Patient and physician perspectives of systemic lupus erythematosus flare: A qualitative study
CONCLUSION: Patients and physicians described flare differently. Participants with SLE perceive flares as several days of fatigue, pain, and features. Providers define flares as periods of increased clinical SLE activity. Our findings suggest the current definition of flare may be insufficient to integrate both perceptions. Further study is needed to understand the pathophysiology of patient flares and the best way to incorporate patients' perspectives into clinical assessments.PMID:38101916 | DOI:10.3899/jrheum.2023-0721 (Source: Pain Physician)
Source: Pain Physician - December 15, 2023 Category: Anesthesiology Authors: Jennifer L Rogers Megan E B Clowse Kevin McKenna Summer Starling Teresa Swezey Nneka Molokwu Amy Corneli David S Pisetsky Kai Sun Lisa G Criscione-Schreiber Rebecca E Sadun Mithu Maheswaranthan Dana Burshell Jayanth Doss Amanda M Eudy Source Type: research

Effect of different types of supervised exercise programs on cardiorespiratory and muscular fitness, pain, fatigue, mental health and inflammatory and oxidative stress biomarkers in older patients with post-COVID-19 sequelae "EJerSA-COVID-19": a randomized controlled trial
CONCLUSIONS: The results of this study will provide insights into the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae. These findings may be the basis for the formulation of health plans and rehabilitation programs that allow healthy aging and a reduction in the associated morbidity in patients with post-COVID-19 sequelae.TRIAL REGISTRATION: NCT05848518. Registered on May 8, 2023.PMID:38102536 | DOI:10.1186/s12877-023-04544-3 (Source: Pain Physician)
Source: Pain Physician - December 15, 2023 Category: Anesthesiology Authors: Eulogio Pleguezuelos Sergio S ánchez-Nuño Amin Del Carmen Noem í Serra-Payá Eva Moreno Lorena Molina-Raya Gemma Robleda Marta Benet Susana Santos-Ruiz Ainoa Biurrun Garrido Carmen Jerez-Molina Marc Miravitlles Mateu Serra-Prat Xavier Vi ñals Montserr Source Type: research

The experience of dry mouth and screening for Sjogren's syndrome by the dentist: patient-reported experiences
CONCLUSIONS: We confirm the significant consequences of dry mouth on oral quality of life, as well as its association with oral health problems. Sjögren's Syndrome screening by dentists should be increased, as well as prevention of the associated oral health risks.PMID:38102574 | DOI:10.1186/s12903-023-03727-z (Source: Pain Physician)
Source: Pain Physician - December 15, 2023 Category: Anesthesiology Authors: Boughanmi Rihab El Houari Lina Simon-Tillaux No émie Saide Jean Gosset Marjolaine Source Type: research

Comparing characteristics and perspectives of U.S. anesthesiology fellows in training and anesthesiologists in their first year of practice
CONCLUSIONS: Anesthesiology fellows and direct-entry anesthesiologists had largely similar demographics and perspectives on the challenges facing anesthesiology in the United States. Group differences found in some demographics and perspectives may reflect different motivations for choosing their professional paths and their diverse professional experiences.PMID:38102615 | DOI:10.1186/s12909-023-04890-1 (Source: Pain Physician)
Source: Pain Physician - December 15, 2023 Category: Anesthesiology Authors: Emily Toutkoushian Dandan Chen Huaping Sun David O Warner Alex Macario Stacie G Deiner Mark T Keegan Source Type: research

Importance of Breast Sensation After Mastectomy: Evidence from Three Sources
CONCLUSIONS: Breast sensation is important to women following mastectomy, yet a gap exists in patient-physician communication about the impact of mastectomy and reconstruction on breast sensory function. Lessons for physicians, scientists, and skeptics are conveyed about why the basic integrity of women's bodies matters for practice and science.PMID:38099078 | PMC:PMC10719638 | DOI:10.1089/whr.2023.0106 (Source: Pain Physician)
Source: Pain Physician - December 15, 2023 Category: Anesthesiology Authors: Stacy T Lindau El A Pinkerton Emily M Abramsohn Charles M Fuller Danielle Grubb Tania Mendoza Amy K Siston Source Type: research

Medically assisted hydration for adults receiving palliative care
CONCLUSIONS: Since the previous update of this review, we have found one new study. In adults receiving palliative care in the end stage of their illness, there remains insufficient evidence to determine whether MAH improves QoL or prolongs survival, compared with placebo or standard care. Given that all participants were inpatients with advanced cancer at end of life, our findings are not transferable to adults receiving palliative care in other settings, for non-cancer, dementia or neurodegenerative diseases, or for those with an extended prognosis. Clinicians will need to make decisions based on the perceived benefits a...
Source: Pain Physician - December 14, 2023 Category: Anesthesiology Authors: Emma J Buchan Alison Haywood William Syrmis Phillip Good Source Type: research

Patient Reported Outcomes Following Triple Arthrodesis for Adult Acquired Flat Foot Deformity: Minimum Two Year Follow Up
J Foot Ankle Surg. 2023 Dec 12:S1067-2516(23)00315-0. doi: 10.1053/j.jfas.2023.11.019. Online ahead of print.ABSTRACTThe aim of this study is to analyze patient reported outcomes following this procedure as well as any demographics that may confer prognostic capability. A retrospective analysis was conducted of patients that underwent Triple Arthrodesis at our facility from 2014-2021. Patients were selected if they underwent an isolated triple arthrodesis. All cases included either a gastrocnemius recession versus a percutaneous tendo-achilles lengthening depending on the patient's Silverskiold examination. The electronic ...
Source: Pain Physician - December 14, 2023 Category: Anesthesiology Authors: Ramez Sakkab Tyler M MacRae Ryan Diaz Benjamin D Cullen Source Type: research

Age and its impact on crisis management performance and learning after simulation-based education by acute care physicians: a multicentre prospective cohort study
CONCLUSIONS: A reduced amount of prior simulation training and increased years in practice, but not age on its own, were significant predictors of low baseline crisis resource management performance. Simulation-based education leads to crisis resource management learning that is well retained for 3-6 months, regardless of age or years in practice.PMID:38087740 | DOI:10.1016/j.bja.2023.10.040 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Fahad Alam Vicki R LeBlanc Alan Baxter Jordan Tarshis Dominique Piquette Yuqi Gu Caroline Filipowska Ashley Krywenky Nicole Kester-Greene Pierre Cardinal Meghan Andrews Francois Chartier Claire Burrows Charles-Henri Houz é-Cerfon Joseph K Burns Lilia Kau Source Type: research

Understanding predictors of fatigue over time in persons with IBD: The importance of depressive and anxiety symptoms
CONCLUSIONS: Anxiety, depression and pain predicted fatigue impact over time in IBD, suggesting that targeting psychological factors and pain for intervention may lessen fatigue burden.PMID:38088416 | DOI:10.14309/ajg.0000000000002630 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Charles N Bernstein John D Fisk Casandra Dolovich Carol A Hitchon Lesley A Graff Ren ée El-Gabalawy Lisa M Lix James M Bolton Scott B Patten Ruth Ann Marrie Source Type: research

Assessing the Utility of a Machine-Learning Model to Assist With the Assignment of the American Society of Anesthesiology Physical Status Classification in Pediatric Patients
CONCLUSIONS: ML derivation of predicted pediatric ASA-PS scores was successful, with a strong agreement between predicted and clinician-entered ASA-PS scores. Presentation of predicted ASA-PS scores was associated with revision in final scoring for 1-in-10 pediatric patients.PMID:38088804 | DOI:10.1213/ANE.0000000000006761 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Lynne R Ferrari Izabela Leahy Steven J Staffa Peter Hong Isabel Stringfellow Jay G Berry Source Type: research

Ominous Causes of Headache
This article delves into the sinister causes of headaches, underscoring the importance of a meticulous clinical approach, especially when presented with red flags.RECENT FINDINGS: Headaches, one of the most common complaints in clinical practice, span a spectrum from benign tension-type episodes to harbingers of life-threatening conditions. For the seasoned physician, differentiating between these extremes is paramount. Headache etiologies covered in this article will include subarachnoid hemorrhage (SAH), cervical artery dissection, cerebral venous thrombosis, meningitis, obstructive hydrocephalus, and brain tumor.PMID:38...
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Latha Ganti S Chandana Veluri Thor S Stead Richard Rieck Source Type: research

Physician Unionization: Opportunities and Challenges for Anesthesiologists in the United States
This article discusses the legal and regulatory framework governing the unionization of physicians, benefits, challenges, and potential future developments. Continued analysis and debate are necessary to determine the optimal role of physician unions in the health care industry.PMID:38091478 | DOI:10.1213/ANE.0000000000006852 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Joseph Maxwell Hendrix Alyssa M Burgart E Brooke Baker Richard L Wolman Joseph F Kras Source Type: research

Medical assistance in dying when natural death is not reasonably foreseeable: Survey of providers' experiences with patients making track 2 requests
CONCLUSION: Providers of MAID described many challenges in their experiences with patients making track 2 requests, including assessing individuals with concurrent mental illnesses, being uncertain that patients had been offered appropriate treatments prior to seeking MAID, and being unsure whether patients had seriously considered available treatments. Many providers experienced moral distress in attempting to balance patients' rights with what might be in patients' best interests. This is different from experiences providers have had with patients making track 1 requests, as most of these patients have end-stage malignan...
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Ellen Wiebe Michaela Kelly Source Type: research

Age and its impact on crisis management performance and learning after simulation-based education by acute care physicians: a multicentre prospective cohort study
CONCLUSIONS: A reduced amount of prior simulation training and increased years in practice, but not age on its own, were significant predictors of low baseline crisis resource management performance. Simulation-based education leads to crisis resource management learning that is well retained for 3-6 months, regardless of age or years in practice.PMID:38087740 | DOI:10.1016/j.bja.2023.10.040 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Fahad Alam Vicki R LeBlanc Alan Baxter Jordan Tarshis Dominique Piquette Yuqi Gu Caroline Filipowska Ashley Krywenky Nicole Kester-Greene Pierre Cardinal Meghan Andrews Francois Chartier Claire Burrows Charles-Henri Houz é-Cerfon Joseph K Burns Lilia Kau Source Type: research

Understanding predictors of fatigue over time in persons with IBD: The importance of depressive and anxiety symptoms
CONCLUSIONS: Anxiety, depression and pain predicted fatigue impact over time in IBD, suggesting that targeting psychological factors and pain for intervention may lessen fatigue burden.PMID:38088416 | DOI:10.14309/ajg.0000000000002630 (Source: Pain Physician)
Source: Pain Physician - December 13, 2023 Category: Anesthesiology Authors: Charles N Bernstein John D Fisk Casandra Dolovich Carol A Hitchon Lesley A Graff Ren ée El-Gabalawy Lisa M Lix James M Bolton Scott B Patten Ruth Ann Marrie Source Type: research