Pain medicine : the official journal of the American Academy of Pain Medicine
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Multicenter Study
Ultrasound-guided permanent implantation of peripheral nerve stimulation (PNS) system for neuropathic pain of the extremities: original cases and outcomes.
Our objective is to describe our experience applying a minimally invasive, ultrasound-assisted technique for peripheral nerve stimulation (PNS) trial and permanent implantation in patients with neuropathic extremity pain. ⋯ In a small series of patients, a minimally invasive, ultrasound-assisted technique for PNS trial, and permanent PNS implantation proved feasible. Patients without adequate analgesia during neurostimulation trial avoided surgical incision and those undergoing permanent implantation were not subjected to the potential morbidity associated with nerve dissection.
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Multicenter Study
Barriers and facilitators to chronic pain self-management: a qualitative study of primary care patients with comorbid musculoskeletal pain and depression.
To identify barriers and facilitators to self-management of chronic musculoskeletal pain among patients with comorbid pain and depression. ⋯ Future research is needed to confirm these findings and to design interventions that capitalize on the facilitators identified while at the same time addressing the barriers to pain self-management.
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Multicenter Study Comparative Study
Exploring alternative approaches to routine outpatient pain screening.
To evaluate potential alternatives to the numeric rating scale (NRS) for routine pain screening. ⋯ Alternative single or combined pain screening strategies assessing pain-related bother may improve routine pain detection.
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Randomized Controlled Trial Multicenter Study Comparative Study
N-of-1 randomized trials to assess the efficacy of gabapentin for chronic neuropathic pain.
The objective of this study was to compare the efficacy of gabapentin with placebo for neuropathic pain at the individual and population levels. ⋯ The response rate and mean reduction in symptoms with gabapentin were small. Gabapentin prescribing posttrial was significantly influenced by the trial results.
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Multicenter Study
Impact of physician and patient gender on pain management in the emergency department--a multicenter study.
Pain is a complex experience influenced by factors such as age, race, and ethnicity. We conducted a multicenter study to better understand emergency department (ED) pain management practices and examined the influence of patient and provider gender on analgesic administration. ⋯ Provider gender as opposed to patient gender appears to influence pain management decisions in the ED.