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Healthcare
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Pain Management Practice and Research
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Pain Management Practice and Research

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Pain Management".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 3287

Special Issue Editor

Prof. Dr. Jeffrey Jianhong Huang

E-Mail Website
Guest Editor
Moffitt Cancer Center, Magnolia Campus, Tampa, FL 33612, USA
Interests: anesthesiology; pain management; enhanced recovery after surgery (ERAS); anesthesia and cancer recurrence; anesthesia outcomes

Special Issue Information

Dear Colleagues,

Pain has a substantial impact on the well-being of older individuals residing in both community and nursing home settings. In the former, over 50% are affected, while in the latter, this figure rises to over 80%. Unfortunately, persistent pain is frequently underdiagnosed and inadequately addressed. This condition not only curtails functional capabilities but also leads to a diminished quality of life, sleep disturbances, social isolation, depression, heightened healthcare costs, and increased resource consumption. Consequently, opioid abuse and behavioral shifts in patients have arisen, posing fresh clinical challenges for healthcare providers and affecting not only patients but also their families.

Healthcare professionals engage in comprehensive patient assessment, pain evaluation, diagnosis, pain treatment, non-pharmacological interventions, and the management of adverse effects stemming from pharmacological treatments. The timely and effective evaluation of pain, as well as its careful management, can substantially alleviate suffering while preserving and enhancing one's quality of life.

Our current Special Issue represents an exceptional opportunity to contribute to this groundbreaking field of pain. We encourage submissions encompassing various critical areas, including but not limited to acute pain, regional anesthesia for acute pain, chronic pain, cancer pain, interventional pain techniques, opioid management, non-pharmacological therapy for pain, pain management for pediatric patients, pain management for geriatric patients, and pain management for female patients. Submissions from around the world are welcome. Manuscripts may take the form of literature reviews (systematic literature reviews, meta-analyses, narrative reviews, and perspective articles) or original research (trials, cohort studies, experimental laboratory work, case–control studies), as long as they exhibit high quality and a strong focus on pain management. Please note that case reports and study protocols will not be considered. The scope of this issue is intentionally broad to encourage coverage of a diverse range of topics and viewpoints related to pain management.

Prof. Dr. Jeffrey Jianhong Huang
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • acute pain
  • regional anesthesia for acute pain
  • chronic pain
  • cancer pain
  • interventional pain techniques
  • opioid management
  • non pharmaceutics therapy for pain
  • pain management for pediatric patients
  • pain management for geriatric patients
  • pain management for women patients

Published Papers (3 papers)

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Research

13 pages, 763 KiB  
Article
Opioid Treatment in Primary Care: Knowledge and Practical Use of Opioid Therapy
by Aleksander Michał Biesiada, Aleksandra Ciałkowska-Rysz and Agnieszka Mastalerz-Migas
Healthcare 2024, 12(2), 217; https://doi.org/10.3390/healthcare12020217 - 16 Jan 2024
Viewed by 626
Abstract
Background: Primary care physicians play a key role in initiating opioid therapy. However, knowledge gaps in opioid use and pain management are significant barriers to providing optimal care. This research study aims to investigate the educational needs of primary care physicians regarding opioid [...] Read more.
Background: Primary care physicians play a key role in initiating opioid therapy. However, knowledge gaps in opioid use and pain management are significant barriers to providing optimal care. This research study aims to investigate the educational needs of primary care physicians regarding opioid therapy and opioid use in pain management. Methods: A computer-assisted web interview (CAWI) protocol was used to collect data from primary care physicians. Drug selection criteria, knowledge of opioid substitutes and dosage, and practical use of opioid therapy were evaluated. Results: While 84% of participating physicians (724 respondents) reported initiating opioid treatment, only a minority demonstrated accurate opioid dosage calculations. Significant discrepancies between physicians’ self-perceived knowledge and their clinical skills in opioid prescribing and pain management were observed. In total, 41% of physicians incorrectly indicated dose conversion rates for tramadol (the most frequently used drug according to 65% of responders). Conclusions: Targeted educational programs are essential to bridge the knowledge gap and increase physicians’ competence in pain management. The proper self-assessment of one’s own skills may be the key to improvement. Further research should focus on developing specialized educational courses and decision-support tools for primary care physicians and examining the impact of interprofessional pain management teams on patient outcomes. Full article
(This article belongs to the Special Issue Pain Management Practice and Research)
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10 pages, 794 KiB  
Article
Pain Prevalence and Satisfaction with Pain Management in Inpatients: A Cross-Sectional Study
by Ángel Becerra-Bolaños, Annette Armas-Domínguez, Lucía Valencia, Pedro Jiménez-Marrero, Sergio López-Ruiz and Aurelio Rodríguez-Pérez
Healthcare 2023, 11(24), 3191; https://doi.org/10.3390/healthcare11243191 - 18 Dec 2023
Viewed by 861
Abstract
Background: Pain in hospitalized adults is underestimated and undervalued. The aim of this study was to evaluate pain prevalence and satisfaction with the hospital’s pain management among patients attending a tertiary university hospital. Predictor factors of pain were also studied. Methods: A prospective, [...] Read more.
Background: Pain in hospitalized adults is underestimated and undervalued. The aim of this study was to evaluate pain prevalence and satisfaction with the hospital’s pain management among patients attending a tertiary university hospital. Predictor factors of pain were also studied. Methods: A prospective, cross-sectional study was carried out through a structured questionnaire given on one day to all hospitalized patients in a university hospital. Clinical data, such as personal history and analgesic treatment, were collected from medical records. Other variables related to pain (including intensity rated by the visual analogue scale as well as location and patient satisfaction measured by the numerical rating scale) were also obtained. Results: Of the 274 surveyed patients, pain prevalence was 52.9%, with an average intensity of 5.3 ± 2.8 according to VAS. The overall satisfaction was 87.2%, and 72.6% had already been prescribed at least one analgesic. Patients receiving analgesics showed higher pain intensity (VAS 3.6 ± 3.4) than those without treatment (VAS 1.1 ± 2.1) (p < 0.001). However, patients with treatment showed more satisfaction (NRS 7.8 ± 2 vs. 5.3 ± 1.4, p < 0.001). Conclusions: The prevalence of pain in hospitalized patients was high, despite the fact that patient satisfaction was also very high. Full article
(This article belongs to the Special Issue Pain Management Practice and Research)
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23 pages, 7256 KiB  
Article
Effectiveness and Safety of Progressive Loading–Motion Style Acupuncture Treatment for Acute Low Back Pain after Traffic Accidents: A Randomized Controlled Trial
by Seung-Yoon Hwangbo, Young-Jun Kim, Dong Guk Shin, Sang-Joon An, Hyunjin Choi, Yeonsun Lee, Yoon Jae Lee, Ju Yeon Kim and In-Hyuk Ha
Healthcare 2023, 11(22), 2939; https://doi.org/10.3390/healthcare11222939 - 10 Nov 2023
Cited by 1 | Viewed by 980
Abstract
Background: Traffic injuries include acute low back pain (LBP) needing active treatment to prevent chronicity. This two-armed, parallel, assessor-blinded, randomized controlled trial evaluated the effectiveness and safety of progressive loading–motion style acupuncture treatment (PL-MSAT) for acute LBP following traffic accidents. Methods: Based on [...] Read more.
Background: Traffic injuries include acute low back pain (LBP) needing active treatment to prevent chronicity. This two-armed, parallel, assessor-blinded, randomized controlled trial evaluated the effectiveness and safety of progressive loading–motion style acupuncture treatment (PL-MSAT) for acute LBP following traffic accidents. Methods: Based on an effect size of 1.03, 104 participants were recruited and divided in a 1:1 ratio into PL-MAST and control groups using block randomization. Both groups underwent integrative Korean medicine treatment (IKMT) daily; only the PL-MSAT group underwent three PL-MSAT sessions. The outcomes were assessed before and after the treatment sessions and at 1 and 3 months post-discharge. The primary outcome was the difference in the numeric rating scale (NRS) for LBP. The secondary outcomes included a visual analog scale for LBP, leg pain status, the Oswestry disability index, lumbar active range of motion (ROM), quality of life, Patient Global Impression of Change, and Post-Traumatic Stress Disorder Checklist adverse events. Results: In the modified intention-to-treat analysis, 50 and 51 participants were included in the PL-MSAT and control groups. On Day 4, the mean LBP NRS score was 3.67 (3.44–3.90) in the PL-MSAT group, indicating a significantly lower NRS 0.77 (0.44–1.11) compared to 4.44 (4.20–4.68) for the control group (p < 0.001). The PL-MSAT group exhibited greater ROM flexion (−5.31; −8.15 to −2.48) and extension (−2.09; −3.39 to −0.80). No significant differences were found for the secondary outcomes and follow-ups. Conclusions: Compared with IKMT alone, PL-MSAT plus IKMT showed significantly better outcomes for reducing pain and increasing the ROM in acute LBP. Full article
(This article belongs to the Special Issue Pain Management Practice and Research)
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