Evidence map›Paper›PMID 34070601›Full record

ReviewJournal of clinical medicine2021

Practical Advices for Treating Chronic Pain in the Time of COVID-19: A Narrative Review Focusing on Interventional Techniques.

Giuliano Lo Bianco, Alfonso Papa, Michael E Schatman, Andrea Tinnirello, Gaetano Terranova, Matteo Luigi Giuseppe Leoni, Hannah Shapiro, Sebastiano Mercadante

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
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

8 authors at 8 institutions in 2 countries.

Giuliano Lo BiancoDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95124 Catania, Italy.ORCID 0000-0003-2705-1548
Alfonso PapaPain Department, AO "Ospedali dei Colli", Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0003-4489-714X
Michael E SchatmanDepartment of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, MA 02111, USA.
Andrea TinnirelloAnesthesiology and Pain Management Unit, Azienda Socio Sanitaria Territoriale della Franciacorta, 25032 Chiari, Italy.ORCID 0000-0003-2217-7942
Gaetano TerranovaAnaesthesia and Intensive Care Department, Asst Gaetano Pini, 20122 Milano, Italy.
Matteo Luigi Giuseppe LeoniUnit of Interventional Pain Management, Guglielmo da Saliceto Hospital, 29121 Piacenza, Italy.
Hannah ShapiroDivision of Alcohol, Drugs, and Addiction, McLean Hospital, Harvard Medical School, Boston, MA 02115, USA.
Sebastiano MercadantePain Relief and Supportive Care, Private Hospital La Maddalena, 90100 Palermo, Italy.ORCID 0000-0001-9859-6487
Azienda Socio Sanitaria Territoriale Lariana · ITGuglielmo da Saliceto Hospital · ITHarvard University · USIstituto Ortopedico Gaetano Pini · ITLa Maddalena · ITOspedale Monaldi · ITTufts University · USUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the management of chronic pain has become even more challenging secondary to the occurrence of SARS-CoV-2 outbreaks, we developed an exhaustive narrative review of the scientific literature, providing practical advices regarding the management of chronic pain in patients with suspected, presumed, or confirmed SARS-CoV-2 infection. We focused particularly on interventional procedures, where physicians are in closer contact with patients.

methodsNarrative Review of the most relevant articles published between June and December of 2020 that focused on the treatment of chronic pain in COVID-19 patients.

resultsCareful triage of patients is mandatory in order to avoid overcrowding of hospital spaces. Telemedicine could represent a promising tool to replace in-person visits and as a screening tool prior to admitting patients to hospitals. Opioid medications can affect the immune response, and therefore, care should be taken prior to initiating new treatments and increasing dosages. Epidural steroids should be avoided or limited to the lowest effective dose. Non urgent interventional procedures such as spinal cord stimulation and intrathecal pumps should be postponed. The use of personal protective equipment and disinfectants represent an important component of the strategy to prevent viral spread to operators and cross-infection between patients due to the SARS-CoV-2 outbreaks.

Indexed as

analgesicschronic painCOVID-19disinfectantsopioidpain managementsevere acute respiratory syndrome coronavirus 2spinal cord stimulationtelemedicine

Identifiers

PMID34070601
PMCPMC8198659
OpenAlexW3163981332

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.