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The Calm after the Storm: A State-of-the-Art Review about Recommendations Put Forward during the COVID-19 Pandemic to Improve Chronic Pain Management.
Godbout-Parent, Marimée; Spilak, Tristan; Pagé, M Gabrielle; Choinière, Manon; Dassieu, Lise; De Clifford-Faugère, Gwenaelle; Lacasse, Anaïs.
Affiliation
  • Godbout-Parent M; Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada.
  • Spilak T; Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada.
  • Pagé MG; Centre de Recherche, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC H2X 0A9, Canada.
  • Choinière M; Centre de Recherche, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC H2X 0A9, Canada.
  • Dassieu L; Département D'anesthésiologie et de Médecine de la Douleur, Faculté de Médecine, Université de Montréal, Montréal, QC H3T 1J4, Canada.
  • De Clifford-Faugère G; Centre de Recherche, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC H2X 0A9, Canada.
  • Lacasse A; Département D'anesthésiologie et de Médecine de la Douleur, Faculté de Médecine, Université de Montréal, Montréal, QC H3T 1J4, Canada.
J Clin Med ; 12(23)2023 Nov 22.
Article in En | MEDLINE | ID: mdl-38068285
The COVID-19 pandemic has brought its fair share of consequences. To control the transmission of the virus, several public health restrictions were put in place. While these restrictions had beneficial effects on transmission, they added to the pre-existing physical, psychosocial, and financial burdens associated with chronic pain, and made existing treatment gaps, challenges, and inequities worse. However, it also prompted researchers and clinicians to seek out possible solutions and expedite their implementation. This state-of-the-art review focuses on the concrete recommendations issued during the COVID-19 pandemic to improve the health and maintain the care of people living with chronic pain. The search strategy included a combination of chronic pain and pandemic-related terms. Four databases (Medline, PsycINFO, CINAHL, and PubMed) were searched, and records were assessed for eligibility. Original studies, reviews, editorials, and guidelines published in French or in English in peer-reviewed journals or by recognized pain organizations were considered for inclusion. A total of 119 articles were analyzed, and over 250 recommendations were extracted and classified into 12 subcategories: change in clinical practice, change in policy, continuity of care, research avenues to explore, group virtual care, health communications/education, individual virtual care, infection control, lifestyle, non-pharmacological treatments, pharmacological treatments, and social considerations. Recommendations highlight the importance of involving various healthcare professionals to prevent mental health burden and emergency overload and emphasize the recognition of chronic pain. The pandemic disrupted chronic pain management in an already-fragile ecosystem, presenting a unique opportunity for understanding ongoing challenges and identifying innovative solutions. Numerous recommendations were identified that are relevant well beyond the COVID-19 crisis.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Clin Med Year: 2023 Document type: Article Affiliation country: Canada Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Clin Med Year: 2023 Document type: Article Affiliation country: Canada Country of publication: Switzerland