Journal ArticleDOI
Race, ethnicity, and pain among the U.S. adult population.
TLDR
A review of the literature is conducted to explore the interaction between race/ethnicity, cultural influences; pain perception, assessment, and communication; provider and patient characteristics; and health system factors and how they might contribute to racial/ethnic disparities in receipt of effective pain management.Abstract:
Introduction. There is reliable evidence that racial/ethnic minorities suffer disproportionately from unrelieved pain compared with Whites. Several factors may contribute to disparities in pain management. Understanding how these factors influence effective pain management among racial/ethnic minority populations would be helpful for developing tailored interventions designed to eliminate racial/ethnic disparities in pain management. We conducted a review of the literature to explore the interaction between race/ethnicity, cultural influences; pain perception, assessment, and communication; provider and patient characteristics; and health system factors and how they might contribute to racial/ethnic disparities in receipt of effective pain management. Methods. The published literature from 1990–2008 was searched for articles with data on racial/ethnic patterns of pain management as well as racially, ethnically, and culturally-specific attitudes toward pain, pain assessment, and communication; provider prescribing patterns; community access to pain medications; and pain coping strategies among U.S. adults. Results. The literature suggests that racial/ethnic disparities in pain management may operate through limited access to health care and appropriate analgesics; patient access to or utilization of pain specialists; miscommunication and/or misperceptions about the presence and/or severity of pain; patient attitudes, beliefs, and behaviors that influence the acceptance of appropriate analgesics and analgesic doses; and provider attitudes, knowledge and beliefs about patient pain.read more
Citations
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Journal Article
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.
Journal ArticleDOI
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites
TL;DR: It is shown that a substantial number of white laypeople and medical students and residents hold false beliefs about biological differences between blacks and whites and this work demonstrates that these beliefs predict racial bias in pain perception and treatment recommendation accuracy.
Journal ArticleDOI
The Influence of Implicit Bias on Treatment Recommendations for 4 Common Pediatric Conditions: Pain, Urinary Tract Infection, Attention Deficit Hyperactivity Disorder, and Asthma
TL;DR: Pediatricians' implicit attitudes about race affect pain management and there is a need to better understand the influence of physicians' unconscious beliefs about race on pain and other areas of care.
Journal ArticleDOI
Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline
Judith A. Paice,Russell K. Portenoy,Christina Lacchetti,Toby C. Campbell,Andrea L. Cheville,Marc L. Citron,Louis S. Constine,Andrea Cooper,Paul Glare,F.J. Keefe,Lakshmi Koyyalagunta,Michael H. Levy,Christine Miaskowski,Shirley Otis-Green,Paul A. Sloan,Eduardo Bruera +15 more
TL;DR: An ASCO-convened expert panel conducted a systematic literature search of studies investigating chronic pain management in cancer survivors to provide evidence-based guidance on the optimum management of chronic pain in adult cancer survivors.
Journal ArticleDOI
Time to Take Stock: A Meta‐Analysis and Systematic Review of Analgesic Treatment Disparities for Pain in the United States
TL;DR: The size of the difference was sufficiently large to raise not only normative but quality and safety concerns and a concerted strategy is needed to reduce pain care disparities within the larger quality of care initiatives.
References
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Book
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Journal ArticleDOI
The McGill Pain Questionnaire: major properties and scoring methods.
TL;DR: The McGill Pain Questionnaire as discussed by the authors consists of three major classes of word descriptors (sensory, affective and evaluative) that are used by patients to specify subjective pain experience.
Journal Article
The McGill Pain Questionnaire: major properties and scoring methods.
TL;DR: The data indicate that the McGill Pain Questionnaire provides quantitative information that can be treated statistically, and is sufficiently sensitive to detect differences among different methods to relieve pain.
Journal Article
Pain assessment: Global use of the Brief Pain Inventory.
Charles S. Cleeland,Ryan Km +1 more
TL;DR: The development of the Brief Pain Inventory and the various applications to which the BPI is suited are described, being adopted in many countries for clinical pain assessment, epidemiological studies, and in studies of the effectiveness of pain treatment.
Journal ArticleDOI
The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions
TL;DR: A review of the basic neuroscience processes of pain (the bio part of biopsychosocial, as well as the psychosocial factors, is presented) and on the development of new technologies, such as brain imaging, that provide new insights into brain-pain mechanisms.