ArticleInternational journal of environmental research and public health2021
A Delphi Consensus Approach for the Management of Chronic Pain during and after the COVID-19 Era.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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28 citing papers in PubMed, 34 citations in OpenAlex.
- Advanced responder training priorities in Kenya: A Delphi study with implications for low- and middle- income countries.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Development of the long COVID - 6 dimensions quality of life (LC-6D-QoL) scale: a Delphi study.Journal of patient-reported outcomes · 2026Article
- International consensus on airway clearance techniques for patients hospitalised with acute exacerbations of COPD: a European Delphi study.ERJ open research · 2026Article
- The Role of Dexketoprofen/Tramadol in Multimodal Therapy to Prevent Acute Postsurgical and Acute Low Back Pain from Developing into Chronic Pain: A Delphi Consensus Study.Pain and therapy · 2026Article
- Identifying indicators and targets for the new World Health Organization Global Framework on Infection Prevention and Control: an e-Delphi study.The Journal of hospital infection · 2025Article
- Development and preliminary testing of a culturally competent behaviour change intervention framework to enhance utilisation of sexual and reproductive health services among migrant adolescents in Ghana: an intervention design.International journal for equity in health · 2025Article
- Key considerations and recommendations for recruiting older adults in physical activity studies.BMC medical research methodology · 2025Article
- The use of high-efficacy disease-modifying therapies in multiple sclerosis: recommendations from an expert Delphi consensus.Journal of neurology · 2025Article
- Personalized therapy in multiple sclerosis: an Italian Delphi consensus.Journal of neurology · 2025Article
- Building Consensus on the Relevant Criteria to Screen for Depressive Symptoms Among Near-Centenarians and Centenarians: Modified e-Delphi Study.JMIR aging · 2025Article
- Musculoskeletal Diseases: Aetiology, Clinical Implications, Rehabilitation and Treatment.Journal of personalized medicine · 2025Article
- Health technology assessment framework for artificial intelligence-based technologies.International journal of technology assessment in health care · 2024Article
- Opportunities and barriers for telemedicine in pain management: insights from a SIAARTI survey among Italian pain physicians.Journal of anesthesia, analgesia and critical care · 2024Article
- Using the Behaviour Change Wheel and modified Delphi method to identify behavioural change techniques for improving adherence to smoking cessation medications.BMC public health · 2023Article
- Cancer Patients with Chronic Pain and Their Caregivers during COVID-19: A Descriptive Study.Nursing reports (Pavia, Italy) · 2023Article
- Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists' Perspectives.Journal of personalized medicine · 2023Article
- "Working Together": Perspectives of Healthcare Professionals in Providing Virtual Care to Youth with Chronic Pain during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- "We survived the pandemic together": The impact of the COVID-19 pandemic on Canadian families living with chronic pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Artificial Intelligence for Automatic Pain Assessment: Research Methods and Perspectives.Pain research & management · 2023Review
- Patient experiences receiving rehabilitation careFrontiers in rehabilitation sciences · 2023Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to a lack of published evidence on the topic, a modified Delphi approach was used to develop recommendations useful for chronic pain management during and after the COVID-19 pandemic. Focusing on the available literature and personal clinical expertise, an Italian board of nine professionals from different disciplines identified four main topics: prevention of chronic pain, treatment of chronic pain, consequences of inadequate treatment, and perspectives. They elaborated a semi-structured questionnaire. A multidisciplinary panel of experts in the field of pain management was requested to comment on the statements. Based on the answers provided, a structured questionnaire was prepared (Round 1). It included 21 statements divided into three categories (organizational issues; diagnosis and therapies; telemedicine and future perspectives). A five-point Likert scale was adopted. The threshold for consensus was set at a minimum of 70% of the number of respondents (level of agreement ≥ 4, Agree or Strongly Agree). A final questionnaire with rephrasing of the statements that did not reach the consensus threshold was elaborated (Round 2). A total of 29 clinicians were included in the panel. Twenty clinicians (69%) responded in both the first and second round. After two rounds, consensus (≥70%) was achieved in 20 out of 21 statements. The lack of consensus was recorded for the statement regarding the management of post-COVID pain (55%; Median 4; IQR 2.3). Another statement on telemedicine reached the threshold in the first round (70%), but the value was not confirmed in Round 2 (65%; Median 4; IQR 2). Most of the proposed items reached consensus, suggesting the need to make organizational changes, the structuring of careful diagnostic and therapeutic pathways, and the application of new technologies in pain medicine. Long-COVID-19 care is an issue that needs further research. Remote assistance for chronic pain must be regulated.
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