The Effects of a Patient-Specific Integrated Education Program on Pain, Perioperative Anxiety, and Functional Recovery following Total Knee Replacement
This study aims to introduce a patient-specific integrated education program (IEP) into the TKA clinical pathway and to evaluate patient outcomes between the intervention and control groups. We performed a two-site, two-arm, parallel-prospective controlled trial. The experiment group received an IEP incorporating verbal preoperative education, prehabilitation, multidisciplinary personalized rehabilitation during hospitalization, and supervised self-executed home-based exercise after discharge. The control group received regular TKA clinical care. We monitored the pain intensity, anxiety scores, and functional scores at six...
Source: Pain Physician - May 28, 2022 Category: Anesthesiology Authors: Cheng-Jung Ho Yen-Ti Chen Hung-Lan Wu Hsuan-Ti Huang Sung-Yen Lin Source Type: research

Effects of Complex Rehabilitation Program on Reducing Pain and Disability in Patients with Lumbar Disc Protrusion-Is Early Intervention the Best Recommendation?
Conclusion: The current study proves the importance of combining ET with HT and PT. The earlier the RT is implemented, the lower the pain perception and level of disability associated with the lumbar disease.PMID:35629163 | DOI:10.3390/jpm12050741 (Source: Pain Physician)
Source: Pain Physician - May 28, 2022 Category: Anesthesiology Authors: Emilian Tarc ău Dorina Ianc Elena Sirbu Doriana Ciobanu Ioan Cosmin Boca Florin Marcu Source Type: research

The Use of Low-Dose Methadone as Add-On to Ongoing Opioid Treatment in Palliative Cancer Care-An Underrated Treatment?
Life (Basel). 2022 May 3;12(5):679. doi: 10.3390/life12050679.ABSTRACTThe aim of this review is to summarize the current knowledge of low-dose methadone treatment in palliative cancer care. In Sweden, methadone is quite common in specialized palliative care, where almost a tenth of patients are prescribed this drug. Negative attitudes towards methadone do not seem to prevent it from being used for pain management, and by starting with low doses and then increasing slowly and gradually, methadone can apparently be introduced safely. It is still uncertain whether methadone has a better analgesic effect than other opioids. Ho...
Source: Pain Physician - May 28, 2022 Category: Anesthesiology Authors: Per F ürst Source Type: research

A Retrospective Claims-Based Study Evaluating Clinical and Economic Burden Among Patients With Moderate to Severe Osteoarthritis Pain in the United States
Conclusions: The burden of MTS OA pain is substantial, with patterns that show increasing medication use, HCRU, and costs vs non-MTS OA pain patients over time. Understanding the heterogeneity within the OA population may allow us to further appreciate the true burden of illness for patients in pain.PMID:35620454 | PMC:PMC8888122 | DOI:10.36469/jheor.2022.31895 (Source: Pain Physician)
Source: Pain Physician - May 27, 2022 Category: Anesthesiology Authors: Patricia B Schepman Sheena Thakkar Rebecca L Robinson Craig G Beck Deepa Malhotra Birol Emir Ryan N Hansen Source Type: research

Do racial disparities exist at various time points during an emergency department visit for chest pain
CONCLUSION: Black patients have longer wait times for resident physician evaluation, advanced practice provider evaluation, attending physician evaluation, and ED disposition when presenting to the ED with chest pain.PMID:35623177 | DOI:10.1016/j.ajem.2022.04.029 (Source: Pain Physician)
Source: Pain Physician - May 27, 2022 Category: Anesthesiology Authors: Carl Allamby Thomas Scott Jessica Krizo Kathrina Consing Caroline Mangira Erin L Simon Source Type: research

Factors Associated With the Quality of the Patient-Doctor Relationship: A Cross-Sectional Study of Ambulatory Mexican Patients With Rheumatic Diseases
CONCLUSIONS: Patient-related factors and the degree of experience of the attending physician impact the quality of the PDR, in Mexican outpatients with rheumatic diseases.PMID:35616508 | DOI:10.1097/RHU.0000000000001816 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Virginia Pascual-Ramos Iraz ú Contreras-Yáñez Ana Bel én Ortiz-Haro Albert Christiaan Molewijk Gregorio T Obrador Evandro Agazzi Source Type: research

Medical cannabis use by rheumatology patients in routine clinical care: results from The Ontario Best Practices Research Initiative
CONCLUSIONS: Medical cannabis use among rheumatology patients in Ontario was two-fold higher than that reported for the general population of similar age. Use was associated with more severe disease, pain, and prior recreational use. Reported lack of research, knowledge, and product standardisation were barriers for rheumatologist use authorisation.PMID:35616591 | DOI:10.55563/clinexprheumatol/b85xu5 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Emmanouil Rampakakis Carter Thorne Angela Cesta Mohammad Movahedi XiuYing Li Carol Mously Vandana Ahluwalia Julie Brophy Patricia Ciaschini Edward Keystone Arthur Lau Gerald Major Viktoria Pavlova Janet E Pope Claire Bombardier Source Type: research

Adequacy of physician clinical rounds and nursing care elements for non-COVID-19 infected patients admitted during the COVID-19 pandemic
CONCLUSIONS: Caring for patients admitted for non COVID 19 infection reasons, physicians' clinical rounds did marginally increase compared to pre lockdown period while nurses monitoring for those patients was significantly higher. No difference in mortality was observed for patients admitted pre and during lockdown. The number of missed opportunities to do clinical rounds by physicians remains high during both periods and measures to improve adherence of physicians to performed clinical rounds are needed.PMID:35617828 | PMC:PMC9045878 | DOI:10.1016/j.jiph.2022.04.004 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Abdullah Alrasheed Jinan Shamou Rajkumar Rajendram Abdulaziz Boqaeid Salman Qasim Waleed Baharoon Laila Layqah Salim Baharoon Source Type: research

The Supportive Care Clinic: a novel model of embedded pediatric palliative oncology care
CONCLUSION: Embedded SCC clinics can be successful, achieve steady growth, improve referrals and timing of PPC, and enhance end-of-life care for children with cancer. Large pediatric cancer centers should include SCC outpatient services.PMID:35618251 | DOI:10.1016/j.jpainsymman.2022.05.007 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Katharine E Brock Nicholas P DeGroote Anna Roche Annika Lee Karen Wasilewski Source Type: research

Factors associated with physician-reported treatment status of patients with osteoarthritis pain
CONCLUSIONS: Approximately 1 in 4 patients were not prescribed medication and 1 in 7 were self-managed, although many were using over-the-counter medications or nonpharmacologic therapies requiring no/minimal medical supervision. Multiple factors were significantly associated with treatment status, including OA severity and over-the-counter medication, but not pain intensity or most demographics.PMID:35619074 | DOI:10.1186/s12891-022-05414-6 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Thomas J Schnitzer Rebecca L Robinson Leslie Tive Joseph C Cappelleri Andrew G Bushmakin James Jackson Mia Berry Sophie Barlow Chloe Walker Lars Viktrup Source Type: research

The feasibility and safety of cocktail treatment of triple anti-inflammatory agents loaded with gelatin sponge promotes early recovery after posterior percutaneous endoscopic cervical discectomy
CONCLUSIONS: Cocktail treatment, in which a drug sustained-release material made of gelatin sponge was impregnated with dexamethasone, ropivacaine, dexmedetomidine and vitamin B12, facilitates pain relief and early postoperative recovery after PPECD.PMID:35619183 | DOI:10.1186/s13018-022-03178-2 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Peng Zou Xiaoping Zhang Rui Zhang Jun-Song Yang Lei Chu Xiang-Fu Wang Jian-Min Wei Xin Chai Yuan-Ting Zhao Bo Liao Source Type: research

Factors Associated With the Quality of the Patient-Doctor Relationship: A Cross-Sectional Study of Ambulatory Mexican Patients With Rheumatic Diseases
CONCLUSIONS: Patient-related factors and the degree of experience of the attending physician impact the quality of the PDR, in Mexican outpatients with rheumatic diseases.PMID:35616508 | DOI:10.1097/RHU.0000000000001816 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Virginia Pascual-Ramos Iraz ú Contreras-Yáñez Ana Bel én Ortiz-Haro Albert Christiaan Molewijk Gregorio T Obrador Evandro Agazzi Source Type: research

Medical cannabis use by rheumatology patients in routine clinical care: results from The Ontario Best Practices Research Initiative
CONCLUSIONS: Medical cannabis use among rheumatology patients in Ontario was two-fold higher than that reported for the general population of similar age. Use was associated with more severe disease, pain, and prior recreational use. Reported lack of research, knowledge, and product standardisation were barriers for rheumatologist use authorisation.PMID:35616591 | DOI:10.55563/clinexprheumatol/b85xu5 (Source: Pain Physician)
Source: Pain Physician - May 26, 2022 Category: Anesthesiology Authors: Emmanouil Rampakakis Carter Thorne Angela Cesta Mohammad Movahedi XiuYing Li Carol Mously Vandana Ahluwalia Julie Brophy Patricia Ciaschini Edward Keystone Arthur Lau Gerald Major Viktoria Pavlova Janet E Pope Claire Bombardier Source Type: research

Oxygen efficient respiratory Aid (OxEra < sup > TM < /sup > ) device: A safety study
CONCLUSION: Overall the OxEraTM device achieved the safety endpoints set out. There was no sign of asphyxiation and there were appropriate physiological responses to changes in PEP once applied. The comfort of the mask did worsen over the 2 h; however, the scores were minimally worse on PEP application but improved once-off PEP. No adverse event was recorded at all.PMID:35611145 | PMC:PMC9121766 | DOI:10.1016/j.afjem.2022.03.003 (Source: Pain Physician)
Source: Pain Physician - May 25, 2022 Category: Anesthesiology Authors: Midhun Thomas John Sarah Alexandra van Blydenstein Shahed Omar Joanne Bruins Stephilia Tshukutsoane Source Type: research

Osteoid Osteoma of Lumbar Vertebra Presenting as Low Back Ache and Scoliosis in a Young Child - A Case Report
CONCLUSION: Radiofrequency ablation or surgical excision with curettage of osteoid osteoma is required as prolonged analgesic medication has its own side effects. Once the pain subsides, the paraspinal muscle spasm reduces and the scoliosis gradually corrects.PMID:35611287 | PMC:PMC9091400 | DOI:10.13107/jocr.2022.v12.i01.2636 (Source: Pain Physician)
Source: Pain Physician - May 25, 2022 Category: Anesthesiology Authors: Chandrashekhar Gaike Kapil Lalwani Mangesh Panat Source Type: research