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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
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Published on: June 23, 2023

Racial and ethnic differences in acute post-operative pain management: Systematic review and meta-analysis.

Anastasia Jones1, Erik J Feldtmann2, Carlos Bellido2

  • 1Department of Anesthesiology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, USA; Morsani College of Medicine, University of South Florida, Tampa, Florida, USA; Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.

Journal of Clinical Anesthesia
|May 6, 2025
PubMed
Summary

Racial and ethnic disparities exist in acute pain management, with minority patients less likely to receive regional anesthesia. Improved demographic reporting is crucial for understanding and addressing these inequities in surgical care.

Keywords:
Acute painEthnic differencesEthnic disparitiesOpioidsRacial differencesRacial disparitiesRegional anesthesia

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Area of Science:

  • Medical research
  • Health equity
  • Pain management

Background:

  • Significant racial and ethnic disparities are observed in healthcare outcomes.
  • These disparities notably impact pain treatment and management.

Purpose of the Study:

  • To conduct a systematic review and meta-analysis.
  • Investigate racial and ethnic differences in acute pain treatment for surgical patients.

Main Methods:

  • Searched PubMed, Embase, and Scopus for relevant studies.
  • Included studies reporting on racial and ethnic minority groups and acute postoperative pain.
  • Employed random-effect meta-analysis to compare regional anesthesia receipt.

Main Results:

  • Non-White patients were 18% less likely to receive regional anesthesia.
  • Black, Asian, and 'Other' race groups showed lower odds of regional anesthesia.
  • Hispanic patients were 20% less likely to receive regional anesthesia.

Conclusions:

  • Racial and ethnic differences significantly affect acute pain treatment, particularly regional anesthesia.
  • Accurate reporting of patient demographics is essential for addressing these disparities.
  • Further research is needed to elucidate the mechanisms behind these observed differences.