Evidence map›Paper›PMID 37386370›Full record

ArticleBMC primary care2023

Video-telecare collaborative pain management during COVID-19: a single-arm feasibility study.

Daniel G Rogers, Joseph W Frank, Danielle M Wesolowicz, Charlotte Nolan, Allison Schroeder, Caroline Falker, Audrey Abelleira, Brent A Moore, William C Becker, Sara N Edmond

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Daniel G RogersVA Connecticut Healthcare System, West Haven, CT, USA. daniel.rogers1@va.gov.
Joseph W FrankVA Eastern Colorado Health Care System, Aurora, USA.
Danielle M WesolowiczVA Connecticut Healthcare System, West Haven, CT, USA.
Charlotte NolanVA Eastern Colorado Health Care System, Aurora, USA.
Allison SchroederVA Eastern Colorado Health Care System, Aurora, USA.
Caroline FalkerVA Connecticut Healthcare System, West Haven, CT, USA.
Audrey AbelleiraVA Connecticut Healthcare System, West Haven, CT, USA.
Brent A MooreVA Connecticut Healthcare System, West Haven, CT, USA.
William C BeckerVA Connecticut Healthcare System, West Haven, CT, USA.
Sara N EdmondVA Connecticut Healthcare System, West Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundChronic pain is among the most common conditions presenting to primary care and guideline-based care faces several challenges. A novel pain management program, Video-Telecare Collaborative Pain Management (VCPM), was established to support primary care providers and meet new challenges to care presented by the COVID-19 pandemic.

methodsThe present single-arm feasibility study aimed to evaluate the feasibility and acceptability of VCPM and its components among U.S. veterans on long-term opioid therapy for chronic pain at ≥ 50 mg morphine equivalent daily dose (MEDD). VCPM consists of evidence-based interventions, including opioid reassessment and tapering, rotation to buprenorphine and monitoring, and encouraging behavioral pain and opioid-use disorder self-management.

resultsOf the 133 patients outreached for VPCM, 44 completed an initial intake (33%) and 19 attended multiple VCPM appointments (14%). Patients were generally satisfied with VCPM, virtual modalities, and provider interactions. Nearly all patients who attended multiple appointments maintained a buprenorphine switch or tapered opioids (16/19; 84%), and buprenorphine switches were generally reported as acceptable by patients. Patients completing an initial intake with VCPM had reduced morphine equivalent daily dose after three months (means = 109 mg MEDD vs 78 mg), with greater reductions among those who attended multiple appointments compared to intake only (Δ

conclusionPre-defined feasibility and acceptability targets for VCPM and its components were broadly met, and preliminary data are encouraging. Novel strategies to improve enrollment and engagement and future directions are discussed.

Indexed as

BuprenorphineChronic PainCOVID-19Analgesics, OpioidFeasibility StudiesHumansMorphinePain ManagementPandemicsAnalgesics, OpioidBuprenorphineMorphineBuprenorphineChronic painLong-term opioid therapyTelemedicine

Identifiers

PMID37386370
PMCPMC10308713

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.