The DOI matches its Crossref record; 54 of the 55 references it cites were found in a registry or an index.
Chronic pain in primary care
Abstract
Chronic pain is a very common cause of suffering, disability and economic adversity in the community. It is a complex problem that needs to be understood in a multi-dimensional way for effective management. Most research to date has been based in specialist clinics rather than in primary care, with consequently limited findings. Chronic pain differs from acute pain in that management follows a rehabilitative rather than a treatment model, though these are not mutually exclusive. Full assessment of the patient, preferably multi-disciplinary, will improve his or her outlook. Management should be holistic, rigorous in the application of conventional therapies (including analgesics and physical therapy) and ready to admit an improved understanding of psychological and social techniques. There may be a role for complementary therapies. As a large proportion of chronic pain presents only in the community, there may be a role for greater primary care input to management.
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“Assessment and re-assessment are essential in all stages of managing chronic pain, and it is important to ensure that any new treatment is given a full and proper trial, so that potentially effective treatments are often not discarded because of an incomplete trial of treatment, inappropriate timing or dose of drugs, poor medication compliance and/or mismatched patient expectations [31].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [31]
In the citing paper
“Assessment and re-assessment are essential in all stages of managing chronic pain, and it is important to ensure that any new treatment is given a full and proper trial, so that potentially effective treatments are often not discarded because of an incomplete trial of treatment, inappropriate timing or dose of drugs, poor medication compliance and/or mismatched patient expectations [31].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [31]
In the citing paper
“Research utilising a variety of methodologies has consistently demonstrated that this impact breaches multiple aspects of the self, including – but not limited to – physical, neurological, psychological, social and spiritual concerns.1”
From New approaches towards chronic pain: Patient experiences of a solution-focused pain management programme (2014) · cites this paper as [1]
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Metadata
- Authors
- Smith, B. H.
- Affiliations
- University of Aberdeen (GB)
- Corresponding author
- Smith, B. H
- ORCID
- Smith, B. H
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-10-01
- Volume
- 16
- Issue
- 5
- Pages
- 475-482
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2096803815
- Cited by
- 104
- References
- 55
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 10 · 2012: 5
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- 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 › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- chronic pain, primary care, pain management, rehabilitation, multidisciplinary assessment, holistic care, analgesics, physiotherapy, psychological techniques, social factors, complementary therapy, disability, economic burden
- MeSH terms
- Complementary Therapies, Chronic Disease, Humans, Pain, Pain Measurement, Primary Health Care
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