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Interdisciplinary pain

Ann-Christin Pfeifer, Pamela Meredith, Paul Schröder-Pfeifer, Juan Martin Gomez Penedo, Johannes C Ehrenthal, Corinna Schroeter, Eva Neubauer, Marcus Schiltenwolf
Attachment theory provides a useful framework for understanding individual differences in pain patients, especially with insecure attachment shown to be more prevalent in chronic pain patients compared to the general population. Nevertheless, there is little evidence of attachment-informed treatment approaches for this population. The present study compares outcomes from two different attachment-informed treatment modalities for clinicians, with outcomes from treatment as usual (TAU). In both intervention groups (IG1 and IG2), clinicians received bi-monthly training sessions on attachment...
March 14, 2019: Journal of Clinical Medicine
Mehdi Ayaz, Mohammad Yasin Karami, Iman Deilami, Zahra Moradzadeh
BACKGROUND: Hand burns have major impacts on daily activities. An interdisciplinary and multifaceted approach is necessary to effectively treat these burns. Generally, hands are common sites for burn injuries. It is known that Early Excision and Grafting (EEG) of deep burn wounds can decrease scar and subsequent contracture formation compared to Delayed Excision and Grafting (DEG) method. Accordingly, this study aimed to compare the effects of these procedures on function of hands with deep burns, by using the Michigan Hand Questionnaire (MHQ)...
March 15, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
Julia Z Benjamin, Cynthia Harbeck-Weber, Leslie Sim
BACKGROUND: Most research on family impacts of pediatric chronic pain has been conducted with mothers, and therefore little is known about fathers' adjustment. However, it is well established that caring for a child with chronic pain takes a toll on caregiver well-being. Parents of children with chronic pain have been found to experience high levels of anxiety, depression, and parenting stress. As such, the goal of this study was to examine differences between mothers and fathers of youth with chronic pain, explore interaction effects between parent gender and child variables, and compare parents' scores to national norms...
March 13, 2019: Child: Care, Health and Development
Elizabeth Mirek, Deirdre Logan, Kimberly Boullard, Amber M Hall, Steven J Staffa, Navil Sethna
PURPOSE: To assess the clinical utility of 5 physical therapy (PT) outcome measures in quantifying functional changes in pediatric lower extremity chronic pain treated at a hospital-based interdisciplinary rehabilitation center. DESIGN: This was a cross-sectional study with retrospective review of 173 individuals, 8 to 18 years old, treated from June 2008 to 2013. METHODS: The measures used were the Timed Up and Go, Timed Up and Down Stairs, Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, 6-minute walk test, and Lower Extremity Functional Scale...
March 8, 2019: Pediatric Physical Therapy
Muhammad Siddique Pir, Jumana Jaloudi, Mariam Mir, Najam Saqib, Douglas Klamp
Metastatic prostate cancer and multiple myeloma (MM) usually present with bone lesions, posing a diagnostic challenge in males presenting in late stages. In this case report, an 86-year-old male who had not seen a physician in over 30 years presented with complaints of hip pain and progressive difficulty in walking for three weeks. Outpatient X-ray of the right hip showed multiple lytic bone lesions, raising suspicion of MM. Other laboratory tests revealed elevated serum calcium and elevated prostate-specific antigen (PSA), supporting a diagnosis of prostate cancer...
December 27, 2018: Curēus
Marcelo Rivano-Fischer, Elisabeth B Persson, Britt-Marie Stålnacke, Marie-Louise Schult, Monika Löfgren
OBJECTIVES: To investigate: (i) changes in sick-leave benefits from 1 year prior to multimodal rehabilitation to 1 and 2 years after rehabilitation; (ii) sex differences in sick leave; and (iii) the impact of policy changes on sick leave. METHODS: All patients undergoing multimodal rehabilitation registered in a national pain database for 2007-11 (n = 7,297) were linked to the Swedish Social Insurance Agency database. Sick leave was analysed in 3-month periods: T0: 1 year before rehabilitation; T1: before start; T2: 1 year after; and T3: 2 years after rehabilitation...
March 8, 2019: Journal of Rehabilitation Medicine
Ruth A Bush, Alexa Pérez, Tanja Baum, Caroline Etland, Cynthia D Connelly
Objectives: Globally, healthcare systems are using the Electronic Health Record (EHR) and elements of clinical decision support (CDS) to facilitate palliative care (PC). Examination of published results is needed to determine if the EHR is successfully supporting the multidisciplinary nature and complexity of PC by identifying applications, methodology, outcomes, and barriers of active incorporation of the EHR in PC clinical workflow. Methods: A systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
October 1, 2018: JAMIA Open
Anna Machoy-Mokrzyńska, Zuzanna Starzyńska-Sadura, Violetta Dziedziejko, Krzysztof Safranow, Mateusz Kurzawski, Katarzyna Leźnicka, Violetta Sulżyc-Bielicka, Alina Jurewicz, Andrzej Bohatyrewicz, Monika Białecka
Pain is one of the most interdisciplinary clinical symptoms of a disease. The aim of the study was to evaluate the association of COMT gene polymorphism with pain perception in patients after total hip replacement (THR). The study included 195 patients qualified for surgical treatment (THR) due to osteoarthritis. Patients previously undergoing hip replacement subsequently underwent multimodal pain management therapy, in accordance with the recommendations for treating postoperative pain. The intensity of pain was measured three times at pre-defined time intervals: 1...
March 1, 2019: Scandinavian Journal of Clinical and Laboratory Investigation
Vittorio Branchi, Carsten Meyer, Frauke Verrel, Alexander Kania, Edwin Bölke, Alexander Semaan, Arne Koscielny, Jörg C Kalff, Hanno Matthaei
BACKGROUND: Visceral artery aneurysms (VAA) are rare vascular lesions. Clinically silent VAA are increasingly detected by cross-sectional imaging but some lesions are at risk for rupture with severe bleeding. The aim of the present study was to evaluate the trends in the interdisciplinary management at a tertiary center. METHODS: Patients who underwent treatment for VAA at University Hospital of Bonn between 2005 and 2018 were enrolled in this retrospective study...
February 28, 2019: European Journal of Medical Research
Emily Honzel, Sarah Murthi, Barbara Brawn-Cinani, Giancarlo Colloca, Craig Kier, Amitabh Varshney, Luana Colloca
No abstract text is available yet for this article.
February 25, 2019: Pain
Blaine Marshall, Michelle K Bland, Ryan Hulla, Robert J Gatchel
This article reviews the complexities of the opioid epidemic, considering recent research involving the current state of the opioid epidemic; chronic pain and its role in the crisis; the properties of opioids and how they interact with human neurobiology; the effectiveness and risks of opioids as a treatment for chronic pain; opioid addiction and dependence; and pharmacological and psychological interventions for opioid addiction, opioid dependence, and chronic pain management. Opioid abuse can be reduced with the availability and access to treatment facilities for opioid detoxification; using interdisciplinary treatment models for chronic pain, opioid addiction and dependence; conducting more research in the areas of opioid addiction and opioid dependence; and shifting to an increase in nonpharmacological, less invasive treatments for pain...
March 1, 2019: Pain Management
Fiona Ecarnot, Roberto Bernabei, Giovanni Gabutti, Sandro Giuffrida, Jean-Pierre Michel, Giovanni Rezza, Stefania Maggi
Herpes zoster (HZ) is a painful cutaneous rash with vesicular lesions, lasting up to 3 weeks, and caused by reactivation of the latent varicella zoster virus (VZV). It may be associated with complications, the most feared being post-herpetic neuralgia. Effective vaccines are available to prevent HZ, but uptake remains low. We report here the conclusions of an expert focus group convened by the European Interdisciplinary Council on Ageing (EICA). The group discussed how existing recommendations regarding HZ vaccination could be better implemented, and how compliance and coverage with HZ vaccination could be enhanced...
February 25, 2019: Aging Clinical and Experimental Research
Austin N DeHart, Jessica Potter, Justin Anderson, Iolanda Russo-Menna, Jong Hyung Lee, Derek A Chapman, Kelley M Dodson
IMPORTANCE: Pediatric tonsillectomy is a common procedure now being performed most often for patients with obstructive sleep apnea, which has been associated with increased sensitivity to the respiratory side effects of opioid medications. This study investigates a strategy to decrease the use of opiate medications in a particularly vulnerable population. OBJECTIVE: Describe an interdisciplinary approach between Otolaryngologists and Anesthesiologists to decrease opiate use in tonsillectomy patients...
February 18, 2019: American Journal of Otolaryngology
Ashwin Viswanathan, Aditya Vedantam, Kenneth R Hess, Jewel Ochoa, Patrick M Dougherty, Akhila S Reddy, Dhanalakshmi Koyyalagunta, Suresh Reddy, Eduardo Bruera
BACKGROUND: Up to 30% of patients with cancer continue to suffer from pain despite aggressive supportive care. The present study aimed to determine whether cordotomy can improve cancer pain refractory to interdisciplinary palliative care. MATERIALS AND METHODS: In this randomized controlled trial, we recruited patients with refractory unilateral somatic pain, defined as a pain intensity (PI) ≥4, after more than three palliative care evaluations. Patients were randomized to percutaneous computed tomography-guided cordotomy or continued interdisciplinary palliative care...
February 22, 2019: Oncologist
Sawsan As-Sanie, Rebecca Black, Linda C Giudice, Tanika Gray Valbrun, Jhumka Gupta, Brittany Jones, Marc R Laufer, Alexandra T Milspaw, Stacey A Missmer, Abby Norman, Robert N Taylor, Kedra Wallace, Zev Williams, Paul J Yong, Rebecca A Nebel
Endometriosis, a systemic disease that is often painful and chronic, affects ∼10% of reproductive-age women. The disease can negatively impact a patient's physical and emotional well-being, quality of life, and productivity. Endometriosis also places significant economic and social burden on patients, their families, and society as a whole. Despite its high prevalence and cost, endometriosis remains underfunded and under-researched - greatly limiting our understanding of the disease and slowing much-needed innovation in diagnostic and treatment options...
February 18, 2019: American Journal of Obstetrics and Gynecology
Minna Elomaa, Jaakko Hotta, Amanda C de C Williams, Nina Forss, Anni Äyräpää, Eija Kalso, Hanno Harno
Background and aims Complex Regional Pain Syndrome (CRPS) often recovers spontaneously within the first year, but when it becomes chronic, available rehabilitative therapies (pharmacological management, physiotherapy, and psychological intervention) have limited effectiveness. This study examined the effect of a 12-week intensive outpatient rehabilitation on pain relief and function in chronic CRPS patients. Rehabilitation program included memantine and morphine treatment (added to patient's prior pain medication) and concurrent psychological and physiotherapeutic intervention...
February 21, 2019: Scandinavian Journal of Pain
Franz Reichel, Moritz Innmann, Tobias Gotterbarm, Marcus Schiltenwolf, Christian Merle
BACKGROUND: A substantial number of patients patients suffer from persistent pain or are unsatisfied after total knee arthroplasty (TKA). OBJECTIVES: This work aims to present the frequency of postoperative persistent pain and/or dissatisfaction as well as known causes and predictors. MATERIALS AND METHODS: The current literature is studied regarding the subject and is reviewed narratively. RESULTS: Most postoperative problems did not arise from operation details, but from patient-related criteria, a lack of patient education and selection...
February 20, 2019: Der Schmerz
(no author information available yet)
[This corrects the article on p. 2929 in vol. 11, PMID: 30538532.].
2019: Journal of Pain Research
Vasileios Liakopoulos, Stefan Franzén, Ann-Marie Svensson, Mervete Miftaraj, Johan Ottosson, Ingmar Näslund, Soffia Gudbjörnsdottir, Björn Eliasson
OBJECTIVES: Long-term effects of gastric bypass (GBP) surgery have been presented in observational and randomised studies, but there are only limited data for persons with obesity and type 2 diabetes mellitus (T2DM) regarding postoperative complications. DESIGN: This is a nationwide observational study based on two quality registers in Sweden (National Diabetes Register, NDR and Scandinavian Obesity Surgery Register, SOReg) and other national databases. SETTING: After merging the data, we matched individuals with T2DM who had undergone GBP with those not surgically treated for obesity on propensity score, based on sex, age, body mass index (BMI) and calendar time...
January 15, 2019: BMJ Open
Stella Bullo
Endometriosis, as a widespread gynecological condition, affects an estimated 1 in 10 women and yet has a worldwide average diagnosis length of 7.5 years. Causing incapacitating pain, among other associated manifestations, the condition severely impacts on women's lives. This article uses online survey data to investigate how pre-diagnosis endometriosis pain is conceptualized and articulated in order to explore communication challenges reported in early consultations that can potentially be seen to play a role in diagnosis delay...
February 19, 2019: Health (London)
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