Evidence map›Paper›PMID 29686550›Full record

ReviewProceedings (Baylor University. Medical Center)2018

Evidence-based pain medicine for primary care physicians.

Graves T Owen, Brian M Bruel, C M Schade, Maxim S Eckmann, Erik C Hustak, Mitchell P Engle

Open access · greenAbstract readReview
In one paragraph

Review in Proceedings (Baylor University. Medical Center), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Barriers and Facilitators to the Prevention of Chronic Pain in the Subacute Phase After Cardiac Surgery.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021
    Article
  2. Article
  3. Quality improvement initiative for pain management practices in primary care.Proceedings (Baylor University. Medical Center) · 2020
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Graves T OwenTexas Pain Rehabilitation Institute, PA, Round Rock, Texas.
Brian M BruelUniversity of Texas Southwestern Medical Center, Dallas, Texas.
C M SchadeAdvanced Pain Solutions, Mesquite, Texas.
Maxim S EckmannUT Health San Antonio, San Antonio, Texas.
Erik C HustakUniversity of Texas Medical Branch, Galveston, Texas.
Mitchell P EngleUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
The University of Texas Health Science Center at Houston · USThe University of Texas MD Anderson Cancer Center · USThe University of Texas Medical Branch at Galveston · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The last several decades have seen a marked increase in both the recognition and treatment of chronic pain. Unfortunately, patients frequently misunderstand both the nature of pain and the best practices for its treatment. Because primary care physicians treat the majority of chronic pain, they are ideally situated to provide evidence-based pain care. The majority of the medical evidence supports a biopsychosocial model of pain that integrates physical, emotional, social, and cultural variables. The goal of this primer is to assist primary care physicians in their understanding of pain, evaluation of the chronic pain patient, and ability to direct evidence-based care. This article will discuss the role of physical rehabilitation, pain psychology, pharmacotherapy, and procedural interventions in the treatment of chronic pain. Given the current epidemic of drug-related deaths, particular emphasis is placed on the alternatives to opioid therapy. Unfortunately, death is not the only significant complication from opioid therapy, and this article discusses many of the most common side effects. This article provides general guidelines on the most appropriate utilization of opioids with emphasis on the recent Centers for Disease Control and Prevention guidelines, risk stratification, and patient monitoring. Finally, the article concludes with the critical role that a pain medicine specialist can play in the management of patients with chronic pain.

Indexed as

Acute painchronic painopioidspain interventional procedurespain medicinepsychological treatment for painrehabilitation treatment for pain

Identifiers

PMID29686550
PMCPMC5903506
OpenAlexW2782989650

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.