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Joel Katz - One of the best experts on this subject based on the ideXlab platform.
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predictors of prescription opioid use 4 months after traumatic Musculoskeletal Injury and corrective surgery a prospective study
The Journal of Pain, 2017Co-Authors: Brittany N Rosenbloom, Joel Katz, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:Abstract The aim of the present study was to examine the incidence and predictors of persistent prescription opioid use 4 months after traumatic Injury. Adults who sustained a traumatic Musculoskeletal Injury were recruited to participate in this observational prospective, longitudinal study within 14 days of Injury (T1) and followed for 4 months (T2). Measures included questionnaires on pain, opioid consumption, pain disability, anxiety, depression, and posttraumatic stress symptoms as well as a chart review for Injury related information. The sample consisted of 122 patients (66.4% male; mean age = 44.8 years, SD = 17.1), of whom 94.3% (n = 115) were using prescription opioids. At T2, 35.3% (n = 43) patients were using prescription opioids. After controlling for age, sex, Injury severity, T1 pain severity, and T2 symptoms of depression, 2 factors emerged as significantly related to T2 prescription opioid use; namely, T2 pain severity (odds ratio = 1.248, 95% confidence interval, 1.071–1.742) and T2 pain self-efficacy (odds ratio = .943, 95% confidence interval, .903–.984). These results suggest that opioid use after traumatic Musculoskeletal Injury is related to pain severity and how well patients cope specifically with their pain, over and above other psychological factors, such as depression and anxiety. Perspective This article identifies predictive factors for prescription opioid use after traumatic Musculoskeletal Injury, namely severe pain and a poor sense of control over the pain. These results highlight the importance of using prospective longitudinal study designs to understand why patients continue to use prescription opioids after major tissue-damaging events.
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predicting pain outcomes after traumatic Musculoskeletal Injury
Pain, 2016Co-Authors: Brittany N Rosenbloom, Joel Katz, Kelly Y W Chin, Lynn Haslam, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:: Traumatic Musculoskeletal Injury results in a high incidence of chronic pain; however, there is little evidence about the nature, quality, and severity of the pain. This study uses a prospective, observational, longitudinal design to (1) examine neuropathic pain symptoms, pain severity, pain interference, and pain management at hospital admission and 4 months after traumatic Musculoskeletal Injury (n = 205), and (2) to identify predictors of group membership for patients with differing moderate-to-severe putative neuropathic pain trajectories. Data were collected on mechanism of Injury, Injury severity, pain (intensity, interference, neuropathic quality), anxiety (anxiety sensitivity, general anxiety, pain catastrophizing, pain anxiety), depression, and posttraumatic stress while patients were in-hospital and 4 months after Injury. A third of patients had chronic moderate-to-severe neuropathic pain 4 months after Injury. Specifically, 11% of patients developed moderate-to-severe pain by 4 months and 21% had symptoms immediately after Injury that persisted over time. Significant predictors of the development and maintenance of moderate-to-severe neuropathic pain included high levels of general anxiety while in-hospital immediately after Injury (P < 0.001) and symptoms of posttraumatic stress 4 months after Injury (P < 0.001). Few patients had adequate pharmacological, physical, or psychological pain management in-hospital and at 4 months. Future research is needed among trauma patients to better understand the development of chronic pain and to determine the best treatment approaches.
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systematic review of persistent pain and psychological outcomes following traumatic Musculoskeletal Injury
Journal of Pain Research, 2013Co-Authors: Brittany N Rosenbloom, Colin J L Mccartney, Sobia Khan, Joel KatzAbstract:BACKGROUND: Persistent pain and psychological distress are common after traumatic Musculoskeletal Injury (TMsI). Individuals sustaining a TMsI are often young, do not recover quickly, and place a large economic burden on society. OBJECTIVES: The aim of this systematic review is to determine (1) the incidence of persistent pain following TMsI, (2) the characteristics of pain, characterized by Injury severity and type, and (3) risk and protective factors associated with persistent pain following TMsI. METHODS: A systematic search of electronic databases (MEDLINE(®), PubMed(®), Embase, and PsycINFO(®)) was conducted for prospective, interventional, or noninterventional studies measuring the incidence of pain associated with TMsI. RESULTS: The search revealed 4388 studies. Eleven studies examined persistent pain and met inclusion criteria. Pain was assessed using a validated measure of pain intensity or pain presence in six studies. Persistent pain was reported by all studies at variable time points up to 84 months postInjury, with wide variation among studies in pain intensity (ie, from mild to very severe) and pain incidence at each time point. The incidence of pain decreased over time within each study. Two studies found significant relationships between Injury severity and persistent pain. Frequently cited predictive factors for persistent pain included: symptoms of anxiety and depression, patient perception that the Injury was attributable to external sources (ie, they were not at fault), cognitive avoidance of distressing thoughts, alcohol consumption prior to trauma, lower educational status, being injured at work, eligibility for compensation, pain at initial assessment, and older age. CONCLUSION AND IMPLICATIONS: The evidence from the eleven studies included in this review indicates that persistent pain is prevalent up to 84 months following traumatic Injury. Further research is needed to better evaluate persistent pain and other long-term posttraumatic outcomes. Language: en
Timothy E Hewett - One of the best experts on this subject based on the ideXlab platform.
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Effect of a Concussion on Anterior Cruciate Ligament Injury Risk in a General Population
Sports Medicine, 2020Co-Authors: April L. Mcpherson, Matthew B. Shirley, Nathan D. Schilaty, Dirk R. Larson, Timothy E HewettAbstract:Background Recent studies indicate concussion increases risk of Musculoskeletal Injury in specific groups of patients. The purpose of this study was to determine the odds of anterior cruciate ligament (ACL) Injury after concussion in a population-based cohort. Methods International Classification of Diseases, 9th and 10th Revision (ICD-9, ICD-10) codes relevant to the diagnosis and treatment of a concussion and ACL tear were utilized to search the Rochester Epidemiology Project (REP) between 2000 and 2017. A total of 1653 unique patients with acute, isolated ACL tears were identified. Medical records for cases were reviewed to confirm ACL tear diagnosis and to determine history of concussion within 3 years prior to the ACL Injury. Cases were matched by age, sex, and REP availability date to patients without an ACL tear (1:3 match), resulting in 4959 controls. The medical records of the matched control patients were reviewed to determine history of concussion. Results 39 patients with a concussion suffered an ACL Injury up to 3 years after the concussion. The rate of prior concussion was higher in ACL-injured cases (2.4%) compared to matched controls with no ACL Injury (1.5%). This corresponds to an odds ratio of 1.6 (95% CI 1.1–2.4; p = 0.015). Conclusions Although activity level could not be assessed, there are increased odds of ACL Injury after concussion in a general population. Based on the evidence of increased odds of Musculoskeletal Injury after concussion, standard clinical assessments should consider concussion symptom resolution as well as assessment of neuromuscular factors associated with risk of injuries.
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Musculoskeletal Injury risk after sport related concussion a systematic review and meta analysis
American Journal of Sports Medicine, 2019Co-Authors: April L. Mcpherson, Takashi Nagai, Kate E Webster, Timothy E HewettAbstract:Background:Clinical management of sport-related concussion typically involves a symptom checklist, clinical examination of mental status, and neurocognitive testing. However, recent studies have id...
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prediction and prevention of Musculoskeletal Injury a paradigm shift in methodology
British Journal of Sports Medicine, 2009Co-Authors: Carmen E Quatman, Timothy E HewettAbstract:Traditional methods employed to study Musculoskeletal Injury mechanisms and joint biomechanics utilise in vivo or in vitro techniques. The advent of new technology and improved methods has also given rise to in silico (computer modelling) techniques. Under the current research paradigm, in vivo, in vitro and in silico methods independently provide information regarding the mechanisms and prevention of Musculoskeletal Injury. However, individually, each of these methods has multiple, inherent limitations and is likely to provide incomplete answers about multifactorial, complex Injury conditions. The purpose of this treatise is to review current methods used to study, understand, and prevent Musculoskeletal Injury and to develop new conceptual-methodological frameworks that may help create a paradigm shift in Musculoskeletal Injury prevention research. We term the fusion of these three techniques in simulacra amalgama, or simply in sim, meaning a “union of models done on the likeness of phenomena.” Anterior cruciate ligament (ACL) Injury will be employed as a model example for the utility and applicability of the proposed, synthesised approach. Shifting the current experimental paradigm to incorporate a multifaceted, multidisciplinary, integration of in vivo, in vitro and in silico methods into the proposed in sim approaches may provide a platform for a more comprehensive understanding of the relationships between complex joint biomechanics and observed Injury mechanisms.
Brittany N Rosenbloom - One of the best experts on this subject based on the ideXlab platform.
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predictors of prescription opioid use 4 months after traumatic Musculoskeletal Injury and corrective surgery a prospective study
The Journal of Pain, 2017Co-Authors: Brittany N Rosenbloom, Joel Katz, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:Abstract The aim of the present study was to examine the incidence and predictors of persistent prescription opioid use 4 months after traumatic Injury. Adults who sustained a traumatic Musculoskeletal Injury were recruited to participate in this observational prospective, longitudinal study within 14 days of Injury (T1) and followed for 4 months (T2). Measures included questionnaires on pain, opioid consumption, pain disability, anxiety, depression, and posttraumatic stress symptoms as well as a chart review for Injury related information. The sample consisted of 122 patients (66.4% male; mean age = 44.8 years, SD = 17.1), of whom 94.3% (n = 115) were using prescription opioids. At T2, 35.3% (n = 43) patients were using prescription opioids. After controlling for age, sex, Injury severity, T1 pain severity, and T2 symptoms of depression, 2 factors emerged as significantly related to T2 prescription opioid use; namely, T2 pain severity (odds ratio = 1.248, 95% confidence interval, 1.071–1.742) and T2 pain self-efficacy (odds ratio = .943, 95% confidence interval, .903–.984). These results suggest that opioid use after traumatic Musculoskeletal Injury is related to pain severity and how well patients cope specifically with their pain, over and above other psychological factors, such as depression and anxiety. Perspective This article identifies predictive factors for prescription opioid use after traumatic Musculoskeletal Injury, namely severe pain and a poor sense of control over the pain. These results highlight the importance of using prospective longitudinal study designs to understand why patients continue to use prescription opioids after major tissue-damaging events.
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predicting pain outcomes after traumatic Musculoskeletal Injury
Pain, 2016Co-Authors: Brittany N Rosenbloom, Joel Katz, Kelly Y W Chin, Lynn Haslam, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:: Traumatic Musculoskeletal Injury results in a high incidence of chronic pain; however, there is little evidence about the nature, quality, and severity of the pain. This study uses a prospective, observational, longitudinal design to (1) examine neuropathic pain symptoms, pain severity, pain interference, and pain management at hospital admission and 4 months after traumatic Musculoskeletal Injury (n = 205), and (2) to identify predictors of group membership for patients with differing moderate-to-severe putative neuropathic pain trajectories. Data were collected on mechanism of Injury, Injury severity, pain (intensity, interference, neuropathic quality), anxiety (anxiety sensitivity, general anxiety, pain catastrophizing, pain anxiety), depression, and posttraumatic stress while patients were in-hospital and 4 months after Injury. A third of patients had chronic moderate-to-severe neuropathic pain 4 months after Injury. Specifically, 11% of patients developed moderate-to-severe pain by 4 months and 21% had symptoms immediately after Injury that persisted over time. Significant predictors of the development and maintenance of moderate-to-severe neuropathic pain included high levels of general anxiety while in-hospital immediately after Injury (P < 0.001) and symptoms of posttraumatic stress 4 months after Injury (P < 0.001). Few patients had adequate pharmacological, physical, or psychological pain management in-hospital and at 4 months. Future research is needed among trauma patients to better understand the development of chronic pain and to determine the best treatment approaches.
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systematic review of persistent pain and psychological outcomes following traumatic Musculoskeletal Injury
Journal of Pain Research, 2013Co-Authors: Brittany N Rosenbloom, Colin J L Mccartney, Sobia Khan, Joel KatzAbstract:BACKGROUND: Persistent pain and psychological distress are common after traumatic Musculoskeletal Injury (TMsI). Individuals sustaining a TMsI are often young, do not recover quickly, and place a large economic burden on society. OBJECTIVES: The aim of this systematic review is to determine (1) the incidence of persistent pain following TMsI, (2) the characteristics of pain, characterized by Injury severity and type, and (3) risk and protective factors associated with persistent pain following TMsI. METHODS: A systematic search of electronic databases (MEDLINE(®), PubMed(®), Embase, and PsycINFO(®)) was conducted for prospective, interventional, or noninterventional studies measuring the incidence of pain associated with TMsI. RESULTS: The search revealed 4388 studies. Eleven studies examined persistent pain and met inclusion criteria. Pain was assessed using a validated measure of pain intensity or pain presence in six studies. Persistent pain was reported by all studies at variable time points up to 84 months postInjury, with wide variation among studies in pain intensity (ie, from mild to very severe) and pain incidence at each time point. The incidence of pain decreased over time within each study. Two studies found significant relationships between Injury severity and persistent pain. Frequently cited predictive factors for persistent pain included: symptoms of anxiety and depression, patient perception that the Injury was attributable to external sources (ie, they were not at fault), cognitive avoidance of distressing thoughts, alcohol consumption prior to trauma, lower educational status, being injured at work, eligibility for compensation, pain at initial assessment, and older age. CONCLUSION AND IMPLICATIONS: The evidence from the eleven studies included in this review indicates that persistent pain is prevalent up to 84 months following traumatic Injury. Further research is needed to better evaluate persistent pain and other long-term posttraumatic outcomes. Language: en
Khic-houy Prang - One of the best experts on this subject based on the ideXlab platform.
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that s what you do for people you love a qualitative study of social support and recovery from a Musculoskeletal Injury
PLOS ONE, 2018Co-Authors: Khic-houy Prang, Sharon Newnam, Janneke BereckigisolfAbstract:Background Social support has been identified as a significant factor in facilitating better health outcomes following Injury. However, research has primarily focused on the role of social support from the perspective of the person experiencing an Injury. Limited research has examined the experiences of the family members and friends of a person with Injury. This study aims to explore the perceptions and experiences of social support and recovery following a transport-related Musculoskeletal Injury (MSI) in a population of injured persons and their family members and friends. Methods This study was conducted using a phenomenological qualitative research design. In-depth semi-structured interviews were conducted with ten persons with MSI, recruited via the Transport Accident Commission (TAC) in Victoria, Australia. Seven family members and friends were also interviewed. The data was analysed using constant comparative method and thematic analysis. Results Several themes were identified including: (1) key sources and types of support received, (2) relationship development and (3) challenges of providing and receiving support. Participants with MSI reported stories about how the social network provided emotional and tangible support. Family members and friends confirmed the supportive acts provided to the participants with MSI. Positive iterative changes in relationships were reported by the participants with MSI. Participants with MSI, their family members and friends described several difficulties including loss of independence, feeling like a burden, and the impact of caring on health and well-being. Conclusions The role of social support is complex given the multitude of people involved in the recovery process. The findings of this study suggest that persons with MSI may benefit from support groups and maintenance of existing support networks. Furthermore, family members and friends engaged in the recovery process may benefit from support in this role.
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Recovery from Musculoskeletal Injury: the role of social support following a transport accident
Health and Quality of Life Outcomes, 2015Co-Authors: Khic-houy Prang, Janneke Berecki-gisolf, Sharon NewnamAbstract:Background Social support can be an important coping resource for persons recovering from Injury. In this study, we examined the effects of family structure and sources of social support on physical health, persistent pain and return to work (RTW) outcomes following Musculoskeletal Injury (MSI) sustained in a transport accident.
Colin J L Mccartney - One of the best experts on this subject based on the ideXlab platform.
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predictors of prescription opioid use 4 months after traumatic Musculoskeletal Injury and corrective surgery a prospective study
The Journal of Pain, 2017Co-Authors: Brittany N Rosenbloom, Joel Katz, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:Abstract The aim of the present study was to examine the incidence and predictors of persistent prescription opioid use 4 months after traumatic Injury. Adults who sustained a traumatic Musculoskeletal Injury were recruited to participate in this observational prospective, longitudinal study within 14 days of Injury (T1) and followed for 4 months (T2). Measures included questionnaires on pain, opioid consumption, pain disability, anxiety, depression, and posttraumatic stress symptoms as well as a chart review for Injury related information. The sample consisted of 122 patients (66.4% male; mean age = 44.8 years, SD = 17.1), of whom 94.3% (n = 115) were using prescription opioids. At T2, 35.3% (n = 43) patients were using prescription opioids. After controlling for age, sex, Injury severity, T1 pain severity, and T2 symptoms of depression, 2 factors emerged as significantly related to T2 prescription opioid use; namely, T2 pain severity (odds ratio = 1.248, 95% confidence interval, 1.071–1.742) and T2 pain self-efficacy (odds ratio = .943, 95% confidence interval, .903–.984). These results suggest that opioid use after traumatic Musculoskeletal Injury is related to pain severity and how well patients cope specifically with their pain, over and above other psychological factors, such as depression and anxiety. Perspective This article identifies predictive factors for prescription opioid use after traumatic Musculoskeletal Injury, namely severe pain and a poor sense of control over the pain. These results highlight the importance of using prospective longitudinal study designs to understand why patients continue to use prescription opioids after major tissue-damaging events.
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predicting pain outcomes after traumatic Musculoskeletal Injury
Pain, 2016Co-Authors: Brittany N Rosenbloom, Joel Katz, Kelly Y W Chin, Lynn Haslam, Sonya Canzian, Hans J Kreder, Colin J L MccartneyAbstract:: Traumatic Musculoskeletal Injury results in a high incidence of chronic pain; however, there is little evidence about the nature, quality, and severity of the pain. This study uses a prospective, observational, longitudinal design to (1) examine neuropathic pain symptoms, pain severity, pain interference, and pain management at hospital admission and 4 months after traumatic Musculoskeletal Injury (n = 205), and (2) to identify predictors of group membership for patients with differing moderate-to-severe putative neuropathic pain trajectories. Data were collected on mechanism of Injury, Injury severity, pain (intensity, interference, neuropathic quality), anxiety (anxiety sensitivity, general anxiety, pain catastrophizing, pain anxiety), depression, and posttraumatic stress while patients were in-hospital and 4 months after Injury. A third of patients had chronic moderate-to-severe neuropathic pain 4 months after Injury. Specifically, 11% of patients developed moderate-to-severe pain by 4 months and 21% had symptoms immediately after Injury that persisted over time. Significant predictors of the development and maintenance of moderate-to-severe neuropathic pain included high levels of general anxiety while in-hospital immediately after Injury (P < 0.001) and symptoms of posttraumatic stress 4 months after Injury (P < 0.001). Few patients had adequate pharmacological, physical, or psychological pain management in-hospital and at 4 months. Future research is needed among trauma patients to better understand the development of chronic pain and to determine the best treatment approaches.
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systematic review of persistent pain and psychological outcomes following traumatic Musculoskeletal Injury
Journal of Pain Research, 2013Co-Authors: Brittany N Rosenbloom, Colin J L Mccartney, Sobia Khan, Joel KatzAbstract:BACKGROUND: Persistent pain and psychological distress are common after traumatic Musculoskeletal Injury (TMsI). Individuals sustaining a TMsI are often young, do not recover quickly, and place a large economic burden on society. OBJECTIVES: The aim of this systematic review is to determine (1) the incidence of persistent pain following TMsI, (2) the characteristics of pain, characterized by Injury severity and type, and (3) risk and protective factors associated with persistent pain following TMsI. METHODS: A systematic search of electronic databases (MEDLINE(®), PubMed(®), Embase, and PsycINFO(®)) was conducted for prospective, interventional, or noninterventional studies measuring the incidence of pain associated with TMsI. RESULTS: The search revealed 4388 studies. Eleven studies examined persistent pain and met inclusion criteria. Pain was assessed using a validated measure of pain intensity or pain presence in six studies. Persistent pain was reported by all studies at variable time points up to 84 months postInjury, with wide variation among studies in pain intensity (ie, from mild to very severe) and pain incidence at each time point. The incidence of pain decreased over time within each study. Two studies found significant relationships between Injury severity and persistent pain. Frequently cited predictive factors for persistent pain included: symptoms of anxiety and depression, patient perception that the Injury was attributable to external sources (ie, they were not at fault), cognitive avoidance of distressing thoughts, alcohol consumption prior to trauma, lower educational status, being injured at work, eligibility for compensation, pain at initial assessment, and older age. CONCLUSION AND IMPLICATIONS: The evidence from the eleven studies included in this review indicates that persistent pain is prevalent up to 84 months following traumatic Injury. Further research is needed to better evaluate persistent pain and other long-term posttraumatic outcomes. Language: en
