Pain medicine : the official journal of the American Academy of Pain Medicine
-
Clinical Trial
Prospective study of 3-year follow-up of low-dose intrathecal opioids in the management of chronic nonmalignant pain.
Long-term follow-up with the use of low-dose opioids in intrathecal (IT) drug delivery system (DDS) for the treatment of intractable, severe chronic nonmalignant pain. ⋯ Low-dose IT opioid can provide sustained significant improvement in pain and function for long-term follow-up in chronic noncancer pain.
-
To identify empirically derived cutoffs for mild, moderate, and severe pain in persons with multiple sclerosis (MS). Design. Cross-sectional survey. ⋯ The present study furthers our ability to use empirically based cutoffs to inform the use of clinical guidelines for pain treatment as well as our understanding of the factors that might impact the cutoffs that are most appropriate for specific pain populations. The results of the present study also add to the existing literature by drawing similarities to studies of other populations, but also by highlighting that clear, between-condition differences may exist that warrant using different cutoffs for patients with different medical conditions. Specifically, the present study highlights that cutoffs may be lower for persons with MS than other populations of persons with pain.
-
The comorbidity of chronic pain and sleep disturbances has received increasing research attention in Western clinical pediatric populations; yet, little is known about its sociodemographic and psychological correlates in non-Western community pediatric populations. This study aimed to examine the prevalence of comorbid chronic pain and sleep disturbances and its associated factors in a community sample of Chinese adolescents. ⋯ Our data offered preliminary evidence that comorbid chronic pain and sleep disturbances occurred among about one-fifth in the present sample of Chinese community adolescents. Future studies should examine whether the two symptoms interact with each other in affecting the physical, mental, and cognitive development of adolescents.
-
To evaluate and compare the validity and reliability of individual and composite recall pain intensity measures. ⋯ Individual recall ratings and a composite score representing recalled characteristic pain intensity are reliable and valid measures of actual pain in patients with cancer. The findings support their use as outcome measures in clinical trials.