Cited by 229Musculoskeletal pain and rehabilitationPain Management and Opioid UsePediatric Pain Management Techniques

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United States national pain strategy for population research: concepts, definitions, and pilot data.

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Von Korff, Michael, Scher, Ann I., Helmick, Charles, Carter-Pokras, Olivia, Dodick, David W., Goulet, Joseph, Hamill-Ruth, Robin, LeResche, Linda, Porter, Linda, Tait, Raymond, Terman, Gregory, Veasley, Christin, Mackey, Sean·2016·The Journal of Pain

DOI 10.1016/j.jpain.2016.06.009

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Abstract

Unlabelled National Pain Strategy population research objectives include: estimating chronic pain prevalence, studying pain treatment with electronic health care data, and developing metrics to assess progress in reducing chronic pain impact. In this article, the National Pain Strategy Population Research Workgroup reviews concepts relevant to achieving these aims. High-impact chronic pain was defined as persistent pain with substantial restriction of life activities lasting 6 months or more. In pilot work, we tested a brief assessment of high-impact chronic pain, and used electronic health records data to describe pain-related health care. A mail survey of adult health plan enrollees (N = 770) reported that 14% had high-impact chronic pain. Relative to persons with lower-impact chronic pain, those with high-impact chronic pain were more often frequent users of health care for pain, reported lower quality of life, greater pain-related interference with activities, and more often reported pain at multiple anatomic locations. Analyses of health care data (N = 289,464) reported that pain patients had higher health care costs compared with others and that pain services were typically delivered in primary care. These results support the feasibility of developing data on chronic pain through national health interview surveys and large electronic health care databases.Perspective Pilot analyses supported the feasibility of brief chronic pain assessments suitable for national health surveys and use of electronic health care databases to develop data regarding trends in the delivery of pain treatments, costs, and effectiveness. These methods are relevant to achieving the aims of the US National Pain Strategy.

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Authors: Von Korff, M., Scher, A. I., Helmick, C., Carter-Pokras, O., Dodick, D. W., Goulet, J., Hamill-Ruth, R., LeResche, L., Porter, L., Tait, R., Terman, G., Veasley, C., & Mackey, S.
Affiliations: Centers for Disease Control and Prevention (US)
Mayo Clinic (US)
Yale University (US)
University of Virginia Health System (US)
University of Washington (US)
National Institutes of Health (US)
Saint Louis University (US)
Stanford Medicine (US)
ORCID: Helmick, Charles
Dodick, David W.
Goulet, Joseph
Hamill-Ruth, Robin
Tait, Raymond
Veasley, Christin
Mackey, Sean
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2016-10
Volume: 17
Issue: 10
Pages: 1068-1080
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2016.06.009
OpenAlex: W2464049161
Cited by: 229
References: 40
Citations by year: 2026: 19 · 2025: 21 · 2024: 31 · 2023: 26 · 2022: 32 · 2021: 33 · 2020: 22 · 2019: 26 · 2018: 11 · 2017: 7 · 2016: 1
FWCI: 12.13
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 2536 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Funders: NINDS
NIH Inter-Agency Pain Research Coordinating Committee (AG034181)
Pfizer Inc.
Healthlogix
Haymarket Media Group, Ltd.
SAGE Publishing
Synergy
Allergan
Lippincott Williams & Wilkins
Oxford University Press
Cambridge University Press
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, high-impact chronic pain, health care costs, electronic health records, pain assessment tools, quality of life, primary care, health plan enrollees
MeSH terms: Adolescent, Adult, Aged, Feasibility Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Terminology as Topic, Pain Measurement, Pilot Projects, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Research Design, United States, Prevalence, Databases, Factual, Health Care Costs, Young Adult, Electronic Health Records, Chronic Pain

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United States national pain strategy for population research: concepts, definitions, and pilot data.

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