A delphi consensus approach for the management of chronic pain during and after the covid-19 era
| Autor: | Marco Cascella, Luca Miceli, Francesco Cutugno, Giorgio Di Lorenzo, Alessandro Morabito, Alfonso Oriente, Giuseppe Massazza, Alberto Magni, Franco Marinangeli, Arturo Cuomo, on behalf of the DELPHI Panel |
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| Přispěvatelé: | Cascella, M., Miceli, L., Cutugno, F., Di Lorenzo, G., Morabito, A., Oriente, A., Massazza, G., Magni, A., Marinangeli, F., Cuomo, A. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Consensus
Delphi Technique Pandemic Health Toxicology and Mutagenesis Public Health Environmental and Occupational Health COVID-19 Chronic pain Consensu Recommendation Article Telemedicine Delphi survey Recommendations Humans Pandemics Chronic Pain Pain Management chronic pain telemedicine recommendations Post-Acute COVID-19 Syndrome Settore MED/25 Medicine Human |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 18; Issue 24; Pages: 13372 International Journal of Environmental Research and Public Health, Vol 18, Iss 13372, p 13372 (2021) International Journal of Environmental Research and Public Health |
| Popis: | Due to a lack of published evidence on the topic, a modified Delphi approach was used to develop recommendations useful for chronic pain management during and after the COVID-19 pandemic. Focusing on the available literature and personal clinical expertise, an Italian board of nine professionals from different disciplines identified four main topics: prevention of chronic pain, treatment of chronic pain, consequences of inadequate treatment, and perspectives. They elaborated a semi-structured questionnaire. A multidisciplinary panel of experts in the field of pain management was requested to comment on the statements. Based on the answers provided, a structured questionnaire was prepared (Round 1). It included 21 statements divided into three categories (organizational issues; diagnosis and therapies; telemedicine and future perspectives). A five-point Likert scale was adopted. The threshold for consensus was set at a minimum of 70% of the number of respondents (level of agreement ≥ 4, Agree or Strongly Agree). A final questionnaire with rephrasing of the statements that did not reach the consensus threshold was elaborated (Round 2). A total of 29 clinicians were included in the panel. Twenty clinicians (69%) responded in both the first and second round. After two rounds, consensus (≥70%) was achieved in 20 out of 21 statements. The lack of consensus was recorded for the statement regarding the management of post-COVID pain (55%; Median 4; IQR 2.3). Another statement on telemedicine reached the threshold in the first round (70%), but the value was not confirmed in Round 2 (65%; Median 4; IQR 2). Most of the proposed items reached consensus, suggesting the need to make organizational changes, the structuring of careful diagnostic and therapeutic pathways, and the application of new technologies in pain medicine. Long-COVID-19 care is an issue that needs further research. Remote assistance for chronic pain must be regulated. |
| Databáze: | OpenAIRE |
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