ArticlePain reports2025
Clinical risk factors for unscheduled health care attendance for chronic pain management, and associated treatment costs.
Article in Pain reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
3 authors.
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Abstract
Introduction: Effective community-based chronic noncancer pain (CNCP) management could improve treatment outcomes and reduce the burden placed on unscheduled care (USC) services. Objectives: We aimed to characterise the extent of this burden and identify patients requiring additional scheduled community-based care to achieve effective pain management. Methods: We identified a random sample of 4,400 adults from the general population and electronically linked health care datasets (USC, prescribing and Scottish Morbidity Registers) spanning a 12-month observation period. Results: All-cause USC presentation was higher in those with CNCP (75.4%) than in those with no evident pain (26.4%), and two-thirds of the former reported pain as a primary symptom at presentation. Risk factors for attendance for pain management, explaining 35% of the effect variance, were transitioning from opioid to nonopioid analgesics (OR = 3.96; Conclusion: Pain management confers a substantial burden on USC services-particularly in the presence of opioid analgesic tapering, anxiety disorders and insomnia-that could be reduced by effective community-based pain management.
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