Chronic pain in primary care

Smith, Blair H.

doi:10.1093/fampra/16.5.475

Cited by 74 publications

(64 citation statements)

References 44 publications

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“…Full assessment of the patient, preferably multi-disciplinarily, will improve his or her outlook. Management should be holistic, rigorous in the application of conventional therapies (including analgesics and physical therapy) and ready to admit an improved understanding of psychological and social techniques [31][32][33] . Patients appreciate their surgeon's continued interest and involvement in their disease and management, and the surgeon can overcome a sense of abandonment that may accompany the discharge of a patient who is not fully healed.…”

Section: Discussionmentioning

confidence: 99%

Yoga: A tool for improving the quality of life in chronic pancreatitis

Sareen¹

2007

WJG

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AIM:To determine the effectiveness of yoga on improving the quality of life in patients of chronic pancreatitis. METHODS:The patients were randomized to two groups. The control group continued their usual care as directed by their physicians. Patients in the yoga group, in addition, received biweekly yoga sessions for 12 wk. The patients' demographic and health behaviour variables were assessed before and after the yoga programme using Medical Outcomes Short Form (SF-36) for quality of life, Profile of Mood States for assessing mood and Symptoms of Stress Inventory for measuring stress. RESULTS:A total of 60 patients were enrolled, with 8 drop-outs. Thirty patients were randomized to the yoga group and 30 to the control group. Significant improvements were seen in overall quality of life, symptoms of stress, mood changes, alcohol dependence and appetite after the 12 wk period apart from the general feeling of well-being and desire to continue with the programme in future in the yoga group, while there was no difference in the control group. CONCLUSION: yoga is effective on improving the quality of life in patients of chronic pancreatitis.

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Section: Discussionmentioning

confidence: 99%

Yoga: A tool for improving the quality of life in chronic pancreatitis

Sareen¹

2007

WJG

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“…Pain has been identified as among the most frequent presenting complaints to healthcare providers, including those responsible for providing primary care [1,2]. Low back pain alone affects about 80 percent of the U.S. population at some point in life [3], and most persons with low back pain have their primary care providers manage their pain [4].…”

Section: Introductionmentioning

confidence: 99%

Veterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system

Kerns¹,

Otis²,

Rosenberg³

et al. 2003

JRRD

207

139

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Abstract-The improved management of pain among veterans seeking care in Veterans Health Administration (VHA) facilities has been established as a priority. This study documents the high prevalence of reports of pain among a convenience sample of 685 veterans seeking care in a VHA primary care setting. Also reported are associations of pain complaints with self-rated health, an index of emotional distress, health-risk behaviors such as tobacco and alcohol use, health-related concerns about diet and weight, and perceptions of the availability of social support. The relationship between the presence of pain and use of outpatient and inpatient medical and mental health services is also examined. Nearly 50% of the sample reported that they experience pain regularly and that they were concerned about this problem at the time of the index visit to their primary care provider. Persons acknowledging the presence of pain, relative to those not reporting pain, were younger, reported worsening health over the past year, had greater emotional distress, used tobacco, had diet and/or weight concerns, and were found to use more outpatient medical, but not inpatient medical or mental health services. Results support the goals of the VHA National Pain Management Strategy designed to reduce unnecessary pain and suffering among veterans receiving care in VHA facilities.

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“…The condition is classified as a part of chronic non-malignant pain, which encompasses musculoskeletal, neuropathic and visceral pain, and pain from sickle cell disease [1]. CMSP negatively impacts physical and psychosocial health, daily function, participation in life roles, healthcare utilization, health-related quality of life [2][3][4]; and its management is associated with high financial, personal and resource costs. This complex condition involves biological, psychological, social and environmental factors.…”

Section: Introductionmentioning

confidence: 99%

“…A large proportion of individuals with CMSP present in primary healthcare settings for management [3,8]. Primary healthcare settings appears to be ideally situated to deliver holistic care for the patient with chronic pain, addressing the health needs within the community [9], while integrating preventative, promotive, curative, and rehabilitation services.…”

Section: Introductionmentioning

confidence: 99%

Clinical practice guidelines for the management of chronic musculoskeletal pain in primary health care: A systematic review

2016

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Background: Up-to-date, high quality, evidence-based clinical practice guidelines (CPGs) that are applicable for primary healthcare are vital to optimize services for the population with chronic musculoskeletal pain (CMSP). The study aimed to systematically identify and appraise the available evidence-based CPGs for the management of CMSP in adults presenting in primary healthcare settings. Methods: A systematic review was conducted. Twelve guideline clearinghouses and six electronic databases were searched for eligible CPGs published between the years 2000 and May 2015. CPGs meeting the inclusion criteria were appraised by three reviewers using the Appraisal of Guidelines Research and Evaluation (AGREE) II. Results: Of the 1082 records identified, 34 were eligible, and 12 CPGs were included based on the inclusion and exclusion criteria. The methodological rigor of CPG development was highly variable, and the median domain score was 66%. The median score for stakeholder involvement was 64%. The lowest median score was obtained for the domain applicability (48%). There was inconsistent use of frameworks to aggregate the level of evidence and the strength of the recommendation in the included CPGs. The scope and content of the included CPGs focussed on opioid prescription. Conclusion: Numerous CPGs that are applicable for the primary healthcare of CMSP exists, varying in their scope and methodological quality. This study highlights specific elements to enhance the development and reporting of CPGs, which may play a role in the uptake of guidelines into clinical practice. These elements include enhanced reporting of methodological aspects, the use of frameworks to enhance decision making processes, the inclusion of patient preferences and values, and the consideration of factors influencing applicability of recommendations. Trial registration: PROSPERO CRD42015022098.

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Chronic pain in primary care

Cited by 74 publications

References 44 publications

Yoga: A tool for improving the quality of life in chronic pancreatitis

Yoga: A tool for improving the quality of life in chronic pancreatitis

Veterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system

Clinical practice guidelines for the management of chronic musculoskeletal pain in primary health care: A systematic review

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