Evidence map›Paper›PMID 39936847›Full record

ArticlePain management2025

Problems accessing pain care, and the adverse outcomes among adults with chronic pain: a cross-sectional survey study.

Matthew Carrillo, Jessica Yingst, Wen-Jan Tuan, David Giampetro, Jennifer E Nyland, Aleksandra E Zgierska

Abstract read
In one paragraph

Article in Pain management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

6 authors.

Matthew CarrilloDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.ORCID 0009-0009-8205-2149
Jessica YingstDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Wen-Jan TuanDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0003-3939-8979
David GiampetroDepartment of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Hershey, PA, USA.
Jennifer E NylandDepartment of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA.
Aleksandra E ZgierskaDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPrescribing restrictions have significantly impacted patients with chronic pain, leading to opioid medication tapering and reduced access. This study examines the consequences of these restrictions and their impact on patient health and pain management strategies. PATIENTS & METHODS/MATERIALS &

methodsThis research explores barriers to pain care, especially opioid therapy, adverse health outcomes resulting from reduced access to pain medications, and alternative pain management strategies. The study analyzes data from a cross-sectional survey conducted by the American Chronic Pain Association (ACPA) between November 2014 and January 2015. The survey gathered quantitative data on demographics, healthcare access, pain management strategies, and challenges in obtaining prescribed medications, alongside qualitative responses. Descriptive statistics summarized quantitative findings; chi-square and t-tests compared those with and without medication access difficulties. Thematic analysis revealed recurring themes in qualitative responses.

resultsThe study reveals that over half of the respondents faced difficulties obtaining prescribed pain medications, leading to significant adverse health consequences, including unmanaged pain, psychological distress, and suicidal ideation.

conclusionThese findings highlight the urgent need to address systemic and personal barriers to pain medication access, and the need for patient-centered care that incorporates evidence-based, holistic pain management strategies and shared decision-making between clinicians and patients.

Indexed as

Analgesics, OpioidChronic PainHealth Services AccessibilityPain ManagementAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAnalgesics, OpioidChronic painopioidsopioid therapypain carepain medication access

Identifiers

PMID39936847
PMCPMC11853623

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.