Evidence map›Paper›PMID 34162393›Full record

ArticleInternational journal for equity in health2021

Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: qualitative findings from the chronic pain & COVID-19 pan-Canadian study.

Lise Dassieu, M Gabrielle Pagé, Anaïs Lacasse, Maude Laflamme, Vickie Perron, Audrée Janelle-Montcalm, Maria Hudspith, Gregg Moor, Kathryn Sutton, James M Thompson and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 48 citations in OpenAlex.

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  7. Constructing Opioid Legitimacy: The Canadian Pain Task Force's Framing of the Overdose Crisis.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025
    Article
  8. Article
  9. An intersectional analysis of long COVID prevalence.International journal for equity in health · 2023
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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

11 authors at 5 institutions in 1 country.

Lise DassieuResearch Center of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Saint- Antoine Building, 850 Saint Denis St, H2X 0A9, Montreal, Quebec, Canada. lise.dassieu@umontreal.ca.ORCID 0000-0002-6311-3681
M Gabrielle PagéResearch Center of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Saint- Antoine Building, 850 Saint Denis St, H2X 0A9, Montreal, Quebec, Canada.
Anaïs LacasseDepartment of Health Sciences, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Quebec, Canada.
Maude LaflammeResearch Center of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Saint- Antoine Building, 850 Saint Denis St, H2X 0A9, Montreal, Quebec, Canada.
Vickie PerronPain BC Society, Vancouver, British Columbia, Canada.
Audrée Janelle-MontcalmResearch Center of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Saint- Antoine Building, 850 Saint Denis St, H2X 0A9, Montreal, Quebec, Canada.
Maria HudspithPain BC Society, Vancouver, British Columbia, Canada.
Gregg MoorPain BC Society, Vancouver, British Columbia, Canada.
Kathryn SuttonPain BC Society, Vancouver, British Columbia, Canada.
James M ThompsonDepartment of Public Health Sciences, Queens University, Kingston, Ontario, Canada.
Manon ChoinièreResearch Center of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Saint- Antoine Building, 850 Saint Denis St, H2X 0A9, Montreal, Quebec, Canada.
Centre Hospitalier de l’Université de Montréal · CAPositive Living Society of British Columbia · CACégep Marie-Victorin · CADalhousie University · CAUniversité du Québec en Abitibi-Témiscamingue · CA

Funding

Quebec Pain Research Network Quebec Pain Research Network
6 · The paper itself

Abstract

backgroundChronic pain affects about 20 % of the Canadian population and can lead to physical, psychological and social vulnerabilities. However, this condition remains poorly recognized and undertreated. During 2020, as the COVID-19 pandemic disrupted daily living and health care systems, the situation of people with chronic pain has drawn little public attention.

methodsThis qualitative study was part of a pan-Canadian mixed-methods project and aimed to understand the experiences and challenges of people living with chronic pain during the COVID-19 pandemic in Canada. Between May and August 2020, we conducted in-depth semi-structured interviews with 22 individuals living with chronic pain across the country. We used reflexive thematic analysis to interpret data.

resultsOur findings underscored four dimensions of the chronic pain experience during the pandemic: (1) Reinforced vulnerability due to uncertainties regarding pain and its management; (2) Social network as a determinant of pain and psychological condition; (3) Increasing systemic inequities intermingling with the chronic pain experience; (4) More viable living conditions due to confinement measures. Though several participants reported improvements in their quality of life and reduced social pressure in the context of stay-at-home orders, participants from socio-economically deprived groups and minorities reported more challenges in accessing pain relief, health care services, and psychosocial support.

conclusionsThe COVID-19 pandemic has revealed and intensified pre-existing disparities and challenges among people living with chronic pain in terms of material resources, psychosocial condition, social support, and access to care. In post-pandemic times, it will be essential to address flaws in health and welfare policies to foster equity and social inclusiveness of people with chronic pain.

Indexed as

Social SupportActivities of Daily LivingAdultCanadaChronic PainCOVID-19HumansMaleMental DisordersMiddle AgedQualitative ResearchQuality of LifeStress, PsychologicalYoung AdultCanadaChronic painCOVID-19Illness experienceQualitative researchSocial inequities

Identifiers

PMID34162393
PMCPMC8220113
OpenAlexW3174109409

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.