Pain medicine : the official journal of the American Academy of Pain Medicine
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Randomized Controlled Trial
Pain ratings by patients and their providers of radionucleotide injection for breast cancer lymphatic mapping.
Disparity between patient report and physician perception of pain from radiotracer injection for sentinel node biopsy is thought to center on the severity of the intervention, ethnic composition of population queried, and socioeconomic factors. ⋯ Patient-physician pain assessment congruence over the less painful injections and their statistically similar scores with the more painful methods suggests the importance of utilizing the least painful method possible. Providers tended to underestimate patients with the highest pain ratings-those in the greatest analgesic need. Lack of statistical difference between African American and physician scores may reflect the equal-access-to-care over the entire patient cohort, supporting the conclusion that socioeconomic factors may lie at the heart of previously reported discrepancies.
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Randomized Controlled Trial Multicenter Study
Efficacy of acupuncture for acute migraine attack: a multicenter single blinded, randomized controlled trial.
We aim to investigate the efficacy of acupuncture for acute migraine attacks comparing with sham acupuncture. ⋯ This trial suggested that verum acupuncture group was superior to sham acupuncture group on relieving pain and reducing the usage of acute medication.
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Temporomandibular disorders and orofacial pain are common presenting conditions to dentists. There has been a call for improvement in teaching about these conditions in the international literature since the 1970s. ⋯ This pilot study indicates that levels of knowledge about pain are consistently low among dental students. There does appear to be improvement in knowledge after exposure to teaching in advanced training years in this dental school. There is some evidence that graduate dentists as a group may also have low levels of knowledge about basic pain mechanisms and evidenced-based treatment principles. This study highlights the need for improved training of dentists and dental students with regard to pain and orofacial pain.