Article
Pharmacology & Pharmacy
Han Xie, Xinyi Chen, Min Xue, Huaying Li, Yonghan Ge, Weihong Ge
Summary: This study aimed to construct a pharmaceutical care mode for cancer pain patients in primary care and analyze its effect on drug therapy treatment. The results showed that under the scientific and reasonable mode of pharmaceutical care, the pain assessment rate and reasonable rate of pain assessment were significantly higher, while the pain score and incidence of adverse reactions were significantly lower.
FRONTIERS IN PHARMACOLOGY
(2023)
Article
Medicine, General & Internal
Helen M. Poole, Bernhard Frank, Emma Begley, Aimee Woods, Andreia Ramos-Silva, Mike Merriman, Roisin McCulough, Catharine Montgomery
Summary: This study aims to investigate the effectiveness and feasibility of reducing high doses of opioids through a tapering protocol, education, and support for patients with chronic pain. The study will randomly allocate patients to either a tapering group or a tapering with support group to assess the impact of these interventions on pain and quality of life.
Article
Medicine, General & Internal
Simon Dyrlov Madsen, Lars Morso, Werner Vach, Merethe Kirstine Andersen, Jesper Lykkegaard, Berit Schiottz-Christensen, Mette Jensen Stochkendahl
Summary: This study explored the care provided by GPs, PTs, and DCs to patients with low back pain. The results showed significant variation in care elements and practice patterns between professions.
Review
Medicine, General & Internal
Susana Tinoco Duarte, Carla Nunes, Daniela Costa, Helena Donato, Eduardo B. Cruz
Summary: Low back pain is a common musculoskeletal condition that causes high healthcare costs. Models of care are considered effective solutions to address this issue. This scoping review aims to summarize the existing evidence on the implementation of models of care for low back pain in primary healthcare.
Article
Psychology, Multidisciplinary
Catarina Tome-Pires, Enric Aragones, Concepcion Rambla, German Lopez-Cortacans, Elisabet Sanchez-Rodriguez, Antonia Caballero, Jordi Miro
Summary: This study aimed to explore patients' perceptions of a group-based psychoeducational intervention for the management of chronic musculoskeletal pain and depression. The perceived barriers included lack of motivation, time constraints, pain, depression, ineffectiveness of pain-relief strategies, and activity avoidance. The facilitators were having a supportive family/friends, the positive effects of self-management, high motivation, and being a proactive patient, as well as peer support and identification, the positive effect of sessions, and free expression.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Medicine, General & Internal
Morgane Guillou Landreat, Melia Baillot, Delphine Le Goff, Jean Yves Le Reste
Summary: The study explores the challenges faced by general practitioners in managing acute pain among patients receiving opioid maintenance treatment. Two main themes emerged: medical care and training challenges, and patient-GP relationship issues. Fear of misuse or diversion was less concerning compared to the risks of patient destabilisation in acute pain situations.
Article
Multidisciplinary Sciences
Davide Liborio Vetrano, Alberto Zucchelli, Graziano Onder, Laura Fratiglioni, Amaia Calderon-Larranaga, Alessandra Marengoni, Ettore Marconi, Iacopo Cricelli, Pierangelo Lora Aprile, Roberto Bernabei, Claudio Cricelli, Francesco Lapi
Summary: The study aimed to develop and validate a primary care frailty index (PC-FI), based on health records, to detect and quantify frailty in older primary care patients. The PC-FI was developed using data from a database in Italy and validated in a Swedish cohort. The PC-FI showed an association with mortality and hospitalization, as well as good discriminative ability. The study highlights the importance of identifying frailty in primary care settings.
SCIENTIFIC REPORTS
(2023)
Article
Medicine, General & Internal
Suzanne Nielsen, Rachelle Buchbinder, Christopher Pearce, Dan Lubman, Samanta Lalic, Romi Haas, Louisa Picco, Monica Jung, Helena Cangadis-Douglass, Jenni Ilomaki, J. Simon Bell, Ting Xia
Summary: The OPPICO cohort is a population-based cohort created to understand opioid prescribing, policy impacts, and clinical outcomes. This paper provides a profile of the study cohort by summarizing available demographic, clinical, and prescribing characteristics.
Article
Medicine, General & Internal
Jinfeng Ding, Claire E. Johnson, Christobel Saunders, Sharon Licqurish, David Chua, Geoffrey Mitchell, Angus Cook
Summary: This study investigated the involvement, continuity, and outcomes of end-of-life care provided by general practitioners in Australia. The findings suggest a need for palliative care training and healthcare system reforms to better support GPs in their role in end-of-life care.
Article
Medicine, General & Internal
Yu Fu, Ben Allen, Alan M. Batterham, Christopher Price, Niki Jones, Denis Martin, Nick Hex, Ewan Maule, Tracy Finch, Julia L. Newton, Cormac G. Ryan
Summary: Opioid prescribing rates are disproportionately high in the North of England, and clinician behavior and the COVID-19 pandemic have contributed to this issue. A pilot intervention using smartphone video messaging has been developed to address the problem. This study aims to evaluate the benefits, risks, and economic consequences of implementing this intervention on a larger scale.
Article
Medicine, General & Internal
Greg Coates, Peter Clewes, Christoph Lohan, Hannah Stevenson, Robert Wood, Theo Tritton, Roger Knaggs, Alastair J. Dickson, David Walsh
Summary: This study compared outcomes in patients with moderate-to-severe chronic pain associated with osteoarthritis (OA) and matched controls without OA. The results showed that patients with OA used significantly more healthcare services and incurred significantly higher direct costs compared to matched controls. Further research is needed to fully quantify the health economic burden of moderate-to-severe pain associated with OA.
Article
Medicine, General & Internal
Christine Timko, Kurt Kroenke, Andrea Nevedal, Mai Chee Lor, Elizabeth Oliva, Karen Drexler, Friedhelm Sandbrink, Katherine Hoggatt
Summary: This study protocol aims to develop two screening tools, SET1 and SET2, to facilitate more intensive and comprehensive monitoring of patients on long-term opioid therapy (LTOT) and decision-making about discontinuation. The findings will be disseminated through peer-reviewed manuscripts and presentations at research conferences.
Article
Medicine, General & Internal
Julie M. Fritz, Elizabeth Lane, Molly McFadden, Gerard Brennan, John S. Magel, Anne Thackeray, Kate Minick, Whitney Meier, Tom Greene
Summary: Referral to physical therapy for acute sciatica from primary care showed significant improvement in disability, pain intensity, treatment success, and other outcomes compared to usual care alone. Early referral to physical therapy can be an effective strategy for managing acute sciatica.
ANNALS OF INTERNAL MEDICINE
(2021)
Article
Anesthesiology
Stephen L. Luther, Dezon K. Finch, Lina Bouayad, James McCart, Ling Han, Steven K. Dobscha, Melissa Skanderson, Samah J. Fodeh, Bridget Hahm, Allison Lee, Joseph L. Goulet, Cynthia A. Brandt, Robert D. Kerns
Summary: This study used rule-based natural language processing algorithms to extract pain care quality indicators from documents of Veterans Health Administration primary care providers. The patterns and frequency of these indicators were described. The study found that the most commonly documented indicators were pain presence, etiology or source, and pain site, while the least commonly documented were sensation, pain's impact, and pain relief factors. The study also calculated a PCQ indicator score for each visit and found the scores to be highly stable across patient characteristics and healthcare facilities.
Article
Rehabilitation
Noa Ben Ami, Tamar Pincus
Summary: This study translated and evaluated the reliability of the CRQ and explored its ability to detect change before and after communication skills training. The results showed that the CRQ has good reliability and acceptable levels of responsiveness.
PHYSIOTHERAPY THEORY AND PRACTICE
(2022)
Article
Health Care Sciences & Services
Cynthia P. Iglesias Urrutia, Seda Erdem, Yvonne F. Birks, Stephanie J. C. Taylor, Gerry Richardson, Peter Bower, Bernard van den Berg, Andrea Manca
Summary: Patients with long-term health conditions prefer self-management support interventions that involve patient choice, individual-based care, face-to-face sessions with a doctor or nurse at the GP practice, shorter duration sessions, and varying frequency of occurrence. The study identified three latent classes of preferences based on gender, age, type of condition, and comorbidity, which can inform the design of more tailored self-management support services.
HEALTH SERVICES RESEARCH
(2022)
Article
Rehabilitation
Yael Parnes, Tamar Pincus, Michael Sullivan, Noa Ben Ami
Summary: The purpose of this study was to translate, validate, and culturally adapt the Injustice Experience Questionnaire (IEQ) and IEQ Short Form (IEQ-SF) into Hebrew, and to examine their validity and reliability in measuring feelings of injustice in cases of accidents and chronic pain. The results showed that the translated questionnaires had good internal consistency and test-retest reliability, and they were also found to be correlated with other relevant scales.
DISABILITY AND REHABILITATION
(2023)
Article
Primary Health Care
Arwa Abdel-Aal, Karin Lisspers, Sian Williams, Peymane Adab, Rachel Adams, Dhiraj Agarwal, Amanda Barnard, Izolde Bouloukaki, Job F. M. van Boven, Niels Chavannes, Andrew P. Dickens, Frederik van Gemert, Mercedes Escarrer, Shamil Haroon, Alex Kayongo, Bruce Kirenga, Janwillem W. H. Kocks, Daniel Kotz, Chris Newby, Cliodna McNulty, Esther Metting, Luis Moral, Sophia Papadakis, Hilary Pinnock, David Price, Dermot Ryan, Sally J. Singh, Jaime Correia de Sousa, Bjorn Stallberg, Stanley J. Szefler, Stephanie J. C. Taylor, Ioanna Tsiligianni, Alice Turner, David Weller, Osman Yusuf, Aizhamal K. Tabyshova, Rachel E. Jordan
Summary: Respiratory diseases are a significant global health issue where primary care plays a key role in prevention, diagnosis, and treatment. The research identified a need for enhanced training for primary care clinicians, guidelines specifically relevant to primary care, empowerment of patients for self-management, and the role of multidisciplinary healthcare teams.
NPJ PRIMARY CARE RESPIRATORY MEDICINE
(2022)
Article
Medicine, Research & Experimental
Kirstie McClatchey, Viv Marsh, Liz Steed, Steve Holmes, Stephanie J. C. Taylor, Sharon Wiener-Ogilvie, Julia Neal, Rhian Last, Ann Saxon, Hilary Pinnock
Summary: This study developed a theoretically informed interprofessional education program to raise awareness of and enable healthcare professionals to deliver effective supported self-management. The program went through a multi-stage development process, with refinements made during practice testing and pre-pilot stages, contributing to the module design and delivery.
Article
Medicine, General & Internal
Harbinder Kaur Sandhu, Jane Shaw, Dawn Carnes, Andrea D. Furlan, Colin Tysall, Henry Adjei, Chockalingam Muthiah, Jennifer Noyes, Nicole K. Y. Tang, Stephanie J. C. Taylor, Martin Underwood, Adrian Willis, Sam Eldabe
Summary: This study describes the design, development, and pilot of a multicomponent intervention aimed at supporting withdrawal of opioids for people with chronic nonmalignant pain. The intervention was developed by a multidisciplinary team with expertise in health behavior interventions, opioid tapering, pain management, IT programming, and software development. The final intervention package includes education, problem-solving, motivation, tailored planning, reflection, and monitoring for reducing opioid use.
Article
Rehabilitation
Ron Feldman, Sharon Haleva-Amir, Tamar Pincus, Noa Ben Ami
Summary: This study explores physiotherapists' perceptions of implementing evidence-based practice through the ETMI approach. The findings suggest that physiotherapists believe that by improving communication skills, providing patient reassurance, and fostering inter-professional collaboration, the implementation of ETMI and the adoption of a psychosocial approach to low back pain can be achieved.
PHYSIOTHERAPY THEORY AND PRACTICE
(2023)
Article
Medicine, General & Internal
Lauren Jade Ewington, Jason Gardosi, Ranjit Lall, Martin Underwood, Joanne D. Fisher, Sara Wood, Ryan Griffin, Kirsten Harris, Debra Bick, Katie Booth, Jaclyn Brown, Emily Butler, Kelly Fowler, Mandy Williams, Sanjeev Deshpande, Adam Gornall, Jackie Dewdney, Karen Hillyer, Simon Gates, Ceri Jones, Hema Mistry, Stavros Petrou, Anne-Marie Slowther, Adrian Willis, Siobhan Quenby
Summary: LGA fetuses have an increased risk of shoulder dystocia. The Big Baby Trial aims to determine whether induction of labor at 38(+0)-38(+4) weeks' gestation reduces the incidence of shoulder dystocia.
Article
Medicine, General & Internal
Giovanni E. Ferreira, Christina Abdel-Shaheed, Martin Underwood, Nanna B. Finnerup, Richard Day, Andrew McLachlan, Sam Eldabe, Joshua R. Zadro, Christopher G. Maher
Summary: This study provides a comprehensive overview of the efficacy, safety, and tolerability of antidepressants for different pain conditions. The results show that antidepressants are effective in some pain conditions, particularly proton pump inhibitors, postoperative pain, neuropathic pain, and fibromyalgia. However, there is insufficient evidence to support the efficacy of antidepressants in other pain conditions. A more nuanced approach is needed when prescribing antidepressants for pain conditions.
BMJ-BRITISH MEDICAL JOURNAL
(2023)
Review
Rehabilitation
Joletta Belton, Hollie Birkinshaw, Tamar Pincus
Summary: In this article, a single individual's account of their lived experience of pain and consultations is described. The challenges and opportunities encountered ultimately led to self-awareness, clarity, and living well with pain. The emerging scientific evidence on specific aspects of consultations is also presented, providing a framework for understanding consultations for persistent musculoskeletal pain from a patient-centered research perspective.
CHIROPRACTIC & MANUAL THERAPIES
(2022)
Article
Public, Environmental & Occupational Health
Antonia Wadley, Peter Kamerman, Tamar Pincus, Michael Evangeli, Tapiwa Chinaka, W. D. Francois Venter, Godspower Akpomiemie, Michelle Moorhouse, Romy Parker
Summary: This study examined the relationship between activity levels and HIV stigma in people living with HIV and chronic pain. The results showed that stigma was not associated with the duration and intensity of activity, indicating that the drivers of sustained activity in South African PLWH remain unclear.
Article
Primary Health Care
Gillian Doe, Stephanie J. C. Taylor, Marko Topalovic, Richard Russell, Rachael A. Evans, Julie Maes, Karolien Van Orshovon, Anthony Sunjaya, David Scott, A. Toby Prevost, Ethaar El-Emir, Jennifer Harvey, Nicholas S. Hopkinson, Samantha S. Kon, Suhani Patel, Ian Jarrold, Nanette Spain, William D-C Man, Ann Hutchinson
Summary: This study aimed to explore perspectives on spirometry provision in primary care and the potential for artificial intelligence (AI) decision support software to improve quality and interpretation. The study found historical challenges and the impact of the pandemic on inequity in spirometry provision. It suggests delivering services closer to patients’ homes by appropriately trained staff and highlights the potential role of AI in supporting clinicians. However, sufficient validation of the software is crucial for clinician and healthcare commissioner trust in the process.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
V. Wileman, V. Rowland, M. Kelly, L. Steed, R. Sohanpal, H. Pinnock, S. J. C. Taylor
Summary: Implementing psychological interventions in healthcare services requires understanding of the organizational context. A UK study explored the barriers and facilitators for implementing psychological interventions for patients with chronic obstructive pulmonary disorder (COPD). The study found that integrating psychological and physical care, as well as providing necessary resources, training, and communication support, are essential for successful implementation.
NPJ PRIMARY CARE RESPIRATORY MEDICINE
(2023)
Article
Medicine, General & Internal
Ron Feldman, Tamar Pincus, Noa Ben Ami
Summary: The study aims to evaluate the implementation of the enhanced transtheoretical model intervention (ETMI) among primary care practitioners and its effectiveness in reducing pain, disability, fear avoidance, and healthcare utilization. The methodology includes a hybrid approach with qualitative and mixed-method studies, as well as a prospective cohort study. The study also assesses the perceptions and practices of practitioners through a qualitative evaluation. The results will provide insights into the relationship between ETMI and healthcare outcomes.
ISRAEL MEDICAL ASSOCIATION JOURNAL
(2022)