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Clinical Journal of Pain

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https://www.readbyqxmd.com/read/29200017/efficacy-of-eight-different-drug-treatments-for-patients-with-trigeminal-neuralgia-a-network-meta-analysis
#1
Fang Yang, Qiang Lin, Lihua Dong, Xiaohui Gao, Su'e Zhang
OBJECTIVES: Frequent trigeminal neuralgia (TN) is commonly seen in older persons and negatively influences a patient's daily life. Although some research on the efficacy of TN drugs has been conducted in the past, the optimal choice still remains uncertain. Therefore, this network meta-analysis evaluates the efficacy and performance of eight drugs with respect to TN. METHODS: All literature was retrieved from the PubMed and Embase electronic databases by jointly searching key terms...
December 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29200016/intravenous-acetaminophen-reduces-length-of-stay-via-mediation-of-postoperative-opioid-consumption-following-posterior-spinal-fusion-in-a-pediatric-cohort
#2
Vanessa A Olbrecht, Lili Ding, Kristie Spruance, Monir Hossain, Senthilkumar Sadhasivam, Vidya Chidambaran
OBJECTIVES: Since approval of IV acetaminophen (IV APAP), its use has become quite common without strong positive evidence. Our goal was to determine the effect of IV APAP on hospital length of stay (LOS) via mediation of opioid-related side effects in pediatric patients. METHODS: Following IRB approval, 114 adolescents undergoing posterior spinal fusion were prospectively recruited and managed postoperatively with patient controlled analgesia and adjuvant therapy...
December 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29210805/development-of-a-simple-preoperative-risk-score-for-persistent-pain-after-breast-cancer-surgery-a-prospective-observational-cohort-study
#3
Domitille Dereu, Georges L Savoldelli, Christophe Combescure, Stanislas Mathivon, Benno Rehberg
OBJECTIVES: Persistent postoperative pain concerns 30 to 50% of patients following breast cancer surgery. Studies testing preventive measures, however, have so far failed to produce consistent positive results. If preventive measures could be targeted to a subgroup of patients at high risk of persistent pain, positive results would be more likely. Our aim was to develop a simple risk score predicting persistent pain after breast cancer surgery. METHODS: In a prospective observational cohort study, we tested the predictive ability of a 4 simple items score for persistent pain in 200 patients scheduled for breast cancer surgery...
November 28, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29189217/anterior-cutaneous-nerve-entrapment-syndrome-in-children-prospective-observational-study
#4
Tomislav Kifer, Zrinjka Mišak, Oleg Jadrešin, Iva Hojsak
OBJECTIVE: Anterior cutaneous nerve entrapment syndrome (ACNES) is often an overlooked cause of abdominal pain. Data for pediatric patients, especially regarding the treatment modalities are scarce. The aim of this study is to present a treatment modality of ACNES with combined local subfascial anesthetic and corticosteroid injection in a prospectively collected cohort of pediatric patients. METHODS: This was a prospective observational long-term study, which included pediatric patients who were diagnosed with ACNES in a tertiary care pediatric center and followed up for at least 12 months (median 1...
November 17, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29189216/factors-contributing-to-memory-of-acute-pain-in-older-adults-undergoing-planned-and-unplanned-hip-surgery
#5
Monika Halicka, Przemysław Bąbel
OBJECTIVES: Previous research on pain memory provides inconsistent evidence about the accuracy of pain recall, and few studies have attempted to examine broad affective and contextual contributions to this phenomenon. The present research aimed to determine the accuracy of postoperative pain recall after a 3-months, with respect to the context of the surgery and the congruence of affective states concurrent with the initial experience and its recall. The study also aimed to identify predictors of remembered pain by analysing a range of sensory, cognitive and affective factors...
November 17, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29135698/associations-between-early-care-decisions-and-the-risk-for-long-term-opioid-use-for-patients-with-low-back-pain-with-a-new-physician-consultation-and-initiation-of-opioid-therapy
#6
Julie M Fritz, Jordan B King, Carrie McAdams-Marx
OBJECTIVE: Identify associations between early care decisions and long-term opioid use in opioid-naïve patients with a new physician consultation for low back pain at which an opioid was prescribed. METHODS: Retrospective study of claims data was used to identify opioid-naïve low back pain patients who were prescribed opioids at the index physician visit. Early care variables captured included additional non-opioid medications prescribed within 14 days, and provider visits or diagnostic imaging within 30 days of the index visit...
November 10, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29135697/does-working-memory-moderate-the-within-person-associations-between-pain-intensity-and-negative-affect-and-pain-s-interference-with-work-goal-pursuit
#7
Chung Jung Mun, Paul Karoly, Morris A Okun
OBJECTIVES: Chronic pain exerts a pervasive negative influence on workers' productivity. However, a paucity of research has addressed the mechanisms underlying the pain → productivity relation. In the present study using intensive daily diary data, we examined whether working memory (WM) moderates the positive within-person associations between (a) morning pain intensity and (b) morning negative affect and later day pain's interference of work-goal pursuit. METHODS: A community sample of 131 adults with chronic pain completed a battery of questionnaires, laboratory-measured WM, and a 21-day daily diary...
November 10, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29135696/effect-of-a-scenario-tailored-opioid-messaging-program-on-parents-risk-perceptions-and-opioid-decision-making
#8
Terri Voepel-Lewis, Brian J Zikmund-Fisher, Carol J Boyd, Philip T Veliz, Sean Esteban McCabe, Monica Weber, Alan R Tait
OBJECTIVES: Poor parental understanding of prescription opioid risks is associated with potentially dangerous decisions that can contribute to adverse drug events (ADE) in children and adolescents. This study examined whether an interactive Scenario-Tailored Opioid Messaging Program (STOMP™) would (1) enhance opioid risk perceptions and (2) improve the safety of parents' decision-making. METHODS: 546 parents were randomized to receive the STOMP™ versus Control information and 516 completed the program...
November 10, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29135695/short-term-impact-of-assisted-deliveries-evaluation-based-on-behavioral-pain-scoring-and-heart-rate-variability
#9
Thameur Rakza, Laura Butruille, Ms Lucille Thirel, Veronique Houfflin-Debarge, Régis Logier, Laurent Storme, Julien DE Jonckheere
OBJECTIVES: Assisted deliveries are used in current practice by obstetrical teams during labor when the fetus is likely to face difficulties. In this study, we hypothesized that pain related to instrumental delivery could impair autonomic nervous system activity. METHODS: We investigated infants born by spontaneous delivery (SD group, n=35) and those whose deliveries were assisted by vacuum, forceps or both (AD group, n=35) between the 2 and 4 hours of life. Pain was evaluated using the EDIN behavioral pain scale (Neonatal Pain and Discomfort Scale)...
November 10, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29077624/correlates-of-a-recent-history-of-disabling-low-back-pain-in-community-dwelling-older-persons-the-pain-in-the-elderly-painel-study
#10
Luciana A C Machado, Joana U Viana, Sílvia L A da Silva, Flávia G P Couto, Liliane P Mendes, Paulo H Ferreira, Manuela L Ferreira, João M D Dias, Rosângela C Dias
OBJECTIVES: To investigate the correlates of a recent history of disabling low back pain (LBP) in older persons. METHODS: The PAINEL Study was derived from the FIBRA Network Study. Data were collected through face-to-face/telephone interviews and clinical examination. A series of logistic regressions assessed associations between a recent history of disabling LBP and sociodemographic, physical/lifestyle and psychological factors. RESULTS: Of the 378 community-dwelling elders included in the study (age 75...
October 26, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29077623/internet-based-exposure-therapy-for-fibromyalgia-a-randomized-controlled-trial
#11
Maria Hedman-Lagerlöf, Erik Hedman-Lagerlöf, Erland Axelsson, Brjánn Ljótsson, Johanna Engelbrektsson, Sofia Hultkrantz, Karolina Lundbäck, Daniel Björkander, Rikard Wicksell, Ida Flink, Erik Andersson
Fibromyalgia (FM) is a common and disabling chronic pain disorder, for which existing pharmacological and psychological treatments have yet yielded insufficient effects. Previous literature has shown that exposure therapy may be an effective treatment for chronic pain. This study constitutes the first randomized controlled trial evaluating exposure therapy for FM. One hundred and forty participants with diagnosed FM were randomized to a 10-week internet-based exposure treatment (iExp; n=70) or a waitlist control condition (WLC; n=70)...
October 26, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29077622/the-pain-course-exploring-the-feasibility-of-an-internet-delivered-pain-management-program-when-offered-by-a-tertiary-pain-management-service
#12
Blake F Dear, Catherine Courtney, Kok Eng Khor, Sarah McDonald, Tahlia Ricciardi, Milena Gandy, Vincent J Fogliati, Nick Titov
This study examined the acceptability and preliminary outcomes of an internet-delivered pain management program, the Pain Course, when offered by a specialist pain management clinic in a large public hospital. A single-group feasibility open trial design was employed and thirty-nine patients participated in the program, which ran for 8 weeks. Participants were supported through the program with weekly contact from a Clinical Psychologist at the clinic. All participants provided data at post-treatment and more than 90% of participants completed all 5 lessons of the course...
October 26, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29077621/a-systematic-review-of-atypical-antipsychotics-in-chronic-pain-management-olanzapine-demonstrates-potential-in-central-sensitization-fibromyalgia-and-headache-migraine
#13
Xavier F Jimenez, Tharani Sundararajan, Edward C Covington
INTRODUCTION: Many psychopharmacologic agents are used as primary or adjunct agents in pain management. Atypical antipsychotics (AAs) have also been used as adjuncts in pain management regimens in a variety of manners; however, their efficacy in this capacity is unclear. METHODS: A systematic review of all studies examining AA use for pain was conducted. Three literature databases were utilized to search for word combinations of "pain" and a variety of commonly-prescribed AAs (olanzapine, quetiapine, risperidone, aripiprazole, ziprasidone, clozapine, paliperidone, iloperidone, lurasidone)...
October 26, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28926414/exploration-of-quantitative-sensory-testing-in-latent-trigger-points-and-referred-pain-areas
#14
Silvia Ambite-Quesada, José L Arías-Buría, Carol A Courtney, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate somato-sensory nerve fibre function by applying different quantitative sensory testing including thermal, mechanical and vibration thresholds over latent trigger points (TrP) and in its associated referred pain area. METHODS: A total of 20 subjects with unilateral latent TrPs in the extensor carpi radialis brevis were included. Warmth detection threshold (WDT), cold detection threshold CDT) and heat/cold pain thresholds (HPT, CPT), mechanical detection (MDT) and pain (MPT) thresholds, vibration threshold (VT), and pressure pain thresholds (PPT) were blinded assessed over the TrP, in the referred pain area, and in the respective contra-lateral mirror areas...
October 18, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29016390/response-to-letter-to-the-editor-titled-prescription-opioid-use-and-the-risk-of-disability
#15
Nancy Carnide, Sheilah Hogg-Johnson, Pierre Côté, Emma Irvin, Dwayne Van Eerd, Mieke Koehoorn, Andrea Furlan
No abstract text is available yet for this article.
October 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29016389/do-changes-in-sensory-processing-precede-low-back-pain-development-in-healthy-individuals
#16
Ching-Ting Hwang, Linda R Van Dillen, Simon Haroutounian
OBJECTIVES: Low back pain (LBP) is the most commonly reported chronic pain condition. In this study, a clinically relevant, induced-LBP paradigm was used to study sensory processing as a risk factor and predictor for LBP development in healthy people. Our aim was to examine sensory processing in those who do develop LBP and those who do not develop LBP with the paradigm, and to examine the relationships between scores on psychosocial questionnaires and sensory processing measures in these healthy people...
October 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29016388/the-relationship-between-posttraumatic-stress-disorder-and-chronic-pain-in-people-seeking-treatment-for-chronic-pain-the-mediating-role-of-psychological-flexibility
#17
Sophia Åkerblom, Sean Perrin, Marcelo Rivano Fischer, Lance M McCracken
OBJECTIVES: The symptoms of Posttraumatic Stress Disorder (PTSD) and chronic pain are thought to interact to increase the severity and impact of both conditions, but the mechanisms by which they interact remain unclear. This study examines the relationship between PTSD and chronic pain and whether indices of psychological flexibility mediate the relationship between these two conditions. METHODS: Standardized self-report measures of PTSD, pain severity, pain interference, depression, and psychological flexibility (pain-related acceptance, committed action, cognitive fusion, and values-based action) were obtained from 315 people seeking treatment for chronic pain who also reported at least one traumatic experience...
October 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28926413/the-role-of-cognitive-content-and-cognitive-processes-in-chronic-pain-an-important-distinction
#18
Mark P Jensen, Beverly E Thorn, James Carmody, Francis J Keefe, John W Burns
Pain-related cognitive content (what people think about pain) and cognitive processes (how people think about pain; what they do with their pain-related thoughts) and their interaction are hypothesized to play distinct roles in patient function. However, questions have been raised regarding whether it is possible or practical to assess cognitive content and cognitive process as distinct domains. The aim of this study was to determine the extent to which measures that appear to assess mostly pain-related cognitive content, cognitive processes, and content and process, are relatively independent from each other and contribute unique variance to the prediction of patient function...
September 29, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915156/a-risk-calculator-using-preoperative-opioids-for-prediction-of-total-knee-revision-arthroplasty
#19
Jordan Starr, Irene Rozet, Alon Ben-Ari
OBJECTIVES: Total knee arthroplasty (TKA) is a procedure to improve quality of life. However, some patients require early total knee revision (TKR). Chronic opioid use before TKA is associated with TKR. No risk calculator including opioid use or other risk factors is currently available for predicting TKR. MATERIALS AND METHODS: We retrospectively analyzed medical records of Veterans Affairs patients who underwent TKA from January 1, 2006 to January 1, 2012. Patients were followed until January 1, 2013...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915155/social-support-and-pain-outcomes-after-trauma-exposure-among-older-adults-a-multicenter-longitudinal-study
#20
Natalie L Richmond, Michelle L Meyer, Allison G Hollowell, Erin E Isenberg, Robert M Domeier, Robert A Swor, Phyllis L Hendry, David A Peak, Niels K Rathlev, Jeffrey S Jones, David C Lee, Christopher W Jones, Timothy F Platts-Mills
OBJECTIVES: Certain forms of social support have been shown to improve pain coping behaviors and pain outcomes in older adults with chronic pain, but little is known about the effect of social support on pain outcomes in older adults following trauma exposure. METHODS: We analyzed data from a prospective longitudinal study of adults aged 65 years and older presenting to an emergency department (ED) after a motor vehicle collision (MVC) to characterize the relationship between perceived social support and MVC-related pain after trauma overall and by subgroups based on gender, depressive symptoms, and marital status...
September 14, 2017: Clinical Journal of Pain
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