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A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
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Pediatricians' management practices for chronic pain.

Lindsay A Thompson1, Caprice A Knapp, Veronica Feeg

  • 1Department of Pediatrics, University of Florida, Gainesville, Florida 32608, USA. lathompson@peds.ufl.edu

Journal of Palliative Medicine
|January 30, 2010
PubMed
Summary

Pediatricians often do not feel solely responsible for managing pediatric chronic pain, preferring a collaborative approach with specialists. Improved education and awareness of hospice care are recommended for better pain management teams.

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Published on: January 5, 2024

Area of Science:

  • Pediatric Medicine
  • Pain Management
  • Healthcare Policy

Background:

  • Pediatric pain is frequently undertreated.
  • The primary responsibility for managing pediatric chronic pain remains unclear.
  • Understanding pediatricians' perspectives is crucial for improving pain care.

Purpose of the Study:

  • To determine pediatricians' beliefs about who should manage pediatric chronic pain.
  • To investigate how pediatricians assess and manage pediatric chronic pain.
  • To identify factors influencing pain management practices among pediatricians.

Main Methods:

  • A mail and online survey was administered to 800 U.S. pediatricians.
  • Descriptive and multivariate analyses were performed on 303 respondents.
  • The survey covered chronic pain and palliative care in pediatrics.

Main Results:

  • Only 32.3% of pediatricians felt primarily responsible for treating chronic pain.
  • Most pediatricians believed pain specialists (58.1%) or other specialists (39.6%) should be responsible.
  • Commonly used pain assessments included parent/patient reports; acetaminophen and NSAIDs were frequently prescribed, while opiate use varied.

Conclusions:

  • Pediatricians' approaches to chronic pain management are largely collaborative.
  • Supplemental pain education and increased awareness of hospice care are recommended.
  • Further research should explore enhancing clinical guidance for pediatric pain management.