Assessment and management patterns for chronic musculoskeletal pain in the family practice setting.

Autor: Callen EF; American Academy of Family Physicians, Leawood, KS, 66211, USA; DARTNet Institute, Aurora, CO, 80045, USA. Electronic address: elisabeth.callen@dartnet.info., Lutgen CB; American Academy of Family Physicians, Leawood, KS, 66211, USA; DARTNet Institute, Aurora, CO, 80045, USA., Robertson E; American Academy of Family Physicians, Leawood, KS, 66211, USA; DARTNet Institute, Aurora, CO, 80045, USA., Loskutova NY; American Academy of Family Physicians, Leawood, KS, 66211, USA; University of Kansas Medical Center, Kansas City, KS, 66160, USA.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2024 Jul; Vol. 39, pp. 50-56. Date of Electronic Publication: 2024 Feb 28.
DOI: 10.1016/j.jbmt.2024.02.034
Abstrakt: Background: Chronic pain affects 11% of the US population. Most patients who experience pain, particularly chronic musculoskeletal pain, seek care in primary care settings. Assessment of the patient pain experience is the cornerstone to optimal pain management; however, pain assessment remains a challenge for medical professionals. It is unknown to what extent the assessment of pain intensity is considered in context of function and quality of life.
Objective: To understand common practices related to assessment of pain and function in patients with chronic musculoskeletal disorders.
Design: Cross-sectional survey.
Methods: A 42-item electronic survey was developed with self-reported numeric ratings and responses related to knowledge, beliefs, and current practices. All physicians and non-physician clinicians affiliated with the AAFP NRN and 2000 AAFP physician members were invited to participate.
Results/findings: Primary care clinicians report that chronic joint pain assessment should be comprehensive, citing assessment elements that align with the comprehensive pain assessment models. Pain intensity remains the primary focus of pain assessment in chronic joint pain and the most important factor in guiding treatment decisions, despite well-known limitations. Clinicians also report that patients with osteoarthritis should be treated by Family Medicine.
Conclusions: Pain assessment is primarily limited to pain intensity scales which may contribute to worse patient outcomes. Given that most respondents believe primary care/family medicine should be primary responsible for the care of patients with osteoarthritis, awareness of and comfort with existing guidelines, validated assessment instruments and the comprehensive pain assessment models could contribute to delivery of more comprehensive care.
Competing Interests: Declaration of competing interest EC – Over the past three years, Dr. Callen received research support from PCORI, Merck, NIH, AAFP Foundation, Otsuka, Takeda, UnitedHealthFoundation, HRSA, GlaxoSmithKline, SAMHSA, Eli Lilly, CDC, HelmsleyFoundation, and VaxCare. CL – Over the past three years, Mr. Lutgen has received research support from PCORI, SAMHSA, Eli Lilly, Shire, Humana, AAFP Foundation, and NCIBH. Mr. Lutgen is also a member of the Governance Committee for the Board of Directors of the North American Primary Care Research Group (NAPCRG). ER – Over the past three years, Ms. Robertson has received research support from NCI, HRSA, SAMHSA, Eli Lilly, Takeda Pharmaceuticals, AHRQ, and CDC. NYL – No interests declared.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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