Patterns of care for patients with metastatic bone disease in solid tumors: A cross-sectional study from Switzerland (SAKK 95/16).
Conclusions: This cross-sectional, non-interventional study found high implementation of guideline-recommended BTA prescribing, good pain control and low incidence of skeletal-related events. Long-term BTA randomized controlled trials have the potential to further optimize routine care outcomes for patients. PMID: 31970055 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 25, 2020 Category: Anesthesiology Authors: Mark M, Thürlimann B, Ribi K, Schär C, Dietrich D, Cathomas R, Zürrer-Härdi U, von Briel T, Anchisi S, Bohanes P, Blum V, von Burg P, Mannhart M, Caspar CB, von Moos R Tags: J Bone Oncol Source Type: research
Predicting a diagnosis of acute coronary syndrome during telephone evaluation by an emergency dispatcher: the SCARE predictive scale.
CONCLUSION: The SCARE scale had good discrimination and calibration properties. The scale should be further validated in an external sample from a multicenter study before it is implemented by emergency dispatch centers. PMID: 31909908 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 9, 2020 Category: Anesthesiology Authors: Guerineau A, Rozelle C, Sevestre E, Narcisse S, Laribi S, Giovannetti O Tags: Emergencias Source Type: research
Utilizing clinical characteristics and patient-reported outcome measures to categorize lupus subtypes.
CONCLUSION: Fatigue, widespread pain, sleep dysfunction, and mood disorders are common symptoms in SLE. Identifying these symptoms as Type 2 SLE may be a method to improve patient communication and understanding. The level of Type 2 SLE impacts patients' perception of disease and self-reported symptoms. The SLAQ may need to be re-interpreted based on the fibromyalgia severity scale. PMID: 31909888 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - January 7, 2020 Category: Anesthesiology Authors: Rogers JL, Eudy AM, Pisetsky D, Criscione-Schreiber LG, Sun K, Doss J, Clowse MEB Tags: Arthritis Care Res (Hoboken) Source Type: research
Adaptations in Pediatric Anesthesia Care and Airway Management in the Resource-Poor Setting.
Abstract The need for safe and quality pediatric anesthesia care in low- and middle-income countries (LMICs) is huge. An estimated 1.7 billion children do not have access to surgical care and the majority are in LMICs. In addition, most LMICs do not have the requisite surgical workforce including anesthesia providers Surgery is usually performed at three levels of facilities: district, provincial, and national referral hospitals. Unfortunately, the manpower, equipment, and other resources available to provide surgical care for children vary greatly at the different level facilities. The majority of district level ...
Source: Pain Physician - January 7, 2020 Category: Anesthesiology Authors: Manyumwa P, Chimhundu-Sithole T, Marange-Chikuni D, Evans FM Tags: Paediatr Anaesth Source Type: research
Survey of analgesia and sedation in pediatric intensive care units in Japan.
CONCLUSIONS: This study is the first survey conducted by physicians regarding pain and agitation management in PICUs in Japan, and the results revealed great diversity in practice. The implementation strategies to assess pain, delirium, and withdrawal syndrome, as well as to set goals regarding sedation level, are lacking. Protocols for analgesia and sedation management are uncommon. PMID: 31910495 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - January 7, 2020 Category: Anesthesiology Authors: Koizumi T, Kurosawa H Tags: Pediatr Int Source Type: research
Barriers to treatment optimization and achievement of patients' goals: perspectives from people living with rheumatoid arthritis enrolled in the ArthritisPower registry.
CONCLUSIONS: Most participants trusted their rheumatologist's treatment decisions and prioritized their physician's treatment goals over their own. Patients should be encouraged to share their treatment goals/expectations with their rheumatologist, in line with the treat-to-target approach. RAPID3 may be inappropriate for setting patient-centric treatment goals given the poor agreement with self-reported disease activity; most PROMIS scores showed better alignment with patients' own assessments. PMID: 31910893 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 7, 2020 Category: Anesthesiology Authors: Gavigan K, Nowell WB, Serna MS, Stark JL, Yassine M, Curtis JR Tags: Arthritis Res Ther Source Type: research
Social determinants of health associated with hemodialysis non-adherence and emergency department utilization: a pilot observational study.
Abstract BACKGROUND: Dialysis patients who miss treatments are twice as likely to visit emergency departments (EDs) compared to adherent patients; however, prospective studies assessing ED use after missed treatments are limited. This interdisciplinary pilot study aimed to identify social determinants of health (SDOH) associated with missing hemodialysis (HD) and presenting to the ED, and describe resource utilization associated with such visits. METHODS: We conducted a prospective observational study with a convenience sample of patients presenting to the ED after missing HD (cases); patients at local dialys...
Source: Pain Physician - January 6, 2020 Category: Anesthesiology Authors: Balhara KS, Fisher L, El Hage N, Ramos RG, Jaar BG Tags: BMC Nephrol Source Type: research
Diagnostic Performance of a Staged Pathway for Imaging Acute Appendicitis in Children.
CONCLUSION: The strategy of repeating limited focused US followed by CT scan in cases that remain inconclusive has good diagnostic accuracy and reasonable NAR and decreases the number of CT scans. PMID: 31913249 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - January 6, 2020 Category: Anesthesiology Authors: Ahmad T, Khdair Ahmad F, Manson D Tags: Pediatr Emerg Care Source Type: research
Primary Pancreatic lymphoma: a rare clinical entity.
Abstract Primary pancreatic lymphoma is a rare clinical entity representing
Source: Pain Physician - January 5, 2020 Category: Anesthesiology Authors: Dunphy L, Abbas SH, Al Shoek I, Al-Salti W Tags: BMJ Case Rep Source Type: research
End-of-life decision making by Austrian physicians - a cross-sectional study.
CONCLUSIONS: The majority of doctors perform symptom control in terminally ill patients. PAS is frequently requested but rarely carried out. Attending physicians felt the legal situation was ambiguous. Physicians should therefore receive training in current legislation relating to end-of-life choices and medical decisions. The data collected in this survey will help political decision-makers provide the necessary legal framework for end-of-life medical care. PMID: 31901225 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 4, 2020 Category: Anesthesiology Authors: Jahn-Kuch D, Domke A, Bitsche S, Stöger H, Avian A, Jeitler K, Posch N, Siebenhofer A Tags: BMC Palliat Care Source Type: research
Pathophysiologic Approach to Pain Therapy for Complex Pain Entities: A Narrative Review.
Abstract Pain management is challenging for both clinicians and patients. In fact, pain patients are frequently undertreated or even completely untreated. Optimal treatment is based on targeting the underlying mechanisms of pain and tailoring the management modality for each patient using a personalized approach. This narrative review deals with pain conditions that have a complex underlying mechanism and need an individualized and frequently multifactorial approach to pain management. The research is based on previously conducted studies, and does not contain any studies with human participants or anima...
Source: Pain Physician - January 4, 2020 Category: Anesthesiology Authors: Rekatsina M, Paladini A, Piroli A, Zis P, Pergolizzi JV, Varrassi G Tags: Pain Ther Source Type: research
Radiation exposure to the eyes and thyroid during C-arm fluoroscopy-guided cervical epidural injections is far below the safety limit.
Conclusions: Although there was no difference in radiation exposure between the professor and the fellow, there was a difference in the distance from the X-ray field during the CEBs. Further, radiation exposure can be minimized if proper protection (thyroid protector, leaded apron, and eyewear) is used, even if the distance between the X-ray beam and the pain physician is small. Damage from frequent, low-dose radiation exposure is not yet fully understood. Therefore, safety measures, including lead-based protection, should always be enforced. PMID: 31888321 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 1, 2020 Category: Anesthesiology Authors: Choi EJ, Go G, Han WK, Lee PB Tags: Korean J Pain Source Type: research
Motion Preservation in Hallux Rigidus After Failure of Hydrogel Implantation: Treatment Considerations and a Report of 2 Cases.
Abstract Hallux rigidus is a common condition treated daily by surgeons worldwide. During the past decade, the standard treatment algorithm has been questioned by both patients and surgeons seeking alternatives to arthrodesis, which was previously considered the gold standard for advanced disease. Patients are living longer, and many have a more active lifestyle; thus, recreating and improving range of motion and achieving pain relief are increasingly desirable. The treatment spectrum and implant options for motion-preserving techniques in the metatarsophalangeal joint has been widened with the recent US Food and ...
Source: Pain Physician - December 30, 2019 Category: Anesthesiology Authors: Carpenter B, Klemeyer L Tags: J Foot Ankle Surg Source Type: research
Interventional treatments for chronic pelvic pain caused by myometrial cysts.
Abstract •Diagnosing these patients is rather difficult, majority of the patients in the case series shared chronic pelvic pain as a common symptom.•Nerve blocks with image guided fluoroscopy can potentially eliminate the patient's chronic pelvic pain.•Examples include pudendal nerve block, superior and inferior hypogastric plexus block, and ganglion impar block. PMID: 31867223 [PubMed] (Source: Pain Physician)
Source: Pain Physician - December 25, 2019 Category: Anesthesiology Authors: Viswanath O, Urits I Tags: Case Rep Womens Health Source Type: research
Use of Pocket-Sized Ultrasound Device in the Diagnosis of Shoulder Pathology.
DISCUSSION: The findings from this study demonstrate that pocket-sized, hand-held ultrasound machines may be used to identify shoulder pathology. PMID: 31855908 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - December 20, 2019 Category: Anesthesiology Authors: Lau BC, Motamedi D, Luke A Tags: Clin J Sport Med Source Type: research
Evaluating Hospital Readmissions Through the Perspective of the Returning Emergency Department Patient.
CONCLUSIONS: The data show that once patients return to the ED after discharge, it is very likely they will be admitted to the hospital. An intervention prior to the return to the ED is imperative. PMID: 31855931 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - December 20, 2019 Category: Anesthesiology Authors: Campbell D, Ditkoff J Tags: Qual Manag Health Care Source Type: research
Anesthesia hazards and the impact of physician re-entry.
PMID: 31800416 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - December 6, 2019 Category: Anesthesiology Authors: Baron EL, Burnett G, Loftus K, Sherwin M, Katz D, Levine AI Tags: Int Anesthesiol Clin Source Type: research
Genomics Testing and Personalized Medicine in the Preoperative Setting.
This article discusses the current evidence highlighting the potential of PGx with various drug categories (including opioids, nonopioid analgesics, sedatives, β-blockers, antiemetics, and anticoagulants) used in the perioperative process and the challenges of integrating PGx into a health care system and relevant workflows. PMID: 31757315 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - November 25, 2019 Category: Anesthesiology Authors: Gabriel RA, Burton BN, Urman RD, Waterman RS Tags: Surg Oncol Clin N Am Source Type: research
National Institutes of Health-Funded Anesthesiology Research and Anesthesiology Physician-Scientists: Trends, Promises, and Concerns.
This article studies current NIH funding trends and offers potential solutions to continue the historical trend of academic innovation and research that has characterized academic Anesthesiology. Using publicly available data, specifically the NIH REPORTeR and Blue Ridge Institute for Medical Research, we examined NIH trends in funding in academic Anesthesiology departments that have Anesthesiology residency training programs. When adjusted for inflation, median NIH funding of departments of Anesthesiology declined approximately 15% between 2008 and 2017. The majority (55%) of NIH funding to academic Anesthesiology departm...
Source: Pain Physician - November 20, 2019 Category: Anesthesiology Authors: Chandrakantan A, Adler AC, Stayer S, Roth S Tags: Anesth Analg Source Type: research
Thunberg's Barospirator, a Fully Encasing Predecessor of the Iron Lung.
Abstract Used as a ventilator for assisting victims of polio, the barospirator was described by Swedish physician-scientist Torsten Thunberg in 1924. An immediate predecessor of the iron lung of Philip Drinker, the barospirator fully encased the entire body. Cyclic air-pressure changes within the chamber achieved ventilation during equilibrations of intrapulmonary and ambient pressures. Pulmonary medicine innovator Alvan Leroy Barach used a modified barospirator for lung rest as a treatment of tuberculosis in the 1940s. Adverse effects included damage to patients' tympanic membranes. Despite its limited clinical s...
Source: Pain Physician - November 19, 2019 Category: Anesthesiology Authors: Haddad CS, Wang J, Alston TA Tags: J Anesth Hist Source Type: research
Assessing Right Ventricular Function in the Perioperative Setting, Part II: What About Catheters?
Abstract An-depth assessment of right ventricular function is important in a many perioperative settings. After exploring 2-dimensional echo-based evaluation, other proposed monitoring modalities are discussed. Pressure-based methods of right ventricular appraisal is discussed. Flow-based assessment is reviewed. An overview of the state of current right ventricular 3-dimensional echocardiography and its potential to construct clinical pressure-volume loops in conjunction with pressure measurements is provided. An overview of right ventricular assessment modalities that do not rely on 2-dimensional echocardiography...
Source: Pain Physician - November 5, 2019 Category: Anesthesiology Authors: Vandenheuvel M, Bouchez S, Wouters P, Mauermann E Tags: Anesthesiol Clin Source Type: research
Concurrent validity of a patient self-administered examination and a clinical examination for femoroacetabular impingement syndrome.
Conclusion: Diagnostic accuracy was statistically significantly higher for the self-exam than for the traditional clinical exam although the difference may not be clinically relevant. Although the mean accuracy remains relatively low for both exams, these values are consistent with hip exam for FAIS reported in the literature. Having established the validity of an SAE, future investigations will need to evaluate implementation in a telehealth setting. PMID: 31673405 [PubMed] (Source: Pain Physician)
Source: Pain Physician - November 3, 2019 Category: Anesthesiology Authors: Owusu-Akyaw KA, Hutyra CA, Evanson RJ, Cook CE, Reiman M, Mather RC Tags: BMJ Open Sport Exerc Med Source Type: research
Parenting, self-regulation, and treatment adherence in pediatric chronic headache: A self-determination theory perspective.
This study examined parenting factors associated with children's self-regulation and physician-rated treatment adherence using a self-determination theory framework in pediatric chronic headache. Participants were 58 children and adolescents (aged 10-17 years), who underwent initial and follow-up multidisciplinary evaluation at a headache clinic, and their mothers. Regression analyses showed that higher maternal autonomy support and structure were significantly related to children's lower treatment-related reactance and higher adherence. Maternal controllingness had associations in the opposite directions. Children'...
Source: Pain Physician - November 1, 2019 Category: Anesthesiology Authors: Caruso A, Grolnick W, Rabner J, Lebel A Tags: J Health Psychol Source Type: research
Ethics of Opioid Prescriber Regulations: Physicians, Patients, and Pain.
CONCLUSIONS: Although the importance of addressing the current opioid crisis cannot be understated, as surgeons, we must examine ethical implications of any new regulations that affect musculoskeletal patient care. PMID: 31596806 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - October 9, 2019 Category: Anesthesiology Authors: Lajam CM, Cenname J, Hutzler LH, Bosco JA Tags: J Bone Joint Surg Am Source Type: research
Is axial psoriatic arthritis distinct from ankylosing spondylitis with and without concomitant psoriasis?
Abstract OBJECTIVE: The aim of this study was to compare patients with ankylosing spondylitis with psoriasis (ASP) and without psoriasis (AS), to axial PsA (axPsA) patients. METHODS: Two adult cohorts were recruited from the AS clinic: ASP and AS. These two cohorts were compared with two adult cohorts recruited from the PsA clinic: axPsA (radiographic sacroiliitis: ⩾bilateral grade 2 or unilateral grade 3 or 4); and Peripheral PsA. All patients were followed prospectively according to the same protocol. The demographic, clinical and radiographic variables were compared. Adjusted means were used to account f...
Source: Pain Physician - October 8, 2019 Category: Anesthesiology Authors: Feld J, Ye JY, Chandran V, Inman RD, Haroon N, Cook R, Gladman DD Tags: Rheumatology (Oxford) Source Type: research
Recommendation Rates for Physical Therapy, Lifestyle Counseling and Pain Medications for Managing Knee Osteoarthritis in Ambulatory Care Settings. Cross-sectional Analysis of the National Ambulatory Care Survey (2007-2015).
We examined associations between patient (e.g., race, insurance), physician and practice factors (e.g., ownership, location) and treatment prescribed using multivariate logistic regression that accounted for complex sampling design. RESULTS: 2297 KOA-related physician visits (~67 (±4) million weighted-visits) were identified. For visits to orthopedists, PT and lifestyle recommendation rates declined (158/1000 to 88/1000 and 184/1000 to 86/1000, respectively), while NSAIDs and Narcotics prescriptions increased (132/1000 to 278/1000 and 77/1000 to 236/1000, respectively) overtime (p
Source: Pain Physician - October 8, 2019 Category: Anesthesiology Authors: Khoja SS, Almeida GJ, Freburger JK Tags: Arthritis Care Res (Hoboken) Source Type: research
Platelet-Rich plasma Injection Management for Ankle osteoarthritis study (PRIMA): protocol of a Dutch multicentre, stratified, block-randomised, double-blind, placebo-controlled trial.
Abstract INTRODUCTION: Platelet-rich plasma (PRP) is a potentially efficacious treatment for ankle osteoarthritis (OA), but its use has not been examined in high-quality studies. Systematic reviews show that PRP injections significantly decrease pain and improve function in patients with knee OA. Ankle OA is more common than hip or knee OA in the young active population; with a prevalence of 3.4%.PRP injections in ankle OA are shown to be safe and improve quality of life over time, but no randomised controlled trial has been conducted. Our randomised controlled trial will evaluate the efficacy of PRP injections fo...
Source: Pain Physician - October 7, 2019 Category: Anesthesiology Authors: Paget L, Bierma-Zeinstra S, Goedegebuure S, Kerkhoffs G, Krips R, Maas M, Moen MH, Reurink G, Stufkens S, de Vos RJ, Weir A, Tol JL Tags: BMJ Open Source Type: research
Humanistic medicine in anaesthesiology: development and assessment of a curriculum in humanism for postgraduate anaesthesiology trainees.
Abstract BACKGROUND: An unintended consequence of medical technologies is loss of personal interactions and humanism between patients and their healthcare providers, leading to depersonalisation of medicine. As humanism is not integrated as part of formal postgraduate anaesthesiology education curricula, our goal was to design, introduce, and evaluate a comprehensive humanism curriculum into anaesthesiology training. METHODS: Subject-matter experts developed and delivered the humanism curriculum, which included interactive workshops, simulation sessions, formal feedback, and patient immersion experience. The ...
Source: Pain Physician - October 5, 2019 Category: Anesthesiology Authors: Canales C, Strom S, Anderson CT, Fortier MA, Cannesson M, Rinehart JB, Kain ZN, Perret D Tags: Br J Anaesth Source Type: research
A Comparison of the Efficacy of Enema Solutions in Pediatric Emergency Department Patients.
CONCLUSIONS: There was no significant difference in reported stool output produced by sodium phosphate, soap suds, and pink lady enemas in children treated in an ED. Further study via randomized controlled trials would be beneficial in guiding selection of enema solution. PMID: 31594739 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - October 5, 2019 Category: Anesthesiology Authors: Anderson J, Furnival RA, Zhang L, Lunos SA, Sadiq Z, Strutt JR, Kaila R, Hendrickson MA Tags: J Emerg Med Source Type: research
Point-of-Care Ultrasound in a Child with Chest Wall Pain and Rib Osteomyelitis.
Abstract BACKGROUND: Diagnosis of acute osteomyelitis in young children can be challenging due to the lack of specific clinical signs and symptoms. Prompt diagnosis and treatment is essential to prevent complications and to improve long-term prognosis and reduce the need for operative intervention. Point-of-care ultrasound (POCUS) may be a useful tool to detect early changes associated with osteomyelitis. CASE REPORT: A 26-month-old boy presented with 6 days of fever and 3 days of focal pain over the right anterior lower ribs without swelling, erythema, or bony deformity, and negative chest x-ray st...
Source: Pain Physician - October 4, 2019 Category: Anesthesiology Authors: Schleifer J, Liteplo AS, Kharasch S Tags: J Emerg Med Source Type: research
Permanent Paraplegia as a Complication of Injection of Contrast Media at L2-L3 Vertebral Level.
CONCLUSIONS: Disregard of the procedural guidelines by the physicians performing an elective diagnostic intervention may cause devastating neurological complications. The described casualty occurred because of failure to review previous imaging studies, injection of the contrast medium despite unsuccessful attempts to aspirate cerebrospinal fluid, and an unwillingness to terminate the procedure immediately when the patient reported an unusual sensation in both of his lower extremities. Consequently, we suggest that not only for cervical and thoracic but also for lumbar interlaminar ESIs, previous imaging studies should be ...
Source: Pain Physician - October 3, 2019 Category: Anesthesiology Authors: Shukla AB, Vu TN, Vorobeychik Y Tags: Pain Med Source Type: research
Quality of life in Ecuadorian patients with established rheumatoid arthritis.
Abstract Purpose: To evaluate quality of life in patients with established rheumatoid arthritis (RA) and identify the factors that negatively affect it. Methods: This was a cross-sectional study with patients with established RA from a rheumatology center in Ecuador. The RA Quality of Life (RAQoL) questionnaire was used to assess QoL and the Health Assessment Questionnaire - disability index (HAQ-DI) questionnaire for functional capacity. In addition, demographics, clinical characteristics, and markers of disease activity were included. Data were analyzed using SPSS 22. Results: Of 186 patients, 89.8% we...
Source: Pain Physician - October 2, 2019 Category: Anesthesiology Authors: Intriago M, Maldonado G, Cardenas J, Rios C Tags: Open Access Rheumatol Source Type: research
Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department.
We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and "peeing air." CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis. Bedside point-of-care ultrasound (POCUS) subsequently revealed dirty shadowing and reverberation artifacts in the left kidney and the bladder consistent with gas in the urinary collecting system. By understanding the identifying artifacts seen with EPN, reflective shadow and reverberation artifact, th...
Source: Pain Physician - October 2, 2019 Category: Anesthesiology Authors: Brown N, Petersen P, Kinas D, Newberry M Tags: Case Rep Emerg Med Source Type: research
A randomized controlled trial testing a virtual perspective-taking intervention to reduce race and socioeconomic status disparities in pain care.
Abstract We conducted a randomized controlled trial of an individually tailored, virtual perspective-taking intervention to reduce race and socioeconomic status (SES) disparities in providers' pain treatment decisions. Physician residents and fellows (n = 436) were recruited from across the United States for this two-part online study. Providers first completed a bias assessment task in which they made treatment decisions for virtual patients with chronic pain who varied by race (black/white) and SES (low/high). Providers who demonstrated a treatment bias were randomized to the intervention or control group. The i...
Source: Pain Physician - October 1, 2019 Category: Anesthesiology Authors: Hirsh AT, Miller MM, Hollingshead NA, Anastas T, Carnell ST, Lok BC, Chu C, Zhang Y, Robinson ME, Kroenke K, Ashburn-Nardo L Tags: Pain Source Type: research
Detection of early stage ovarian cancer in a large community cohort.
Abstract BACKGROUND: Although detecting ovarian cancer at early stage is a highly meaningful clinical goal, no studies have evaluated early stage disease presentation in a large community-based population and how it differs from that of late stage disease. METHODS: Electronic medical records were evaluated for women diagnosed with ovarian or fallopian tube cancer in 2016 and 2017 to identify the first imaging study to detect disease. Women being followed prior to diagnosis for known genetic risk from BRCA or other mutation were excluded. The visit in which the imaging test was ordered and related encounters w...
Source: Pain Physician - September 30, 2019 Category: Anesthesiology Authors: Suh-Burgmann EJ, Alavi M Tags: Cancer Med Source Type: research
Impact of lian gong on the quality of life of individuals with dizziness in primary care.
CONCLUSIONS: Based on the results presented, lian gong improves the quality of life of individuals with dizziness, without altering the functional capacity. PMID: 31553377 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - September 27, 2019 Category: Anesthesiology Authors: Lopes AL, Lemos SMA, Figueiredo PHS, Santos JN Tags: Rev Saude Publica Source Type: research
Sex disparities in the assessment and outcomes of chest pain presentations in emergency departments.
CONCLUSIONS: In the ED, systemic sex bias, to the detriment of women, exists in the early management and treatment of non-traumatic chest pain. Future studies that identify the drivers explaining why women presenting with chest pain are disadvantaged in terms of care, relative to men, are warranted. PMID: 31554655 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 25, 2019 Category: Anesthesiology Authors: Mnatzaganian G, Hiller JE, Braitberg G, Kingsley M, Putland M, Bish M, Tori K, Huxley R Tags: Heart Source Type: research
The Tick technique: A method to simplify and quantify treatment of the tear trough region.
CONCLUSION: This interventional-observational study illustrates the value of a simplified and quantifiable injection technique with predictable and satisfactory outcome and a low complication rate. We propose a possible way forward for aspiring aesthetic physicians to treat tear trough with confidence to minimize complications and maximize the outcome. PMID: 31556247 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 25, 2019 Category: Anesthesiology Authors: Hussain SN, Mangal S, Goodman GJ Tags: J Cosmet Dermatol Source Type: research
ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency department: a case series.
CONCLUSION: ACUTE ABDOMEN sonographic approach in acute abdomen can play an important role in ruling out critical diagnosis, and can guide emergency physician or any critical care physician in patient management. PMID: 31544223 [PubMed] (Source: Pain Physician)
Source: Pain Physician - September 23, 2019 Category: Anesthesiology Authors: Al Ali M, Jabbour S, Alrajaby S Tags: Ultrasound J Source Type: research
Factors associated with waiting times for persons with rheumatic conditions in multidisciplinary pain treatment facilities.
Conclusions: Many patients with rheumatic conditions (especially fibromyalgia) face long delays before receiving services in Quebec's MPTF. This study identified several factors associated with waiting time and emphasizes the need to improve access to pain management services. PMID: 31534361 [PubMed] (Source: Pain Physician)
Source: Pain Physician - September 20, 2019 Category: Anesthesiology Authors: Deslauriers S, Roy JS, Bernatsky S, Feldman DE, Pinard AM, Desmeules F, Fitzcharles MA, Perreault K Tags: J Pain Res Source Type: research
Congenital Unilateral Hypertrophy of the Foot Intrinsics: A Rare Case and Review of Literature.
Conclusions: Isolated congenital hypertrophy of muscles poses a unique challenge, particularly involving musculature of the foot. Indications for intervention include pain or functional impairment. Specific treatments should aim to address patient complaints with the understanding that debulking procedures carry the risk of abundant scar formation, neurovascular injury, and functional deficits. PMID: 31534930 [PubMed] (Source: Pain Physician)
Source: Pain Physician - September 20, 2019 Category: Anesthesiology Authors: Hellwinkel JE, York PJ, Leaseburg JT, Hunt KJ Tags: J Orthop Case Rep Source Type: research
Missed Empathic Opportunities During Hand Surgery Office Visits.
Conclusions: Hand surgeons often miss empathic opportunities. Future research might address the influence of training physicians to address empathic opportunities on trust, adherence, satisfaction, and outcomes. PMID: 31526045 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 17, 2019 Category: Anesthesiology Authors: van Hoorn BT, Menendez ME, Mackert M, Donovan EE, van Heijl M, Ring D Tags: Hand (N Y) Source Type: research
Comparative Disease Burden in Patients with Rheumatoid Arthritis, Psoriatic Arthritis, or Axial Spondyloarthritis: Data from Two Corrona Registries.
CONCLUSIONS: Disease burden in patients with PsA or axSpA was comparable to or greater than that in patients with RA on the basis of common patient-reported outcome measures but appeared lower when assessed using RA disease activity measures, suggesting that disease-specific approaches to care are needed to optimize disease management. FUNDING: This study was sponsored by Corrona, LLC, and financial support was provided by Novartis. The Rapid Service Fee was funded by Novartis. Plain language summary available for this article. PMID: 31529278 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 16, 2019 Category: Anesthesiology Authors: Mease PJ, Liu M, Rebello S, Kang H, Yi E, Park Y, Greenberg JD Tags: Rheumatol Ther Source Type: research
Intrauterine lidocaine and naproxen for analgesia during intrauterine device insertion: randomized controlled trial.
Conclusion: Naproxen with or without intrauterine lidocaine does not reduce pain with IUD placement. Clinical trial registration: Clinicaltrials.gov, NCT02769247. Registered May 11, 2016, Retrospectively registered. PMID: 31516731 [PubMed] (Source: Pain Physician)
Source: Pain Physician - September 15, 2019 Category: Anesthesiology Authors: Miles SM, Shvartsman K, Dunlow S Tags: Contracept Reprod Med Source Type: research
Which patient reported outcome domains are important to the rheumatologists while assessing patients with rheumatoid arthritis?
Conclusion: Rheumatologists highly valued patient-reported RA symptoms and physical function to inform their treatment decisions, even above objective data such as physical findings and test results. These results can guide the selection of validated PRO measures to assess these domains to inform the clinical care of patients with rheumatoid arthritis. PMID: 31517249 [PubMed] (Source: Pain Physician)
Source: Pain Physician - September 15, 2019 Category: Anesthesiology Authors: Jagpal A, O'Beirne R, Morris MS, Johnson B, Willig J, Yun H, Cherrington AL, Fraenkel L, Curtis JR, Safford MM, Navarro-Millán I Tags: BMC Rheumatol Source Type: research
Low-Interventional Approaches to Intrapartum Care: Hospital Variation in Practice and Associated Factors.
We examined hospital use of low-interventional practices, as well as variation in utilization across hospitals. METHODS: Data came from 185 California hospitals completing a survey of intrapartum care, including 9 questions indicating use of low- versus high-interventional practices (eg, use of intermittent auscultation, nonpharmacologic pain relief, and admission of women in latent labor). We performed a group-based latent class analysis to identify distinct groups of hospitals exhibiting different levels of utilization on these 9 measures. Multivariable logistic regression identified institutional characteristics as...
Source: Pain Physician - September 10, 2019 Category: Anesthesiology Authors: Lundsberg LS, Main EK, Lee HC, Lin H, Illuzzi JL, Xu X Tags: J Midwifery Womens Health Source Type: research
Effects of Rescheduling Hydrocodone on Opioid Prescribing in Ohio.
CONCLUSIONS: The 2014 federal rescheduling of hydrocodone was associated with declines in hydrocodone prescriptions in Ohio beyond what had already been occurring, and hydrocodone may have been briefly substituted with codeine. These results indicate that rescheduling did have a lasting effect but affected prescribing specialties variably. PMID: 31502638 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 10, 2019 Category: Anesthesiology Authors: Liu Y, Baker O, Schuur JD, Weiner SG Tags: Pain Med Source Type: research
Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy.
Abstract OBJECTIVE: To evaluate the complication-based learning curve and identify learning-associated complications of robotic gastrectomy. SUMMARY BACKGROUND DATA: With the increased popularity of robotic surgery, a sound understanding of the learning curve in the surgical outcome of robotic surgery has taken on great importance. However, a multicenter prospective study analyzing learning-associated morbidity has never been conducted in robotic gastrectomy. METHODS: Data on 502 robotic gastrectomy cases were prospectively collected from 5 surgeons. Risk-adjusted cumulative sum analysis was applied to v...
Source: Pain Physician - September 9, 2019 Category: Anesthesiology Authors: Kim MS, Kim WJ, Hyung WJ, Kim HI, Han SU, Kim YW, Ryu KW, Park S Tags: Ann Surg Source Type: research
A retrospective study of the association between pain intensity and opioid use with length of stay during musculoskeletal inpatient rehabilitation after primary knee and hip arthroplasty.
CONCLUSION: Mean pain intensity and total opioid consumption on day 3 of inpatient rehabilitation is associated with LOS. For the rehabilitation physician, this is useful information as the earlier identification of patients with poorly controlled pain can lead to directed intervention, better patient care, and significant cost savings. This article is protected by copyright. All rights reserved. PMID: 31498956 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - September 9, 2019 Category: Anesthesiology Authors: Sahota B, Alavinia SM, Kumbhare D, Sangha H, Flannery J, Furlan A Tags: PM R Source Type: research
Ketamine for Pharmacological Management of Aggression and Agitation in Pre-Hospital Settings: A Review of Comparative Clinical Effectiveness, Safety and Guidelines
Abstract Rapid stabilization of patients with acute aggression and agitation using either pharmacological or physical restraint is frequently needed to prevent injury of patients, bystanders and providers.1 Pharmacological restraint need to have quick onset of action, be easily administered, and be safe for patients.1 Benzodiazepines and antipsychotics such as haloperidol are probably the most often used medication to control acutely agitated patients.1 However, these drugs have slow onsets of action (in 15 to 30 min) when given intramuscularly, and have significant adverse events including respiratory failure, ca...
Source: Pain Physician - September 7, 2019 Category: Anesthesiology Authors: Tran K, Mierzwinski-Urban M Tags: Book Source Type: research