Pain incidence, assessment, and management in Vietnam: a cross-sectional study of 12,136 respondents.
Conclusion: Pain severe enough to impact patients' daily lives is common in Vietnam. Treatment costs are a significant economic burden and may help explain why only a minority of patients seek treatment. Access to lower cost, effective treatment for pain should be improved. PMID: 30881090 [PubMed] (Source: Pain Physician)
Source: Pain Physician - March 20, 2019 Category: Anesthesiology Authors: Chuong NV, Pho DC, Thuy NTT, Nguyen DT, Luan NT, Minh LH, Khai LT, Linh NT, Kien NT Tags: J Pain Res Source Type: research

Takotsubo syndrome in a teen health centre.
CONCLUSIONS: Increasing levels of violent behaviours towards staff in the health care sector underscores the need for measures in the workplace to help prevent precipitation of this syndrome in workers. PMID: 30880341 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 18, 2019 Category: Anesthesiology Authors: Alcaraz-Mor R, Gasche E, Villa A, Lehucher-Michel MP Tags: Occup Med (Lond) Source Type: research

Hand Corticosteroid Injections in Patients on "Blood Thinners".
CONCLUSIONS: With the complication rate of corticosteroid injections being so low, even in patients taking "blood thinners," the fear of adverse reactions should not preclude a physician from using this treatment modality to prevent surgical intervention. PMID: 30880479 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 17, 2019 Category: Anesthesiology Authors: Malige A, Matullo KS Tags: Hand (N Y) Source Type: research

Combination of Treatments With or Without Surgery in Localized Provoked Vulvodynia: Outcomes After Three Years of Follow-Up.
J, Staff S Abstract Most vulvodynia patients receive combinations of several treatment modalities for their chronic painful condition. If conservative treatments fail, vestibulectomy is considered to be the ultimate treatment option for localized provoked vulvodynia (LPV). The aim of this descriptive study was to analyze relief of pain, quality of life (QoL), and complications associated with combining surgery with conservative treatments among LPV patients, both in short term and after 3 years of follow-up. The study population consisted of a retrospective patient cohort of surgically (n = 16) and ...
Source: Pain Physician - March 16, 2019 Category: Anesthesiology Authors: Aalto AP, Huhtala H, Mäenpää J, Staff S Tags: Biores Open Access Source Type: research

Patient perceptions of their glycemic control and its influence on type 2 diabetes outcomes: an international survey of online communities.
Conclusion: Limited patient awareness of their A1C value and the potential complications of poorly controlled T2D, particularly regarding cardiovascular complications, may be a widespread problem. Furthermore, greater patient support may be needed to improve self-management of T2D and to reduce regimen-related distress. PMID: 30863019 [PubMed] (Source: Pain Physician)
Source: Pain Physician - March 15, 2019 Category: Anesthesiology Authors: Simacek K, Curran C, Fenici P, Garcia-Sanchez R Tags: Patient Prefer Adherence Source Type: research

Dorsal and ventral thoracic 12 vertebra body height is associated with incident lumbar vertebral fracture in postmenopausal osteoporotic women.
Abstract Purpose: We measured dorsal and ventral thoracic 12 vertebral (T12V) body heights as a way to predict lumbar vertebral fracture (LVF) in postmenopausal women. MRI of dorsal and ventral T12V body heights has not yet been used to investigate their association with LVF. We hypothesized that the dorsal and ventral T12V body height are important morphologic parameters in the prediction of LVF. Patients and methods: In total, 80 osteoporotic patients with LVF (LVF group) and 80 osteoporotic patients without LVF (control group) were examined by MRI at the lumbothoracic level. Sagittal T2-weighted MRI images...
Source: Pain Physician - March 15, 2019 Category: Anesthesiology Authors: Bang YS, Lee S, Kang KN, Lee J, Jeong HW, Choi SI, Kim YU Tags: Clin Interv Aging Source Type: research

Two Transcutaneous Stimulation Techniques in Shoulder Pain: Transcutaneous Pulsed Radiofrequency (TPRF) versus Transcutaneous Electrical Nerve Stimulation (TENS): A Comparative Pilot Study.
Conclusions: In treating chronic shoulder tendinitis using two transcutaneous stimulation techniques, both TPRF and TENS are safe and effective. TPRF is superior to TENS. PMID: 30863472 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 15, 2019 Category: Anesthesiology Authors: Lin ML, Chiu HW, Shih ZM, Lee PY, Li PZ, Guo CH, Luo YJ, Lin SC, Lin KY, Hsu YM, Pang A, Pang W Tags: Pain Res Manag Source Type: research

Psychosocial factors associated with poor outcomes after amputation for complex regional pain syndrome type-I.
CONCLUSION: Poor outcomes of amputation in longstanding therapy resistant CPRS-1 are associated with psychological factors. Outstanding life events are not associated with poor outcome although half of the participants had experienced outstanding life events. PMID: 30865687 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 15, 2019 Category: Anesthesiology Authors: Schrier E, Geertzen JHB, Scheper J, Dijkstra PU Tags: PLoS One Source Type: research

StatPearls
Authors: Abstract Trochanteric bursitis (TB), also known as greater trochanteric bursitis (GTB) or greater trochanteric pain syndrome (GTPS) is a common disorder and frequent cause of lateral hip pain. The bursa, a small fluid-filled sac, acts as a lubricating medium for nearby gluteus tendons to gracefully slide over during the physiologic range of motion. The trochanteric bursa is located on the lateral aspect of the hip, lying superficial to the hip abductor musculature and deep to the iliotibial band (ITB). Due to its superficial position and proximity to large tendons, the trochanteric bursa can become infla...
Source: Pain Physician - March 13, 2019 Category: Anesthesiology Tags: Book Source Type: research

An epidemic of chikungunya in northwestern Bangladesh in 2011.
Abstract BACKGROUND: In November 2011, a government hospital physician in Shibganj sub-district of Bangladesh reported a cluster of patients with fever and joint pain or rash. A multi-disciplinary team investigated to characterize the outbreak; confirm the cause; and recommend control and prevention measures. METHODS: Shibganj's residents with new onset of fever and joint pain or rash between 1 September and 15 December 2011 were defined as chikungunya fever (CHIKF) suspect cases. To estimate the attack rate, we identified 16 outpatient clinics in 16 selected wards across 16 unions in Shibganj and searched fo...
Source: Pain Physician - March 13, 2019 Category: Anesthesiology Authors: Haque F, Rahman M, Banu NN, Sharif AR, Jubayer S, Shamsuzzaman A, Alamgir A, Erasmus JH, Guzman H, Forrester N, Luby SP, Gurley ES Tags: PLoS One Source Type: research

Disability Benefits and Change in Prescription Opioid Dose.
Abstract Among chronic low back pain (CLBP) patients, workers' compensation is associated with longer term prescription opioid analgesic use (OAU). The aim was to study the association between receiving Social Security Disability Insurance (SSDI) benefits and course of OAU. This prospective cohort study utilized data from primary care patients diagnosed with non-cancer CLBP. The outcomes were morphine equivalent dose (MED) - categorized as no OAU, 1-50mg MED, or>50mg MED - and change in MED over time using mixed multinomial logistic regression models. Covariates included sociodemographics, pain severity, pain m...
Source: Pain Physician - March 11, 2019 Category: Anesthesiology Authors: Gebauer S, Salas J, Scherrer JF, Burge S, Schneider FD Tags: Popul Health Manag Source Type: research

Necrosis of the small intestine leading to a diagnosis of polyarteritis nodosa: a case report.
CONCLUSION: In cases of idiopathic intestinal necrosis or perforation, systemic diseases such as polyarteritis nodosa should be considered in the differential diagnosis. PMID: 30850017 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 9, 2019 Category: Anesthesiology Authors: Yajima S, Asano H, Fukano H, Ohara Y, Shinozuka N, Li CP, Yamada T Tags: J Med Case Rep Source Type: research

Collecting core data in physician-staffed pre-hospital helicopter emergency medical services using a consensus-based template: international multicentre feasibility study in Finland and Norway.
CONCLUSIONS: We found that a focused data collection method increased data capture compared to a standard data collection method. The concept of using a template for documentation of p-EMS data is feasible in physician-staffed services in Finland and Norway. The greatest deficiencies in completeness rates were evident for physiological parameters. Short missions were associated with lower completeness rates whereas severe illness or injury did not result in reduced data capture. PMID: 30849977 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 8, 2019 Category: Anesthesiology Authors: Tønsager K, Rehn M, Ringdal KG, Lossius HM, Virkkunen I, Østerås Ø, Røislien J, Krüger AJ Tags: BMC Health Serv Res Source Type: research

Sedation and Analgesia During Pediatric Burn Dressing Change: A Survey of American Burn Association Centers.
Abstract Sedation practices for pediatric burn patients during dressing changes vary between institutions and providers. To better understand current trends in pediatric sedation practice, a survey was conducted among American Burn Association (ABA) members. Questions asked about non-operating room sedation and analgesia practices for burn patients (ages 0-17) having dressing changes in the intensive care unit, inpatient unit, and outpatient clinics. ABA members providing sedation for pediatric patients undergoing burn dressing changes are diverse. Physician respondents included surgeons, critical care intensivist...
Source: Pain Physician - March 7, 2019 Category: Anesthesiology Authors: Hansen JK, Voss J, Ganatra H, Langner T, Chalise P, Stokes S, Bhavsar D, Kovac AL Tags: J Burn Care Res Source Type: research

Development of a screening eye clinic for Ebola virus disease survivors: Lessons learned and rapid implementation at ELWA Hospital in Monrovia, Liberia 2015.
CONCLUSIONS/SIGNIFICANCE: A screening eye clinic was feasible and effective for the rapid screening, care, and referral of EVD survivors with uveitis and retinal disease. Patients were screened promptly for an initial assessment of the disease process, which has informed other efforts within West Africa related to immediate patient care needs and our collective understanding of EVD sequelae. Further attention is needed to understand the pathogensis and treatment of ophthalmic sequelae given recent EVD outbreaks in West Africa and ongoing outbreak within Democratic Republic of Congo. PMID: 30845141 [PubMed - as supplie...
Source: Pain Physician - March 7, 2019 Category: Anesthesiology Authors: Shantha JG, Hayek BR, Crozier I, Gargu C, Dolo R, Brown J, Fankhauser J, Yeh S Tags: PLoS Negl Trop Dis Source Type: research

A study protocol for a feasibility study: Propofol Target-Controlled Infusion in Emergency Department Sedation (ProTEDS)-a multi-centre feasibility study protocol.
This study will recruit in four emergency departments in Scotland, UK. Patients aged 18-65 years with anterior shoulder dislocation, weighing ≥ 50 kg and fasted ≥ 90 min, will be screened. Recruited patients will undergo emergency reduction of a dislocated shoulder facilitated by procedural sedation utilising TCI of propofol.The widespread adoption of TCI propofol by emergency departments will require evidence that it is safe, potentially effective, patient centred and a timely method of providing procedural sedation. The primary endpoint will be acceptability measured by patient sa...
Source: Pain Physician - March 5, 2019 Category: Anesthesiology Authors: Burton FM, Lowe DJ, Millar J, Corfield AR, Sim MAB Tags: Pilot Feasibility Stud Source Type: research

Comparison of the Effects of Thoracic Epidural Anesthesia with General Anesthesia on Hemodynamic Changes and its Complications in Patients Undergoing Laparoscopic Cholecystectomy.
Conclusion: The results of this study indicated that thoracic EA in patients with laparoscopic cholecystectomy has significant effects on factors such as SBP and DBP and arterial blood oxygen saturation. Furthermore, EA has fewer complications than GA, and it is the preferable approach. PMID: 30820428 [PubMed] (Source: Pain Physician)
Source: Pain Physician - March 5, 2019 Category: Anesthesiology Authors: Majedi MA, Sarlak S, Sadeghi Y, Ahsan B Tags: Adv Biomed Res Source Type: research

ACOG Practice Bulletin No. 209 Summary: Obstetric Analgesia and Anesthesia.
Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be ...
Source: Pain Physician - February 27, 2019 Category: Anesthesiology Tags: Obstet Gynecol Source Type: research

ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia.
Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be ...
Source: Pain Physician - February 27, 2019 Category: Anesthesiology Tags: Obstet Gynecol Source Type: research

The Current State of Physician Assistant Pain Curriculum: A National Survey.
CONCLUSIONS: Eighty-six percent of programs include pain education in their curriculum, suggesting that PA programs recognize the importance of pain education. The methods of instruction and topics included across programs are inconsistent. As the first comprehensive benchmark of pain medicine education for PAs, this study shows that although most programs address pain curriculum, opportunities exist to improve pain training in PA programs in the United States. PMID: 30801555 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - February 27, 2019 Category: Anesthesiology Authors: Yealy JK, Martinasek M, Doran T Tags: J Physician Assist Educ Source Type: research

Accreditation Improves Quality of Oncology Education in Low- and Middle-Income Countries: Perspectives of African Oncologists.
Abstract The purpose of this study is to understand the perspectives of African Oncologists on the role of accreditation and on global standards. We developed a survey that addressed African oncologists' opinions on the role of accreditation. The survey also included 187 standards from World Federation of Medical Education Postgraduate medical education (PGME) standards, American Council of Graduate Medical Education (ACGME)-I standards for hematology/oncology, and the Royal College of Physician and Surgeons of Canada Medical Oncology standards. A 3-point scale was employed for each standard: 1 = not important, 2 ...
Source: Pain Physician - February 26, 2019 Category: Anesthesiology Authors: Hammad N, Stockley D, Hastings-Truelove A, Vanderpuye V, Rubagumya F, Caruso T Tags: J Cancer Educ Source Type: research

Well informed physician-patient communication in consultations on back pain - study protocol of the cluster randomized GAP trial.
DISCUSSION: The GAP-trial intends to improve the communication between physicians and their patients and the informedness of both groups. If proven beneficial, the evidence-based and user-friendly portal will be made accessible for all patients and health professionals in back pain care. Inclusion of further indications might be implemented and evaluated in the long term. TRIAL REGISTRATION: German Clinical Trials Register DRKS00014279 (registered 27th of April 2018). PMID: 30803433 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - February 25, 2019 Category: Anesthesiology Authors: Voigt-Radloff S, Schöpf AC, Boeker M, Frank L, Farin E, Kaier K, Körner M, Wollmann K, Lang B, Meerpohl JJ, Möhler R, Niebling W, Serong J, Lange R, van der Keylen P, Maun A Tags: BMC Fam Pract Source Type: research

Biological and clinical insights from genetics of insomnia symptoms.
JL, Schormair B, Tyrrell J, Winkelman JW, Winkelmann J, HUNT All In Sleep, Hveem K, Zhao C, Nielsen JB, Willer CJ, Redline S, Spiegelhalder K, Kyle SD, Ray DW, Zwart JA, Brumpton B, Frayling TM, Lawlor DA, Rutter MK, Weedon MN, Saxena R Abstract Insomnia is a common disorder linked with adverse long-term medical and psychiatric outcomes. The underlying pathophysiological processes and causal relationships of insomnia with disease are poorly understood. Here we identified 57 loci for self-reported insomnia symptoms in the UK Biobank (n = 453,379) and confirmed their effects on self-reported insomnia s...
Source: Pain Physician - February 25, 2019 Category: Anesthesiology Authors: Lane JM, Jones SE, Dashti HS, Wood AR, Aragam KG, van Hees VT, Strand LB, Winsvold BS, Wang H, Bowden J, Song Y, Patel K, Anderson SG, Beaumont RN, Bechtold DA, Cade BE, Haas M, Kathiresan S, Little MA, Luik AI, Loudon AS, Purcell S, Richmond RC, Scheer F Tags: Nat Genet Source Type: research

National Trends in Prescription Opioid Risk Mitigation Practices: Implications for Prescriber Education.
CONCLUSIONS: Prescribers report low levels of employing five opioid risk mitigation practices for all patients prescribed opioids before attending a safer opioid prescribing training. Policy Implications. Safer opioid prescribing education should transition from knowledge acquisition toward universal implementation of opioid risk mitigation practices. PMID: 30789651 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 21, 2019 Category: Anesthesiology Authors: Alford DP, Lazure P, Murray S, Hardesty I, Krause JR, White JL Tags: Pain Med Source Type: research

Modifiable elements of ICU supportive care and communication are associated with surrogates' PTSD symptoms.
CONCLUSION: Modifiable deficits in ICU clinician support and communication were associated with increased PTSD symptoms among CCI surrogates. PMID: 30790028 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 21, 2019 Category: Anesthesiology Authors: Wendlandt B, Ceppe A, Choudhury S, Cox CE, Hanson LC, Danis M, Tulsky JA, Nelson JE, Carson SS Tags: Intensive Care Med Source Type: research

PROMIS Fatigue short forms are reliable and valid in adults with rheumatoid arthritis.
CONCLUSIONS: These results provide robust evidence supporting the construct validity of the 4, 7, and 8-item PROMIS-Fatigue SFs. They capture fatigue across the spectrum of RA disease activity in diverse groups of individuals and should be considered for use as patient-centered assessments of disease control and treatment efficacy. PMID: 30790155 [PubMed] (Source: Pain Physician)
Source: Pain Physician - February 21, 2019 Category: Anesthesiology Authors: Bingham Iii CO, Gutierrez AK, Butanis A, Bykerk VP, Curtis JR, Leong A, Lyddiatt A, Nowell WB, Orbai AM, Bartlett SJ Tags: J Patient Rep Outcomes Source Type: research

Legal and ethical implications of defining an optimum means of achieving unconsciousness in assisted dying.
JJ Abstract A decision by a society to sanction assisted dying in any form should logically go hand-in-hand with defining the acceptable method(s). Assisted dying is legal in several countries and we have reviewed the methods commonly used, contrasting these with an analysis of capital punishment in the USA. We expected that, since a common humane aim is to achieve unconsciousness at the point of death, which then occurs rapidly without pain or distress, there might be a single technique being used. However, the considerable heterogeneity in methods suggests that an optimum method of achieving unconsciousness rem...
Source: Pain Physician - February 20, 2019 Category: Anesthesiology Authors: Sinmyee S, Pandit VJ, Pascual JM, Dahan A, Heidegger T, Kreienbühl G, Lubarsky DA, Pandit JJ Tags: Anaesthesia Source Type: research

Factors associated with requesting and receiving euthanasia: a nationwide mortality follow-back study with a focus on patients with psychiatric disorders, dementia, or an accumulation of health problems related to old age.
Abstract BACKGROUND: Recently, euthanasia and assisted suicide (EAS) in patients with psychiatric disorders, dementia, or an accumulation of health problems has taken a prominent place in the public debate. However, limited is known about this practice. The purpose of this study was threefold: to estimate the frequency of requesting and receiving EAS among people with (also) a psychiatric disorder, dementia, or an accumulation of health problems; to explore reasons for physicians to grant or refuse a request; and to describe differences in characteristics, including the presence of psychiatric disorders, dementia,...
Source: Pain Physician - February 19, 2019 Category: Anesthesiology Authors: Evenblij K, Pasman HRW, van der Heide A, Hoekstra T, Onwuteaka-Philipsen BD Tags: BMC Med Source Type: research

Psoriasis and skin pain: real-life effectiveness of calcipotriol plus betamethasone dipropionate in aerosol foam formulation.
Abstract BACKGROUND/OBJECTIVE: Although 40% of psoriasis patients reported skin pain, this symptom is often underestimated. A new formula of calcipotriol plus betamethasone dipropionate (Cal/BD) has been recently approved for psoriasis treatment. Therefore, we aimed to evaluate the efficacy of Cal/BD aerosol foam on skin pain of patients with plaque psoriasis. METHODS: A real-life 4 weeks prospective, open study on Cal/BD aerosol foam (not compared to vehicle or emollient cream) was performed in adult psoriasis patients attending three Dermatology units located in Campania region, Italy, between March and Oct...
Source: Pain Physician - February 15, 2019 Category: Anesthesiology Authors: Gallo L, Megna M, Cirillo T, Caterino P, Lodi G, Mozzillo R, Dente V, Balato A Tags: J Eur Acad Dermatol Venereol Source Type: research

Validating international CanMEDS-based standards defining education and safe practice of nurse anesthetists.
CONCLUSION AND IMPLICATION FOR NURSING AND HEALTH POLICY: Adopted by low- and middle-income countries or countries where national standards are non-existent, this survey could introduce national and local policies at minimally acceptable standards of care for nurse anesthetists worldwide. The above standards have the potential to align education, outcomes and assessment of nurse anesthetists with the needs of national healthcare systems. PMID: 30768709 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 15, 2019 Category: Anesthesiology Authors: Herion C, Egger L, Greif R, Violato C Tags: Int Nurs Rev Source Type: research

The Seriousness of Chronic Venous Disease: A Review of Real-World Evidence.
Abstract Chronic venous disease (CVD) is a prevalent condition that tends to worsen with age. Patients initially seek treatment to relieve symptoms of leg pain, discomfort, heaviness and swelling, all of which impact their quality of life. As the disease increases in severity to include varicose veins, skin changes, and venous ulcer, the demand for treatment increases while the quality of life further diminishes. The prevalence of CVD is highest in Western countries where it already consumes up to 2% of healthcare budgets. With the aging of the global population, the prevalences of CVD and severe CVD are projected...
Source: Pain Physician - February 13, 2019 Category: Anesthesiology Authors: Davies AH Tags: Adv Ther Source Type: research

Interprofessional Collaboration Between a Multidisciplinary Palliative Care Team and the Team Pharmacist on Pain Management.
Abstract PURPOSE:: The purpose of the study was to evaluate the impact on pain management by multidisciplinary palliative care team (mPCT) and the team pharmacist. METHODS:: Patients who were admitted to palliative care unit (PCU) for at least 7 days between April 2014 and December 2015 were included. The mPCT consisted of a physician, a pharmacist, nurses, and non-clinical support staff. The team was on charge of pain management of patients who were admitted to PCU. Pain intensity was assessed at 3 time points in each patient; 1 week before PCU admission (day -7), on the day of admission (day 0), and 1 week ...
Source: Pain Physician - February 12, 2019 Category: Anesthesiology Authors: Geum MJ, Ahn JH, Kim JS, Kim SH, Son ES, Hu YJ, Choi HJ, Rhie SJ Tags: Am J Hosp Palliat Care Source Type: research

Association between lay perception of morbidity and appropriateness of specialized health care use in Adolescent Idiopathic Scoliosis.
This article is protected by copyright. All rights reserved. PMID: 30756421 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 12, 2019 Category: Anesthesiology Authors: Beauséjour M, Goulet L, Roy-Beaudry M, Grimard G, Labelle H Tags: J Orthop Res Source Type: research

Children with Enthesitis Have Worse Quality of Life, Function, and Pain, Irrespective of their Juvenile Arthritis Category.
CONCLUSION: Children with enthesitis, regardless of JIA category, report worse PROs than those without enthesitis. Thus, enthesitis should be assessed in all children with JIA. This article is protected by copyright. All rights reserved. PMID: 30740939 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 11, 2019 Category: Anesthesiology Authors: Rumsey DG, Guzman J, Rosenberg AM, Huber AM, Scuccimarri R, Shiff NJ, Bruns A, Feldman BM, Eurich DT, Research in Arthritis in Canadian Children Emphasizing Outcomes Investigators Tags: Arthritis Care Res (Hoboken) Source Type: research

Migraine: Stigma in Society.
Abstract Migraine is a prevalent disease with a substantial socioeconomic impact. However, stigma affects social attitude toward migraine, accruing additional burden on individuals with migraine and isolating them from a society that should be supporting them. PURPOSE OF THIS REVIEW: This review will discuss the following concepts: (1) the emergence of stigma toward migraine and its impact on medical care; (2) internalized stigma among those with migraine and its detrimental effect on quality of life and patient-physician relationships; (3) the structural impact of stigma on research funding, workplace support, an...
Source: Pain Physician - February 9, 2019 Category: Anesthesiology Authors: Parikh SK, Young WB Tags: Curr Pain Headache Rep Source Type: research

StatPearls
Authors: Abstract A pleural friction rub is an adventitious breath sound heard on auscultation of the lung. The pleural rub sound results from the movement of inflamed and roughened pleural surfaces against one another during movement of the chest wall.[1] This sound is non-musical, and described as “grating,” “creaky,” or “the sound made by walking on fresh snow.”[2] Any potential cause of pleural effusion, pleuritis, or serositis can result in a pleural friction rub. Patients may be able to describe the localization of the rub based on pain. A pleural friction rub is a m...
Source: Pain Physician - February 7, 2019 Category: Anesthesiology Tags: Book Source Type: research

Diagnosis of Fibromyalgia: Disagreement Between Fibromyalgia Criteria and Clinician-Based Fibromyalgia Diagnosis in a University Clinic.
CONCLUSION: There is considerable disagreement between ICD clinical diagnosis and criteria-based diagnosis of fibromyalgia, calling into question ICD-based studies. Fibromyalgia criteria were easy to use, but problems regarding clinician bias, meaning of a fibromyalgia diagnosis, and the validity of physician diagnosis were substantial. PMID: 30724039 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 6, 2019 Category: Anesthesiology Authors: Wolfe F, Schmukler J, Jamal S, Castrejon I, Gibson KA, Srinivasan S, Häuser W, Pincus T Tags: Arthritis Care Res (Hoboken) Source Type: research

Health beliefs, attitudes, and health-related quality of life in persons with fibromyalgia: mediating role of treatment adherence.
rsch JK Abstract Fibromyalgia is a chronic illness characterized by pain and fatigue. Persons with fibromyalgia experience increased the risk for poor mental and physical health-related quality of life, which may be dependent on multiple factors, including health beliefs, such as confidence in physicians and the health-care system, and health behaviors, such as treatment adherence. Respondents with fibromyalgia (n = 409) were recruited nationally, via support organizations, and completed self-report measures: Multidimensional Health Profile - Health Functioning Index (MHP-H), Short-Form-36 Health Survey ...
Source: Pain Physician - February 6, 2019 Category: Anesthesiology Authors: Rowe CA, Sirois FM, Toussaint L, Kohls N, Nöfer E, Offenbächer M, Hirsch JK Tags: Psychol Health Med Source Type: research

Compounded Topical Pain Creams to Treat Localized Chronic Pain: A Randomized Controlled Trial.
Conclusion: Compounded pain creams were not better than placebo creams, and their higher costs compared with approved compounds should curtail routine use. Primary Funding Source: Centers for Rehabilitation Sciences Research, Defense Health Agency, U.S. Department of Defense. PMID: 30716769 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 5, 2019 Category: Anesthesiology Authors: Brutcher RE, Kurihara C, Bicket MC, Moussavian-Yousefi P, Reece DE, Solomon LM, Griffith SR, Jamison DE, Cohen SP Tags: Ann Intern Med Source Type: research

Sedation for terminally ill cancer patients: A multicenter retrospective cohort study in South Korea.
Abstract Sedation therapy is a potential solution to providing relief from refractory symptoms at end of life. The aim of this study was to investigate actual sedation practice and physician characteristics associated with the use of sedation for terminally ill cancer patients in South Korea.A retrospective review was conducted on consecutive patients who had died from cancer at seven tertiary medical centers between January 2010 and October 2015. The use of sedation was defined as the administration of sedative agents to relieve intolerable symptoms within the last 2 weeks preceding death. Patients and physicia...
Source: Pain Physician - February 1, 2019 Category: Anesthesiology Authors: Kim YS, Song HN, Ahn JS, Koh SJ, Ji JH, Hwang IG, Yun J, Kwon JH, Kang JH Tags: Medicine (Baltimore) Source Type: research

Spine Intervention-An Update on Injectable Biomaterials.
Abstract Back pain is the second most common reason for primary-care physician visits after the common cold. New understanding of the spine pathophysiology and biomechanics led to the development of novel injectable biomaterials to treat those pain generators. Although not all biomaterials are currently ready for common use, there is significant interest by the medical community to invest time, resources, and energy to optimize these injectables. This review introduces basic concepts and advancements in the field of bioinjectables tailored for the vertebral body. Also, we highlight advances in injectable biomateri...
Source: Pain Physician - January 31, 2019 Category: Anesthesiology Authors: Ashammakhi N, Clerk-Lamalice O, Baroud G, Darabi MA, Georgy B, Beall D, Wagoner D Tags: Can Assoc Radiol J Source Type: research

Patients' return-to-work expectancy relates to their beliefs about their physician's opinion regarding return to work volition and ability.
Conclusion: The results indicate that patients' beliefs regarding their physician's opinion about their ability and volition for RTW influence their own RTW expectancy. Rehabilitation might be facilitated if health care professionals address and affirm patients' ability and volition for RTW, regardless of patients' pain characteristics or if the total duration of their sick leave is
Source: Pain Physician - January 31, 2019 Category: Anesthesiology Authors: Claréus B, Renström EA Tags: J Pain Res Source Type: research

Organizational factors associated with target sedation on the first 48  h of mechanical ventilation: an analysis of checklist-ICU database.
CONCLUSIONS: Board-certified intensivists on morning and afternoon shifts were associated with an increased number of patients achieving lighter sedation goals. These findings reinforce the importance of organizational factors, such as intensivists' presence, as a modifiable quality improvement target. PMID: 30696474 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 29, 2019 Category: Anesthesiology Authors: Nassar AP, Zampieri FG, Salluh JI, Bozza FA, Machado FR, Guimarães HP, Damiani LP, Cavalcanti AB Tags: Crit Care Source Type: research

Physician Responses to Enhanced Prescription Drug Monitoring Program Profiles.
Conclusions: Our study underscores the importance of involving prescribers in developing and testing PDMP profile enhancements, as well as providing guidance in the interpretation and clinical use of enhanced profiles. Reduced time burden is an important benefit to consider as the number of states mandating PDMP use increases. PMID: 30698811 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - January 28, 2019 Category: Anesthesiology Authors: Leichtling G, Hildebran C, Novak K, Alley L, Doyle S, Reilly C, Weiner SG Tags: Pain Med Source Type: research

Evaluation of the Pronouncement of Death Policy Implementation and Outcomes: Implications for Advanced Practice Nursing.
Abstract In 2011, the Veterans Health Administration mandated that Veterans Affairs (VA) Medical Centers develop and implement a policy that allowed registered nurses (RNs) and advanced practice registered nurses (APRNs) to pronounce the death of residents who die in Veterans Affairs community living centers, previously known as nursing homes, provided that there is a written do-not-resuscitate order in their medical record. The purpose of this quality improvement project was to determine the extent to which the implementation of the RN/APRN death pronouncement policy affected death pronouncement time for resident...
Source: Pain Physician - January 28, 2019 Category: Anesthesiology Authors: Jackson HA, Oliver JS, House K Tags: J Hosp Palliat Nurs Source Type: research

Topical treatment of vaginal dryness with a non-hormonal cream in women undergoing breast cancer treatment - An open prospective multicenter study.
s C Abstract This open, prospective, multicenter, observational study was performed to investigate the efficacy and safety of a non-hormonal cream in women undergoing breast cancer treatment and experiencing vulvovaginal dryness symptoms. Overall, 128 patients from 22 study centers participated. The cream was applied to the vagina and vulva for 28 days. For the efficacy analysis, changes in subjective symptoms (feeling of dryness, itching, burning, pain independent of sexual intercourse, dyspareunia, urinary incontinence) were evaluated. Additionally, the following objective diagnostic findings were assessed by a ...
Source: Pain Physician - January 25, 2019 Category: Anesthesiology Authors: Chatsiproios D, Schmidts-Winkler IM, König L, Masur C, Abels C Tags: PLoS One Source Type: research

Effect of patient education on medication adherence of patients with rheumatoid arthritis: a randomized controlled trial.
Conclusion: Patient education significantly improved adherence. However, there were no differences between single education intervention and multi-component education intervention in improving medication adherence. Provision of a disease information pamphlet with or without directed counseling can equally enhance medication adherence of patients with RA. PMID: 30666095 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 24, 2019 Category: Anesthesiology Authors: Taibanguay N, Chaiamnuay S, Asavatanabodee P, Narongroeknawin P Tags: Patient Prefer Adherence Source Type: research

Chronic fatigue syndrome in the emergency department.
Conclusion: This is the first investigation of the presentation of CFS in the ED and indicates the importance of orthostatic intolerance as the most frequent acute cause for a visit. The self-report CFS questionnaire may be useful as a screening instrument in the ED. Education of ED staff about modern concepts of CFS is necessary to improve patient and staff satisfaction. Guidance is provided for the diagnosis and treatment of CFS in these challenging encounters. PMID: 30666170 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 24, 2019 Category: Anesthesiology Authors: Timbol CR, Baraniuk JN Tags: Open Access Emerg Med Source Type: research

Epidemiology of physician-diagnosed neuropathic pain in Brazil.
Conclusion: Evaluation of chronic pain patients in Brazil yielded a 14.5% probable NeP prevalence. NSAIDs and opioids were commonly used, and there was a high incidence of NeP-related symptoms with varying levels of dysfunction across subtypes. PMID: 30662280 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 23, 2019 Category: Anesthesiology Authors: Udall M, Kudel I, Cappelleri JC, Sadosky A, King-Concialdi K, Parsons B, Hlavacek P, Hopps M, Salomon PA, DiBonaventura MD, Clark P, Garcia JBS Tags: J Pain Res Source Type: research

Characteristics of patients with neuropathic pain syndromes screened by the painDETECT questionnaire and diagnosed by physician exam.
Conclusion: These exploratory findings indicate that patients with NeP across different etiologies are medically complex and experience impaired function across multiple domains. PMID: 30662281 [PubMed] (Source: Pain Physician)
Source: Pain Physician - January 23, 2019 Category: Anesthesiology Authors: Kudel I, Hopps M, Cappelleri JC, Sadosky A, King-Concialdi K, Liebert R, Parsons B, Hlavacek P, Alexander AH, DiBonaventura MD, Markman JD, Farrar JT, Stacey BR Tags: J Pain Res Source Type: research