Caring for patients with pain during the COVID ‐19 pandemic: consensus recommendations from an international expert panel
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Summary: Chronic pain causes significant suffering, limitation of daily activities and reduced quality of life. Infection from COVID ‐19 is responsible for an ongoing pandemic that causes severe acute respiratory syndrome, leading to systemic complications and death. Led by the World Health Organization, healthcare systems across the world are engaged in limiting the spread of infection. As a result, all elective surgical procedures, outpatient procedures and patient visits, including pain management services, have been postponed or cancelled. This has affected the care of chronic pain patients. Most are elderly with multiple comorbidities, which puts them at risk of COVID ‐19 infection. Important considerations that need to be recognised during this pandemic for chronic pain patients include: ensuring continuity of care and pain medications, especially opioids; use of telemedicine; maintaining biopsychosocial management; use of anti‐inflammatory drugs; use of steroids; and prioritising necessary procedural visits. There are no guidelines to inform physicians and healthcare providers engaged in caring for patients with pain during this period of crisis. We assembled an expert panel of pain physicians, psychologists and researchers from North America and Europe to formulate recommendations to guide practice. As the COVID ‐19 situation continues to evolve rapidly, these recommendations are based on the best available evidence and expert opinion at this present time and may need adapting to local workplace policies.
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Most of the articles used the term telemedicine (n = 17; 68%) to describe the used technology or recommended to use in providing healthcare services needed for chronic disease patients.
“Most of the articles used the term telemedicine (n = 17; 68%) to describe the used technology or recommended to use in providing healthcare services needed for chronic disease patients.14–30”
From The role of eHealth, telehealth, and telemedicine for chronic disease patients during COVID-19 pandemic: A rapid systematic review (2021) · cites this paper as [19]
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A Brief Survey of the COVID-19 Pandemic's Impact on the Chronic Pain Experience
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Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review
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Pediatric Chronic Pain in the Midst of the COVID-19 Pandemic: Lived Experiences of Youth and Parents
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- Authors
- Shanthanna, H., Strand, N. H., Provenzano, D. A., Lobo, C. A., Eldabe, S., Bhatia, A., Wegener, J., Curtis, K., Cohen, S. P., & Narouze, S.
- Affiliations
- McMaster University (CA)
- Mayo Clinic (US)
- Sewickley Valley Hospital (US)
- Hospital das Forças Armadas (PT)
- James Cook University Hospital (GB)
- University of Toronto (CA)
- Sint Maartenskliniek (NL)
- Toronto Western Hospital (CA)
- Johns Hopkins University (US)
- Western Reserve Hospital (US)
- Corresponding author
- Shanthanna, H.
- ORCID
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2020-04-26
- Volume
- 75
- Issue
- 7
- Pages
- 935-944
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- PMC
- PMC7262200
- OpenAlex
- W3014320382
- Cited by
- 218
- References
- 63
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 25 · 2022: 44 · 2021: 70 · 2020: 64
- FWCI
- 18.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Anaesthesia (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Anesthesia Research Foundation
- Medtronic
- U.S. Department of Defense
- Uniformed Services University of the Health Sciences
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Keywords
- chronic pain, COVID-19 pandemic, pain management, continuity of care, opioid access, telemedicine, biopsychosocial care, anti-inflammatory agents, corticosteroids, elective procedure postponement, elderly patients with comorbidities, clinical guidelines
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Europe, Patient Care, Humans, North America, Pneumonia, Viral, Practice Guidelines as Topic, Coronavirus Infections, Consensus, Internationality, Pandemics, Chronic Pain
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