ReviewCurrent pain and headache reports2026
Beyond the Procedure: Non-Clinical Complaints and Gender Disparity Dominate One-Star Yelp Reviews of Pain Physicians.
Review in Current pain and headache reports, 2026. 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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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.
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundYelp.com allows patients to review their experiences. Few studies have focused on dissatisfaction in pain medicine. This study aims to characterize one-star Yelp reviews of anesthesiology-trained pain physicians to better understand the scope and nature of extreme patient dissatisfaction.
resultsNon-clinical issues comprised the most complaints (n = 927; 70%), while clinical concerns comprised 391 (30%). Office staff communication topped non-clinical complaints (n = 200). Unsatisfactory results (n = 90) topped clinical concerns. Eastern cities like Philadelphia, PA (53%) had the most one-star reviews, whereas Western cities such as Los Angeles, CA (21%) had the lowest. Solo practices were associated with a higher rate of one-star reviews (33%) than group practices (28%). Gender-based analysis showed that female-only practices received significantly more one-star reviews (mean = 12.17) compared to male-only (mean = 2.90) and mixed-gender (mean = 7.00) practices. Poisson regression analysis indicated a higher relative risk of one-star reviews for female providers (RR = 1.00 [ref]), with reduced risk for male providers (RR = 0.58) and increased risk for mixed-gender practices (RR = 1.40; all p < 0.001).
conclusionPatient dissatisfaction is most frequently due to non-clinical experiences. Regional factors, practice type, and physician gender demonstrated significant associations with patterns of patient dissatisfaction. Eastern cities exhibited higher rates of negative reviews. Solo practitioners appeared more susceptible to critical feedback. Female providers seemed to have a disproportionate number of one-star ratings. These trends may reflect underlying systemic and implicit biases and demonstrate vulnerabilities within specific practice models.
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