Type: research

Evaluating Acute Testicular Pain Using Point-of-Care Hand-Held Doppler in the Emergency Department: A Prospective Pilot Study
Conclusion The diagnostic performance of HHD by the ED physicians was almost equal to that of radiologists in ruling out testicular torsion. HHD can be used as a first-line triaging tool by the ED physician to rule out torsion of testis in patients presenting with acute testicular pain. We conclude that patients with testicular pain with a negative HHD for torsion testis can be safely discharged from the emergency department.PMID:34650873 | PMC:PMC8487873 | DOI:10.7759/cureus.17699 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jagannath Hanumanthappa Vamanjore A Naushad Osama Mohammed Ashok Kumar Ariboyina Suresh Babu Chellapandian Shoib Khan Mat Khan Source Type: research

Traditional Chinese Medicine in Patients With Primary Sjogren's Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Conclusion: At week 12, the ESSPRI scores did not reveal that the use of the TCM formula was efficacious for treating patients with Sjogren's syndrome. However, the PSQI scores indicated that this formula could prolong patient sleep duration. We also found that this formula could decrease the blood pressure of patients.PMID:34651000 | PMC:PMC8505713 | DOI:10.3389/fmed.2021.744194 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Huang-Hsi Chen Jung-Nien Lai Min-Chien Yu Chia-Yin Chen Yi-Ting Hsieh Yi-Fan Hsu James Cheng-Chung Wei Source Type: research

Onychomycosis: Rapid Evidence Review
Am Fam Physician. 2021 Oct 1;104(4):359-367.ABSTRACTOnychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of life. Onychomycosis should be suspected in patients with discolored nails, nail plate thickening, nail separation, and foul-smelling nails. Accurate diagnosis is important before initiating treatment because therapy is lengthy and can cause adverse effects. A potassium hydroxide preparation w...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Winfred Taylor Frazier Zuleica M Santiago-Delgado Kenneth C Stupka Source Type: research

Unhelpful Thoughts and Distress Regarding Symptoms Limit Accommodation of Musculoskeletal Pain
CONCLUSION: We found that distress (unhelpful feelings) and unhelpful thoughts about symptoms are separate factors with important and comparable associations with accommodation to pain. It also appears that these two factors can be measured with just a few questions. Being attentive to the language people use and the language of influential questions might improve clinician identification of mental health opportunities in the form of distress and unhelpful thoughts about symptoms, which in turn might contribute to better accommodation and alleviation of symptoms.LEVEL OF EVIDENCE: Level II, prognostic study.PMID:34652286 |...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Teun Teunis Aresh Al Salman Karl Koenig David Ring Amirreza Fatehi Source Type: research

Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
JAMA Netw Open. 2021 Oct 1;4(10):e2129409. doi: 10.1001/jamanetworkopen.2021.29409.ABSTRACTIMPORTANCE: There is a lack of empirical research regarding misuse of buprenorphine hydrochloride.OBJECTIVE: To identify prescription opioids that are most frequently misused, assess differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and examine trends in and factors associated with buprenorphine misuse among individuals with or without opioid use disorder (OUD).DESIGN, SETTING, AND PARTICIPANTS: This survey study used nationally representative data on past-year prescription opioid ...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Beth Han Christopher M Jones Emily B Einstein Wilson M Compton Source Type: research

Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
CONCLUSIONS: This survey provides initial data on SCS practices among a large cohort of clinicians who utilize SCS. SCS lead placement under deep sedation and general anesthesia appears to be common practice for many physicians who perform implants. This survey should stimulate further research on this topic, given that the current safety guidelines and the rate of physicians reporting the use of deep sedation and general anesthesia for spinal cord stimulator placement remain at odds.PMID:34652716 | DOI:10.1007/s40122-021-00332-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jamal Hasoon Ivan Urits Omar Viswanath Giustino Varrassi Thomas T Simopoulos Lynn Kohan Genaro Gutierrez Vwaire Orhurhu Musa Aner Jatinder Gill Source Type: research

Pandemic-related factors predicting physician burnout beyond established organizational factors: cross-sectional results from the COPING survey
Psychol Health Med. 2021 Oct 14:1-15. doi: 10.1080/13548506.2021.1990366. Online ahead of print.ABSTRACTThe COVID-19 pandemic has increased physician burnout beyond high baseline levels. We aimed to determine whether pandemic-related factors contribute to physician burnout beyond known organizational factors. This was a cross-sectional survey of Canadian physicians using a convenience sample. Eligible participants included any physician currently holding a license to practice in Canada. Responses were gathered from May 13 to 12 June 2020. Risk factors measured included the newly developed Pandemic Experiences and Perceptio...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jonathan G Bailey Michael Wong Kristen Bailey Jillian C Banfield Garrett Barry Allana Munro Susan Kirkland Michael Leiter Source Type: research

Pain-related health care costs for long-term care residents
CONCLUSION: The higher costs incurred by CSP residents compared to NP/NDMP residents are likely underestimated because pain problems are often missed in residents with dementia, who comprise a large portion of the LTC population. Improved pain care can reduce such costs and improve quality of life.PMID:34649517 | DOI:10.1186/s12877-021-02424-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Harminder Guliani Thomas Hadjistavropoulos Shan Jin Lisa M Lix Source Type: research

Evaluating Acute Testicular Pain Using Point-of-Care Hand-Held Doppler in the Emergency Department: A Prospective Pilot Study
Conclusion The diagnostic performance of HHD by the ED physicians was almost equal to that of radiologists in ruling out testicular torsion. HHD can be used as a first-line triaging tool by the ED physician to rule out torsion of testis in patients presenting with acute testicular pain. We conclude that patients with testicular pain with a negative HHD for torsion testis can be safely discharged from the emergency department.PMID:34650873 | PMC:PMC8487873 | DOI:10.7759/cureus.17699 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jagannath Hanumanthappa Vamanjore A Naushad Osama Mohammed Ashok Kumar Ariboyina Suresh Babu Chellapandian Shoib Khan Mat Khan Source Type: research

Traditional Chinese Medicine in Patients With Primary Sjogren's Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Conclusion: At week 12, the ESSPRI scores did not reveal that the use of the TCM formula was efficacious for treating patients with Sjogren's syndrome. However, the PSQI scores indicated that this formula could prolong patient sleep duration. We also found that this formula could decrease the blood pressure of patients.PMID:34651000 | PMC:PMC8505713 | DOI:10.3389/fmed.2021.744194 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Huang-Hsi Chen Jung-Nien Lai Min-Chien Yu Chia-Yin Chen Yi-Ting Hsieh Yi-Fan Hsu James Cheng-Chung Wei Source Type: research

Onychomycosis: Rapid Evidence Review
Am Fam Physician. 2021 Oct 1;104(4):359-367.ABSTRACTOnychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of life. Onychomycosis should be suspected in patients with discolored nails, nail plate thickening, nail separation, and foul-smelling nails. Accurate diagnosis is important before initiating treatment because therapy is lengthy and can cause adverse effects. A potassium hydroxide preparation w...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Winfred Taylor Frazier Zuleica M Santiago-Delgado Kenneth C Stupka Source Type: research

Unhelpful Thoughts and Distress Regarding Symptoms Limit Accommodation of Musculoskeletal Pain
CONCLUSION: We found that distress (unhelpful feelings) and unhelpful thoughts about symptoms are separate factors with important and comparable associations with accommodation to pain. It also appears that these two factors can be measured with just a few questions. Being attentive to the language people use and the language of influential questions might improve clinician identification of mental health opportunities in the form of distress and unhelpful thoughts about symptoms, which in turn might contribute to better accommodation and alleviation of symptoms.LEVEL OF EVIDENCE: Level II, prognostic study.PMID:34652286 |...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Teun Teunis Aresh Al Salman Karl Koenig David Ring Amirreza Fatehi Source Type: research

Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
JAMA Netw Open. 2021 Oct 1;4(10):e2129409. doi: 10.1001/jamanetworkopen.2021.29409.ABSTRACTIMPORTANCE: There is a lack of empirical research regarding misuse of buprenorphine hydrochloride.OBJECTIVE: To identify prescription opioids that are most frequently misused, assess differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and examine trends in and factors associated with buprenorphine misuse among individuals with or without opioid use disorder (OUD).DESIGN, SETTING, AND PARTICIPANTS: This survey study used nationally representative data on past-year prescription opioid ...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Beth Han Christopher M Jones Emily B Einstein Wilson M Compton Source Type: research

Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
CONCLUSIONS: This survey provides initial data on SCS practices among a large cohort of clinicians who utilize SCS. SCS lead placement under deep sedation and general anesthesia appears to be common practice for many physicians who perform implants. This survey should stimulate further research on this topic, given that the current safety guidelines and the rate of physicians reporting the use of deep sedation and general anesthesia for spinal cord stimulator placement remain at odds.PMID:34652716 | DOI:10.1007/s40122-021-00332-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jamal Hasoon Ivan Urits Omar Viswanath Giustino Varrassi Thomas T Simopoulos Lynn Kohan Genaro Gutierrez Vwaire Orhurhu Musa Aner Jatinder Gill Source Type: research

Pandemic-related factors predicting physician burnout beyond established organizational factors: cross-sectional results from the COPING survey
Psychol Health Med. 2021 Oct 14:1-15. doi: 10.1080/13548506.2021.1990366. Online ahead of print.ABSTRACTThe COVID-19 pandemic has increased physician burnout beyond high baseline levels. We aimed to determine whether pandemic-related factors contribute to physician burnout beyond known organizational factors. This was a cross-sectional survey of Canadian physicians using a convenience sample. Eligible participants included any physician currently holding a license to practice in Canada. Responses were gathered from May 13 to 12 June 2020. Risk factors measured included the newly developed Pandemic Experiences and Perceptio...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jonathan G Bailey Michael Wong Kristen Bailey Jillian C Banfield Garrett Barry Allana Munro Susan Kirkland Michael Leiter Source Type: research

Pain-related health care costs for long-term care residents
CONCLUSION: The higher costs incurred by CSP residents compared to NP/NDMP residents are likely underestimated because pain problems are often missed in residents with dementia, who comprise a large portion of the LTC population. Improved pain care can reduce such costs and improve quality of life.PMID:34649517 | DOI:10.1186/s12877-021-02424-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Harminder Guliani Thomas Hadjistavropoulos Shan Jin Lisa M Lix Source Type: research

Evaluating Acute Testicular Pain Using Point-of-Care Hand-Held Doppler in the Emergency Department: A Prospective Pilot Study
Conclusion The diagnostic performance of HHD by the ED physicians was almost equal to that of radiologists in ruling out testicular torsion. HHD can be used as a first-line triaging tool by the ED physician to rule out torsion of testis in patients presenting with acute testicular pain. We conclude that patients with testicular pain with a negative HHD for torsion testis can be safely discharged from the emergency department.PMID:34650873 | PMC:PMC8487873 | DOI:10.7759/cureus.17699 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jagannath Hanumanthappa Vamanjore A Naushad Osama Mohammed Ashok Kumar Ariboyina Suresh Babu Chellapandian Shoib Khan Mat Khan Source Type: research

Traditional Chinese Medicine in Patients With Primary Sjogren's Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Conclusion: At week 12, the ESSPRI scores did not reveal that the use of the TCM formula was efficacious for treating patients with Sjogren's syndrome. However, the PSQI scores indicated that this formula could prolong patient sleep duration. We also found that this formula could decrease the blood pressure of patients.PMID:34651000 | PMC:PMC8505713 | DOI:10.3389/fmed.2021.744194 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Huang-Hsi Chen Jung-Nien Lai Min-Chien Yu Chia-Yin Chen Yi-Ting Hsieh Yi-Fan Hsu James Cheng-Chung Wei Source Type: research

Onychomycosis: Rapid Evidence Review
Am Fam Physician. 2021 Oct 1;104(4):359-367.ABSTRACTOnychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of life. Onychomycosis should be suspected in patients with discolored nails, nail plate thickening, nail separation, and foul-smelling nails. Accurate diagnosis is important before initiating treatment because therapy is lengthy and can cause adverse effects. A potassium hydroxide preparation w...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Winfred Taylor Frazier Zuleica M Santiago-Delgado Kenneth C Stupka Source Type: research

Unhelpful Thoughts and Distress Regarding Symptoms Limit Accommodation of Musculoskeletal Pain
CONCLUSION: We found that distress (unhelpful feelings) and unhelpful thoughts about symptoms are separate factors with important and comparable associations with accommodation to pain. It also appears that these two factors can be measured with just a few questions. Being attentive to the language people use and the language of influential questions might improve clinician identification of mental health opportunities in the form of distress and unhelpful thoughts about symptoms, which in turn might contribute to better accommodation and alleviation of symptoms.LEVEL OF EVIDENCE: Level II, prognostic study.PMID:34652286 |...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Teun Teunis Aresh Al Salman Karl Koenig David Ring Amirreza Fatehi Source Type: research

Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
JAMA Netw Open. 2021 Oct 1;4(10):e2129409. doi: 10.1001/jamanetworkopen.2021.29409.ABSTRACTIMPORTANCE: There is a lack of empirical research regarding misuse of buprenorphine hydrochloride.OBJECTIVE: To identify prescription opioids that are most frequently misused, assess differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and examine trends in and factors associated with buprenorphine misuse among individuals with or without opioid use disorder (OUD).DESIGN, SETTING, AND PARTICIPANTS: This survey study used nationally representative data on past-year prescription opioid ...
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Beth Han Christopher M Jones Emily B Einstein Wilson M Compton Source Type: research

Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
CONCLUSIONS: This survey provides initial data on SCS practices among a large cohort of clinicians who utilize SCS. SCS lead placement under deep sedation and general anesthesia appears to be common practice for many physicians who perform implants. This survey should stimulate further research on this topic, given that the current safety guidelines and the rate of physicians reporting the use of deep sedation and general anesthesia for spinal cord stimulator placement remain at odds.PMID:34652716 | DOI:10.1007/s40122-021-00332-2 (Source: Pain Physician)
Source: Pain Physician - October 15, 2021 Category: Anesthesiology Authors: Jamal Hasoon Ivan Urits Omar Viswanath Giustino Varrassi Thomas T Simopoulos Lynn Kohan Genaro Gutierrez Vwaire Orhurhu Musa Aner Jatinder Gill Source Type: research

Determinants of Tumor Necrosis Factor Inhibitor Use in Juvenile Spondyloarthropathy and Impact on Clinical Disease Outcomes
CONCLUSION: The physician's decision to initiate a TNFi relied mostly on physical examination findings. Despite improvement in arthritis, enthesitis, and patient-reported pain at 6 months post TNFi initiation, the majority of the patients still had active disease after 1 year of therapy.PMID:34647693 | DOI:10.1002/acr2.11353 (Source: Pain Physician)
Source: Pain Physician - October 14, 2021 Category: Anesthesiology Authors: Melissa Oliver Julia F Simard Tzielan Lee Dana Gerstbacher Christy Sandborg Source Type: research

Multi-Nodule of Large Airway: Tracheobronchopathia Osteochondroplastica, Two Cases Report and Literature Review
We report two subjects with tracheobronchopathia osteochondroplastica (TO), including the clinical manifestations, histological findings, and clinical treatments, which were analyzed retrospectively. One patient with TO was a 60-year-old woman, and the other was a 47-year-old man. The main clinical manifestations were cough, chest pain, and dyspnea. Computed tomography (CT) images showed that TO mainly occurred in the trachea and main bronchus. Histological analysis showed inflammatory exudation, squamous metaplasia, submucosal cartilaginous, and ossification. We present the two cases to increase physician and patient awar...
Source: Pain Physician - October 12, 2021 Category: Anesthesiology Authors: He Jiang Xiaoying Yang Ying Guo Source Type: research

Eosinophilic Esophagitis Symptom Scores Are High in Children Without Eosinophilic Disease
J Pediatr Gastroenterol Nutr. 2021 Oct 11. doi: 10.1097/MPG.0000000000003324. Online ahead of print.ABSTRACTOBJECTIVES: The Pediatric Eosinophilic Esophagitis (EoE) Symptom Score version 2 (PEESSv2.0) is an EoE-specific validated metric for disease monitoring, but its use has not been explored outside of EoE. Our aim was to determine if PEESSv2.0 scores differentiate between children with EoE and non-EoE esophageal dysfunction undergoing initial esophagogastroduodenoscopy (EGD).METHODS: A prospective cohort study of pediatric subjects was conducted. Children ages 1-18 undergoing initial EGD for esophageal dysfunction were ...
Source: Pain Physician - October 12, 2021 Category: Anesthesiology Authors: Paroma Bose Eric Albright Muhammad T Idrees Anthony Perkins Cindy Sawyers Sandeep K Gupta Emily C Hon Source Type: research