Evidence map›Paper›PMID 32259247›Full record

ArticlePain medicine (Malden, Mass.)2020

Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises.

Steven P Cohen, Zafeer B Baber, Asokumar Buvanendran, Brian C McLean, Yian Chen, W Michael Hooten, Scott R Laker, Ajay D Wasan, David J Kennedy, Friedhelm Sandbrink and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 3 pooled it
26.5field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 3 syntheses or guidelines pooled it, 188 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
  5. Immediate Effects of a Telerehabilitation Program Based on Aerobic Exercise in Women with Fibromyalgia.International journal of environmental research and public health · 2021
    Trial
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  9. Recommendations for pharmacogenetic testing in clinical practice guidelines in the US.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2024
    Review
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  18. Broadband internet subscription rates and opioid prescribing via telemedicine during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 1 country.

Steven P CohenAnesthesiology, Neurology and Physical Medicine and Rehabilitation, Pain Medicine, Johns Hopkins School of Medicine, Maryland.
Zafeer B BaberDivision of Anesthesiology and Interventional Pain Management, Lahey Hospital & Medical Center, Beth Israel Lahey Health, Burlington, Massachusetts.
Asokumar BuvanendranAnesthesiology and Orthopedic Surgery, Rush University College of Medicine, Chicago, Illinois.
Brian C McLeanUS Army Pain Management Consultant, Pain Management, Department of Anesthesiology, Tripler Army Medical Center, Honolulu, Hawaii.
Yian ChenDepartment of Anesthesiology, Johns Hopkins School of Medicine, Baltimore, Maryland.
W Michael HootenAnesthesiology and Psychiatry, Mayo School of Medicine, Rochester, Minnesota.
Scott R LakerDepartment of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Denver, Colorado.
Ajay D WasanAnesthesiology and Psychiatry, Pain Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
David J KennedyDepartment of Physical Medicine & Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee.
Friedhelm SandbrinkPain Management Specialty Services Director, Veterans Health Administration, Washington DC VA Medical Center, Washington, DC.
Scott A KingUS Air Force Pain Management Consultant, Eglin Air Force Base, Florida.
Ian M FowlerUS Navy Pain Management Consultant, Director of Surgical Services, Naval Medical Center-San Diego, San Diego, California.
Milan P StojanovicAnesthesiology, Critical Care and Pain Medicine Service, Interventional Pain Medicine, Edith Nourse Rogers Memorial Veterans Hospital, VA Boston Healthcare System, Harvard Medical School, Boston, Massachusetts.
Salim M HayekDepartment of Anesthesiology, University Hospitals, Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Christopher R PhillipsDepartment of Surgery, Anesthesiology Service, Naval Medical Center- San Diego, California, USA.
Johns Hopkins University · USNaval Medical Center San Diego · USEdith Nourse Rogers Memorial Veterans Hospital · USEglin Air Force Base · USLahey Medical Center · USRush University · USTripler Army Medical Center · USUniversity Hospitals of Cleveland · USUniversity of Colorado Denver · USUniversity of Pittsburgh · USVanderbilt University · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is nearly impossible to overestimate the burden of chronic pain, which is associated with enormous personal and socioeconomic costs. Chronic pain is the leading cause of disability in the world, is associated with multiple psychiatric comorbidities, and has been causally linked to the opioid crisis. Access to pain treatment has been called a fundamental human right by numerous organizations. The current COVID-19 pandemic has strained medical resources, creating a dilemma for physicians charged with the responsibility to limit spread of the contagion and to treat the patients they are entrusted to care for.

methodsTo address these issues, an expert panel was convened that included pain management experts from the military, Veterans Health Administration, and academia. Endorsement from stakeholder societies was sought upon completion of the document within a one-week period.

resultsIn these guidelines, we provide a framework for pain practitioners and institutions to balance the often-conflicting goals of risk mitigation for health care providers, risk mitigation for patients, conservation of resources, and access to pain management services. Specific issues discussed include general and intervention-specific risk mitigation, patient flow issues and staffing plans, telemedicine options, triaging recommendations, strategies to reduce psychological sequelae in health care providers, and resource utilization.

conclusionsThe COVID-19 public health crisis has strained health care systems, creating a conundrum for patients, pain medicine practitioners, hospital leaders, and regulatory officials. Although this document provides a framework for pain management services, systems-wide and individual decisions must take into account clinical considerations, regional health conditions, government and hospital directives, resource availability, and the welfare of health care providers.

Indexed as

Practice Guidelines as TopicTelemedicineAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalAppointments and SchedulesBetacoronavirusChronic PainCoronavirus InfectionsCOVID-19DisinfectionGlucocorticoidsHealth Services AccessibilityHumansInjectionsInjections, Intra-ArticularMass ScreeningAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalGlucocorticoidsCOVID-19Pain ManagementPandemicPublic Health CrisisSARS-CoV-2

Identifiers

PMID32259247
PMCPMC7184417
OpenAlexW3014113547

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.