COMBAT study – Computer based assessment and treatment – A clinical trial evaluating impact of a computerized clinical decision support tool on pain in cancer patients
Conclusion The Combat system did not improve pain management. This may be explained by several factors, however, we consider lack of proper implementation of the CCDS in the clinic to be the most important factor. As a result, we did not manage to change the behaviour of the physicians in the clinic. Implications There is a need to conduct larger prospective studies to evaluate the efficacy of modern information technology to improve pain management in cancer patients. Before introducing new information technology in the clinics, it is important to have a well thought out implementation strategy. The trial is registered a...
Source: Scandinavian Journal of Pain - August 9, 2017 Category: Anesthesiology Source Type: research

Long-term treatment in chronic noncancer pain: Results of an observational study comparing opioid and nonopioid therapy
Conclusion In the long-term no clear advantage of opioid vs. non-opioid analgesics could be revealed. In terms of remaining pain intensity, functional disability and quality of life, treatment with pain medication proved insufficient. Additionally, with higher doses of opioids the benefit to risk relationship becomes worse and patients on high potency opioids reported more psychological impairment than patients on low potency opioids but no advantage with regard to pain relief. Implications Our results raise questions about the long-term effectiveness of analgesic treatment regimens irrespective of analgesics type employe...
Source: Scandinavian Journal of Pain - August 8, 2017 Category: Anesthesiology Source Type: research

Association between pain, disability, widespread pressure pain hypersensitivity and trigger points in subjects with neck pain
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): Matteo Castaldo, Antonella Catena, Alessandro Chiarotto, Jorge Hugo Villafañe, César Fernández-de-las-Peñas, Lars Arendt-Nielsen (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Buprenorphine alleviation of pain does not compromise the rat monoarthritic pain model
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): M.S. Berke, Klas S.P. Abelson (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Expression of α1 adrenergic receptor subtypes by afferent fibers that innervate rat masseter muscle
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): B.E. Cairns, J. Liu, H. Wong (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Chronic neuropathic pain following oxaliplatin and docetaxel: A 5-year follow-up questionnaire study
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): K.J. Bennedsgaard, L. Ventzel, A.B. Jensen, A.R. Jensen, H. Tankisi, N.B. Finnerup (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

The number of active trigger points is associated with sensory and emotional aspects of health-related quality of life in tension type headache
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): M. Palacios-Ceña, K. Wang, M. Castaldo, S. Fuensalida-Novo, C. Ordás-Bandera, A. Guillem-Mesado, L. Arendt-Nielsen, C. Fernández-de-las-Peñas (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Dynamic and static mechanical pain sensitivity is associated in women with migraine
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): M. Palacios-Ceña, M. Ruíz, J. Barón, A.L. Guerrero-Peral, C. Fernández-de-las-Peñas, L. Arendt-Nielsen (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Correlation between quality of pain and depression: A post-operative assessment of pain after caesarian section among women in Ghana
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): V.A. Adzika, F.N. Glozah, D. Ayim-Aboagye, C.S.K. Ahorlu, M. Ekuban (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

Pain patients ’ experiences of validation and invalidation from physicians before and after multimodal pain rehabilitation: Associations with pain, negative affectivity, and treatment outcome
Conclusions Taken together, most patients felt understood when communicating with their rehabilitation physician. However, a smaller group of patients experienced the opposite: low levels of validation and heightened levels of invalidation. This group stood out as more problematic, reporting greater pain interference and negative affectivity when compared to the other groups after treatment. Patient perceptions were typically stable over time, but some individuals changed cluster, and these movements seemed to be related to negative affectivity and pain interference. These results do not support a connection between percei...
Source: Scandinavian Journal of Pain - August 4, 2017 Category: Anesthesiology Source Type: research

A multi-facet pain survey of psychosocial complaints among patients with long-standing non-malignant pain
Conclusions The Multi-Facet Pain Survey (MFPS) facets cover a broad array of experienced psychosocial distress in patients with severe, longstanding pain. Some facets of psychosocial impact of longstanding pain states shown in the qualitatively derived distress facets, or by the latent factors found in the factor analysis, may complement our understanding of the long-term impact of pain. Consequently, MFPS may improve the assessment of psychological and social complaints and complications in patients with chronic pain. Implications The MFPS will hopefully be an assessment tool supporting the psychological contribution to ...
Source: Scandinavian Journal of Pain - August 2, 2017 Category: Anesthesiology Source Type: research

Swearing as a response to pain: A cross-cultural comparison of British and Japanese participants
Conclusions The results replicate previous findings that swearing increases pain tolerance and that individuals from an Asian ethnic background experience greater levels of perceived pain than those from a Caucasian ethnic background. However, these results do not support the idea of pain perception modification due to a “scripting” effect. This is evidenced as swearword mediated hypoalgesia occurs irrespective of participant cultural background. Rather, it is suggested that modulation of pain perception may occur through activation of descending inhibitory neural pain mechanisms. Implications As swearing can increase...
Source: Scandinavian Journal of Pain - August 1, 2017 Category: Anesthesiology Source Type: research

New evidence for a pain personality? A critical review of the last 120 years of pain and personality
Conclusions Recent descriptive studies using Cloninger's Temperament and Character Inventory (TCI-R) suggest that higher harm avoidance and lower self-directedness may be the most distinguishing personality features of chronic pain sufferers. High harm avoidance refers to a tendency to be fearful, pessimistic, sensitive to criticism, and requiring high levels of re-assurance. Low self-directedness often manifests as difficulty with defining and setting meaningful goals, low motivation, and problems with adaptive coping. Evidence for this personality profile is found across a wide variety of chronic pain conditions includin...
Source: Scandinavian Journal of Pain - July 29, 2017 Category: Anesthesiology Source Type: research

Patient perspectives on wait times and the impact on their life: A waiting room survey in a chronic pain clinic
Conclusions Our study found that wait times for chronic pain care, even those triaged as urgent cases, far exceeded what patients considered ideal. Only a third of patients received care within three months of making their appointment, while nearly another third waited over a year. During the waiting period, nearly all patients experienced some impact on their day-to-day activities and work or school attendance, half were unemployed, and nearly a quarter reported a complete inability to attend work or school because of pain. Implications Wait times for chronic pain care exceed timelines deemed acceptable by patients, caus...
Source: Scandinavian Journal of Pain - July 28, 2017 Category: Anesthesiology Source Type: research

Management of patients with pain and severe side effects while on intrathecal morphine therapy: A case study
Conclusion The case study indicates that for patients who fail to respond to intrathecal morphine pump therapy due to side effects and lack of optimal pain control, the simultaneous multidisciplinary pain management approach and opioids tapering seem appropriate. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - July 28, 2017 Category: Anesthesiology Source Type: research