ArticleAnesthesiology and pain medicine2019
Assessment of Factors Predicting Inadequate Pain Management in Chronic Pain Patients.
Article in Anesthesiology and pain medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022Guideline
- Comparison of epidural space contrast flow and clinical outcomes in parasagittal versus transforaminal epidural steroid injection.Scientific reports · 2026Trial
- Financial Barriers, Mental Health, and Medication Nonadherence Among Individuals With Chronic Pain.Public health challenges · 2026Article
- Comparison of Patient-Reported Hospital Discharge Experiences in Patients with Long-Term and Episodic Opioid Therapy: A Qualitative Study.Journal of general internal medicine · 2026Article
- Article
- Differences in pain regimens among nulliparous patients undergoing intrauterine device placement within a single health system.American journal of obstetrics and gynecology · 2025Article
- Sex-Related Differences in Chronic Pain: A Narrative Review by a Multidisciplinary Task Force.Medicina (Kaunas, Lithuania) · 2025Review
- Observational
- Uncovering bias: sex disparities in pain management.Annals of medicine and surgery (2012) · 2025Article
- Real-World Outcomes of Spinal Cord Stimulation: A Consecutive Institutional Experience with 505 Trials, Trial-to-Implant Ratio, Long-Term Efficacy, and Explantation Risk Factors.Journal of pain research · 2025Article
- A Swiss Cross-Sectional Study on Patients' Perspectives on Chronic Pain Management, Analgesic Treatment, and Genetic Susceptibility.Journal of pain research · 2025Article
- Comparative effect of bupivacaine local anesthesia with ropivacaine present with fentanyl.Bioinformation · 2025Article
- Systematic Structure-Activity Relationship Study of Nalfurafine Analogues toward Development of Potentially Nonaddictive Pain Management Treatments.Journal of medicinal chemistry · 2024Article
- Assessment of postoperative pain in children following sclerotherapy of vascular malformations: a retrospective single centre cohort study.European journal of anaesthesiology and intensive care · 2024Article
- Pain Management and Sociology Implications: The Sociomedical Problem of Pain Clinic Staff Harassment Caused by Chronic Pain Patients.Anesthesiology and pain medicine · 2024Article
- Closing the Digital Divide in Interventions for Substance Use Disorder.Journal of psychiatry and brain science · 2024Article
- Managing Non-Cancer Chronic Pain in Frail Older Adults: A Pilot Study Based on a Multidisciplinary Approach.International journal of environmental research and public health · 2023Article
- Gender and sex bias in prevention and clinical treatment of women's chronic pain: hypotheses of a curriculum development.Frontiers in medicine · 2023Article
- Assessment of pain management adequacy among hospitalized pediatric patients: institutional-based cross-sectional study.Frontiers in pediatrics · 2023Article
- Pain Control Disparities in Acute Pancreatitis.Cureus · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInadequate pain management is highly prevalent and is associated with significant costs and socioeconomic problems, which can lead to disparities in patient care. Specific groups are at higher risk of this problem. A few studies have evaluated the predictive risk factors of inadequate pain management.
objectivesThis study evaluated the prevalence and predictive risk factors of inadequate pain management at the primary and secondary care centers with large sample size.
methodsPatients who had been managed in primary and secondary care clinics were asked to report their personal characteristics, pain intensity, pain duration, and analgesics they were receiving in their first visit at our pain clinic. Zelman pain management index was calculated for each patient by analgesic potency minus mean pain intensity. The negative index showed incongruence between pain intensity and analgesic potency score (pain stronger than medication), indicating inadequate pain management.
resultsA negative pain management index was reported in 77% of the 511 recruited patients. Patients with more severe pain were more likely to experience inadequate pain management. A logistic model demonstrated women, people aged 45 - 65 years, illiterates, and obese patients were at higher risks of inadequate pain management. The pain management index was affected by sex and education (via higher pain intensities) and by age and BMI (via lower analgesic potency).
conclusionsAge, sex, education, and BMI are predictive risk factors of inadequate pain management as a prevalent problem in chronic pain patients.
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Registered trials
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