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Pain During COVID-19: A Comprehensive Review and Guide for the Interventionalist
Micheal T Murphy1, Usman Latif2
1Department of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
Insights
This review provides consensus recommendations for treating chronic pain patients during the COVID-19 pandemic, balancing patient care with public health safety. Adhering to these guidelines can mitigate pandemic spread and reduce chronic pain suffering.
Area of Science:
- Pain Management
- Infectious Disease Epidemiology
- Public Health Policy
Background:
- Chronic pain is a leading cause of global disability, significantly impacting daily living and quality of life.
- The COVID-19 pandemic presents unique challenges for physicians managing chronic pain, requiring a balance between patient care and infection control.
- The socioeconomic burden of chronic pain is substantial and exacerbated by the pandemic.
Purpose of the Study:
- To analyze existing literature and develop consensus recommendations for pain management during the COVID-19 pandemic.
- To provide a framework for pain practitioners and organizations to deliver safe and effective care.
- To address general and interventional pain treatment strategies within the context of pandemic mitigation.
Main Methods:
- Literature search conducted between March and May 2020 using multiple databases (Google Scholar, CINAHL, PubMed, Cochrane Review).
- Inclusion of research on pain management and COVID-19 mitigation strategies.
- Review of governmental and organizational websites for relevant guidelines and data.
Main Results:
- Development of consensus recommendations for treating chronic pain patients during the COVID-19 pandemic.
- Guidelines focus on providing ethical, safe, and effective patient care while mitigating viral spread.
- Specific recommendations cover both general pain management and interventional treatment approaches.
Conclusions:
- The recommendations offer a framework for pain practitioners to navigate the complexities of the pandemic.
- Integrating these guidelines with official health recommendations (CDC, WHO) can reduce pandemic impact and chronic pain suffering.
- The proposed approach aims to improve outcomes for chronic pain patients during public health crises.
Background:
Chronic pain, the leading cause of disability in the world, imposes limitations on activities of daily living and diminishes quality of life leading to unnecessary patient suffering. The personal and socioeconomic costs of chronic pain cannot be overstated. Physicians are at the crux of the pandemic and must attempt to limit the spread of the virus while maintaining their professional responsibility to their patients and staff members.
Objective:
The aim of this review is to analyze the existing literature to develop consensus recommendations for treating pain during the current COVID-19 pandemic.
Methods:
Relevant literature was located via computer-generated citations between the months of March and May of 2020. Online computer searches of multiple databases including Google Scholar, CINAHL, PubMed, and Cochrane Review were conducted in conjunction with a thorough review of local, state, national, and international governmental and organizational websites to locate research on the area of interest.
Results:
The guidelines in this review are meant to offer a framework to pain practitioners and organizations for providing highly effective, ethical, and safe care to patients while maintaining their commitment to mitigating the spread of the COVID-19 pandemic. Specific areas addressed include general and interventional-specific treatment and mitigation recommendations.
Conclusions:
We believe that the recommendations in this review, if used in conjunction with evolving recommendations of Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), and federal, state, and local governing bodies, provides a path to not only mitigate the spread of the pandemic but also limit the adverse impact of pain and suffering in chronic pain patients.
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