• Curr Opin Anaesthesiol · Jun 2022

    Review

    Do racial and ethnic disparities lead to the undertreatment of pain? Are there solutions?

    • Johnathan H Goree and Jaleesa Jackson.
    • Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
    • Curr Opin Anaesthesiol. 2022 Jun 1; 35 (3): 273277273-277.

    Purpose Of ReviewThe current review aims to empower anesthesiologists, specifically pain medicine specialists, to become leaders in ensuring equitable care.Recent FindingsDisparities in both acute and chronic pain medicine lead to increased morbidity for patients of color. Gaps in care include misdiagnosis or under diagnosis of chronic pain disease states, undertreatment of sickle cell disease and other conditions that are common in minorities, under prescription of opioids, and lack of access to novel opioid sparing treatments. While the causes of these disparities are multifactorial, care team implicit bias and lack of representation are two of the major factors. Solutions are challenging, but the authors suggest an inside out solution. We believe that this practice will have far-reaching downstream effects, including improving diversity in our field and quality of care for our patients.SummaryThe current article reviews disparities in both acute and chronic pain treatment for underrepresented racial and ethnic minorities in the United States. The authors examine whether implicit bias and lack of representation are a contributing factor for these disparities. Lastly, we will discuss potential solutions.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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