Automating Collection of Pain-Related Patient-Reported Outcomes to Enhance Clinical Care and Research

Owen-Smith, Ashli; Mayhew, Meghan; Leo, Michael C.; Varga, Alexandra; Benes, Lindsay; Bonifay, Allison; DeBar, Lynn

doi:10.1007/s11606-018-4326-9

Cited by 11 publications

(6 citation statements)

References 22 publications

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“…), may be a valuable screening tool with this population. The PEGS is brief (and therefore more realistically integrated into routine clinical encounters), viewed favorably by clinicians, and includes an item specific to whether pain has interfered with the patient's sleep . Additional research is needed to inform decisions regarding which screening tools to administer, with which subgroups, and at what frequency.…”

Section: Implications/conclusionmentioning

confidence: 99%

The Mediating Effect of Sleep Disturbance on the Relationship Between Nonmalignant Chronic Pain and Suicide Death

et al. 2019

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Importance Few studies have examined the relationship between nonmalignant chronic pain (NMCP) and suicide death, and even fewer have specifically explored what role sleep disturbance might play in the association between NMCP and suicide death. Objective To assess whether sleep disturbance mediates the relationship between NMCP and suicide death. Design This case‐control study included 2,674 individuals who died by suicide between 2000 and 2013 (cases) and 267,400 matched individuals (controls). Setting Eight Mental Health Research Network (MHRN)‐affiliated healthcare systems. Participants All cases and matched controls were health plan members for at least 10 months during the year prior to the index date. Main Outcomes and Measures Sociodemographic data and diagnosis codes for NMCP and sleep disorders were extracted from the MHRN's Virtual Data Warehouse. Suicide mortality was identified using International Statistical Classification of Diseases and Related Health Problems (ICD)‐10 codes from official government mortality records matched to health system records. Results After accounting for covariates, there was a significant relationship between NMCP and sleep disturbance; those who were diagnosed with NMCP were more likely to develop subsequent sleep disturbance. Similarly, sleep disturbance was significantly associated with suicide death. Finally, a significant indirect effect of NMCP on suicide death, through sleep disturbance, and a nonsignificant direct effect of NMCP on suicide death provide support for a fully mediated model. Conclusions and Relevance There is a need for clinicians to screen for both sleep disturbance and suicidal ideation in NMCP patients and for health systems to implement more widespread behavioral treatments that address comorbid sleep problems and NMCP.

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Section: Implications/conclusionmentioning

confidence: 99%

The Mediating Effect of Sleep Disturbance on the Relationship Between Nonmalignant Chronic Pain and Suicide Death

et al. 2019

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“…Treatment and clinical management of neuropathic pain are among the most vexing challenges currently faced by primary care providers [108] . Integrative treatments such as acupuncture are increasingly used in pain clinics and are gaining acceptance among the US public and academic communities [109] .…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for neuropathic pain: focusing on the sympathetic nerve system

Chen

et al. 2023

Acupuncture and Herbal Medicine

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Following peripheral nerve injury, the sympathetic nervous system responds to noxious inputs that induce or exacerbate pain. Dorsal root ganglion (DRG) sympathetic sprouting after peripheral nerve injury may induce abnormal firing of neurons. Moreover, the areas of the brain that respond to nociceptive stimuli overlap with those areas activated by the sympathetic nervous system. Acupuncture is a widely used alternative therapy for neuropathic pain. It has been shown to have beneficial effects on the regulation of function in the autonomic nervous system function. Based on previous studies, there are several possibilities for the regulation of sympathetic nerves using by acupuncture to relieve neuropathic pain. Acupuncture may act on the brain areas of pain and the sympathetic nervous system, decrease sympathetic nerve activity during neuropathic pain, attenuate sympathetic sprouting, and reduce the abnormal firing of neurons. Further studies are required to confirm these hypotheses. This review will help to better understand the potential mechanisms of acupuncture in neuropathic pain.

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“…In comparison with paper‐version or interview‐administered tools that require human resources, automation is feasible, sustainable and aided with multiple collection opportunities (e.g. parent portal and clinic staff encouragement) . Implementing an automated mechanism to collect and integrate risk assessment data for use in routine WCV into providers' workflow is feasible, but clinician utilization of the risk score and counselling practices should be continuously evaluated.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Bailey‐Davis

Kling

Wood³

et al. 2019

Obesity Science & Practice

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Summary Objective Integration of behavioural risk assessment into well‐child visits is recommended by clinical guidelines, but its feasibility and impact is unknown. Methods A quasi‐experimental study evaluated the feasibility and effectiveness of risk assessment on body mass index (BMI) at 1‐year follow‐up. Children with assessments (intervention) were compared with those who did not complete assessments (non‐respondent) and those who received standard care (non‐exposed). Results Analyses included 10,647 children aged 2–9 years (2,724 intervention, 3,324 non‐respondent and 4,599 non‐exposed). Forty‐five per cent of parents completed the assessments. Intervention and non‐respondent groups differed in change in BMI z ‐score at 1 year by −0.05 (confidence interval [CI]: −0.08, −0.02; P = 0.0013); no difference was observed with non‐exposed children. The intervention group had a smaller increase in BMI z ‐score (0.07 ± 0.63) than non‐respondent group (0.13 ± 0.63). For children with normal weight at baseline, intervention versus non‐respondent groups differed in BMI z ‐score change by −0.06 (CI: −0.10, −0.02; P = 0.0025). However, children with overweight at baseline in the intervention versus the non‐exposed group differed in BMI z ‐score change (0.07 [CI: 0.02, 0.14]; P = 0.016). When analysed by age, results were similar for 2‐ to 5‐year‐olds, but no differences were found for 6‐ to 9‐year‐olds. Conclusion Automating risk assessment in paediatric care is feasible and effective in promoting healthy weight among preschool but not older children.

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Automating Collection of Pain-Related Patient-Reported Outcomes to Enhance Clinical Care and Research

Cited by 11 publications

References 22 publications

The Mediating Effect of Sleep Disturbance on the Relationship Between Nonmalignant Chronic Pain and Suicide Death

The Mediating Effect of Sleep Disturbance on the Relationship Between Nonmalignant Chronic Pain and Suicide Death

Acupuncture for neuropathic pain: focusing on the sympathetic nerve system

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

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