The Clinical journal of pain
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Objectives:Despite efforts to improve acute postoperative pain management, a substantial number of patients still experience moderate to severe pain during the immediate postoperative days. The purpose of the present study was to identify predictors of moderate to severe acute postoperative pain. ⋯ Discussion: Several predictive factors of postoperative pain were identified in this study. These factors could be taken into account in postoperative pain management.
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Costs of compensated work loss for low back pain have risen dramatically. Current healthcare management of this condition may contribute to this trend. Researchers are currently investigating the degree to which healthcare practitioners' attitudes and beliefs may influence their patient management. Measures used to assess healthcare practitioners' attitudes and beliefs have often been adapted from patient tools. The degree to which they have been assessed for use with different populations varies. ⋯ Statistical methods used suggest that the measure demonstrates good reliability with a GP population. The influence of training on attitudes and beliefs of GPs is discussed.
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Medication nonadherence is a frequent problem in chronic conditions. In chronic noncancer pain, medication is often used as an important cornerstone of the treatment. Studies on medication nonadherence in this population, however, are scarce. ⋯ We can conclude that medication nonadherence, especially underuse of medication, occurs frequently among patients with chronic nonmalignant pain. Prospective research is needed to learn about the impact of medication overuse or underuse on clinical outcomes. Future research should examine underuse and overuse as different types of nonadherence as different factors might predict this behavior.