Evidence map›Paper›PMID 32259288›Full record

ReviewAnaesthesia2020

Caring for patients with pain during the COVID-19 pandemic: consensus recommendations from an international expert panel.

H Shanthanna, N H Strand, D A Provenzano, C A Lobo, S Eldabe, A Bhatia, J Wegener, K Curtis, S P Cohen, S Narouze

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in Anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 6 pooled it
32.4field-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

127 citing papers in PubMed, 6 syntheses or guidelines pooled it, 220 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Transforming Chronic Pain Care Through Telemedicine: An Italian Perspective.International journal of environmental research and public health · 2024
    Article
  13. Article
  14. Article
  15. Substances of abuse and their effect on SAR-CoV-2 pathogenesis.NeuroImmune pharmacology and therapeutics · 2023
    Review
  16. Article
  17. Article
  18. The impact of COVID-19 on chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  19. Review
  20. Article

67 more citing papers are in PubMed but not listed here.

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

10 authors at 10 institutions in 4 countries.

H ShanthannaDepartment of Anesthesia, McMaster University, ON, Canada.
N H StrandDivision of Pain Medicine, Mayo Clinic Alix School of Medicine, Phoenix, AZ, USA.
D A ProvenzanoPain Diagnostics and Interventional Care, Sewickley, PA, USA.
C A LoboDepartment of Anaesthesiology, Hospital das Forças Armadas, Pólo Porto, Portugal.
S EldabeDepartment of Pain Medicine, James Cook University Hospital, Middlesbrough, UK.
A BhatiaComprehensive Integrated Pain Program-Interventional Pain Service, Department of Anesthesia and Pain Medicine, University of Toronto and Toronto Western Hospital, Toronto, ON, Canada.
J WegenerDepartment of Anesthesiology, Sint Maartenskliniek, Nijmegen, The Netherlands.
K CurtisComprehensive Integrated Pain Program-Interventional Pain Service, Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, ON, Canada.
S P CohenDepartment of Anesthesiology and Critical Care Medicine, Neurology and Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, USA.
S NarouzeNortheast Ohio Medical University and Chairman, Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, OH, USA.
Hospital das Forças ArmadasJames Cook University Hospital · GBJohns Hopkins Medicine · USMayo Clinic in Arizona · USMcMaster University · CANortheast Ohio Medical University · USPain and Rehabilitation Medicine · USSewickley Valley Hospital · USSint Maartenskliniek · NLToronto Western Hospital · CA

Funding

Canadian Anesthesia Research FoundationMedtronicMIRRORNational Institute of Health Research (NIHR)NevroNIH HHSUniformed Services UniversityU.S. Department of Defense
6 · The paper itself

Abstract

Chronic pain causes significant suffering, limitation of daily activities and reduced quality of life. Infection from COVID-19 is responsible for an ongoing pandemic that causes severe acute respiratory syndrome, leading to systemic complications and death. Led by the World Health Organization, healthcare systems across the world are engaged in limiting the spread of infection. As a result, all elective surgical procedures, outpatient procedures and patient visits, including pain management services, have been postponed or cancelled. This has affected the care of chronic pain patients. Most are elderly with multiple comorbidities, which puts them at risk of COVID-19 infection. Important considerations that need to be recognised during this pandemic for chronic pain patients include: ensuring continuity of care and pain medications, especially opioids; use of telemedicine; maintaining biopsychosocial management; use of anti-inflammatory drugs; use of steroids; and prioritising necessary procedural visits. There are no guidelines to inform physicians and healthcare providers engaged in caring for patients with pain during this period of crisis. We assembled an expert panel of pain physicians, psychologists and researchers from North America and Europe to formulate recommendations to guide practice. As the COVID-19 situation continues to evolve rapidly, these recommendations are based on the best available evidence and expert opinion at this present time and may need adapting to local workplace policies.

Indexed as

InternationalityPractice Guidelines as TopicBetacoronavirusChronic PainCoronavirus InfectionsCOVID-19EuropeHumansNorth AmericaPandemicsPatient CarePneumonia, ViralSARS-CoV-2chronic painCOVID-19opioidsrecommendationssteroids

Identifiers

PMID32259288
PMCPMC7262200
OpenAlexW3014320382

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.