ArticleJournal of pain research2015
Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program.
Article in Journal of pain research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity of Algorithms for Identification of Individuals Suffering from Chronic Noncancer Pain in Administrative Databases: A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Trial
- Exploring Factors Associated with Prescribers' Comfort Levels in Analgesic Prescribing in Quebec.Journal of pain research · 2024Article
- Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2024Article
- The Calm after the Storm: A State-of-the-Art Review about Recommendations Put Forward during the COVID-19 Pandemic to Improve Chronic Pain Management.Journal of clinical medicine · 2023Review
- Sex and gender differences in healthcare utilisation trajectories: a cohort study among Quebec workers living with chronic pain.BMJ open · 2023Article
- When can cancer patient treatment nonadherence be considered intentional or unintentional? A scoping review.PloS one · 2023Article
- Pain Medications Used by Persons Living With Fibromyalgia: A Comparison Between the Profile of a Quebec Sample and Clinical Practice Guidelines.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Perspective of Pain Clinicians in Three Global Cities on Local Barriers to Providing Care for Chronic Noncancer Pain Patients.Pain research & management · 2019Article
- The importance of chronic pain education and awareness amongst occupational safety and health professionals.Journal of pain research · 2019Article
- Complexities of Perioperative Pain Management in Orthopedic Trauma.Current pain and headache reports · 2018Review
- Project ECHO Telementoring Intervention for Managing Chronic Pain in Primary Care: Insights from a Qualitative Study.Pain medicine (Malden, Mass.) · 2018Article
- Expectations towards participation in easily accessible pain management interventions: a qualitative study.BMC health services research · 2017Article
- Knowledge, beliefs, and attitudes of the Quebec population toward chronic pain: Where are we now?Canadian journal of pain = Revue canadienne de la douleur · 2017Article
- Identification and Management of Chronic Pain in Primary Care: a Review.Current psychiatry reports · 2016Review
- Knowledge, Beliefs, and Attitudes of Emergency Nurses Toward People With Chronic Pain.SAGE open nursingArticle
- An investigation of the views and practices of Australian community pharmacists on pain and fever management and clinical guidelines.Pharmacy practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is evidence that the management of chronic non-cancer pain (CNCP) in primary care is far from being optimal. A 1-day workshop was held to explore the perceptions of key actors regarding the challenges and priority interventions to improve CNCP management in primary care.
methodsUsing the Chronic Care Model as a conceptual framework, physicians (n=6), pharmacists (n=6), nurses (n=6), physiotherapists (n=6), psychologists (n=6), pain specialists (n=6), patients (n=3), family members (n=3), decision makers and managers (n=4), and pain researchers (n=7) took part in seven focus groups and five nominal groups.
resultsChallenges identified in focus group discussions were related to five dimensions: knowledge gap, "work in silos", lack of awareness that CNCP represents an important clinical problem, difficulties in access to health professionals and services, and patient empowerment needs. Based on the nominal group discussions, the following priority interventions were identified: interdisciplinary continuing education, interdisciplinary treatment approach, regional expert leadership, creation and definition of care paths, and patient education programs.
conclusionBarriers to optimal management of CNCP in primary care are numerous. Improving its management cannot be envisioned without considering multifaceted interventions targeting several dimensions of the Chronic Care Model and focusing on both clinicians and patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.