PMID: 18195334Jan 16, 2008Paper

Daily assessment of pain in adults with sickle cell disease

Annals of Internal Medicine
Wally R SmithSusan D Roseff

Abstract

Researchers of sickle cell disease have traditionally used health care utilization as a proxy for pain and underlying vaso-occlusion. However, utilization may not completely reflect the amount of self-reported pain or acute, painful episodes (crises). To examine the prevalence of self-reported pain and the relationship among pain, crises, and utilization in adults with sickle cell disease. Prospective cohort study. Academic and community practices in Virginia. 232 patients age 16 years or older with sickle cell disease. Patients completed a daily diary for up to 6 months, recording their maximum pain (on a scale of 0 to 9); whether they were in a crisis (crisis day); and whether they used hospital, emergency, or unscheduled ambulatory care for pain on the previous day (utilization day). Summary measures included both simple proportions and adjusted probabilities (for repeated measures within patients) of pain days, crisis days, and utilization days, as well as mean pain intensity. Pain (with or without crisis or utilization of care) was reported on 54.5% of 31 017 analyzed patient-days (adjusted probability, 56%). Crises without utilization were reported on 12.7% of days and utilization on only 3.5% (unadjusted). In total, 29.3...Continue Reading

Associated Clinical Trials

Citations

Jul 10, 2009·Current Pain and Headache Reports·Robert E Richard
Nov 10, 2013·Complementary Therapies in Clinical Practice·Suvankar MajumdarClifton Addison
Oct 8, 2008·Experimental and Clinical Psychopharmacology·Andrew RosenblumRussell K Portenoy
Aug 1, 2008·Proceedings of the National Academy of Sciences of the United States of America·Guillaume LettreStuart H Orkin
Jul 30, 2011·Ethnicity & Health·Simon M Dyson, Karl Atkin
Apr 26, 2013·Journal of Palliative Medicine·Caterina P MinnitiHunter Groninger
Jan 18, 2011·Hematology·Zaijie J WangRobert Molokie
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Mar 1, 2015·European Journal of Pharmacology·Gabriela CalhounZenaide M N Quezado
Jul 1, 2011·Pain Management·C Patrick Carroll
Nov 12, 2013·European Journal of Pharmacology·Robert E MolokieZaijie J Wang
Jun 24, 2014·Pain Management·Maggie H BrombergLaura E Schanberg
Mar 19, 2014·Journal of Pain and Symptom Management·Miriam O EzenwaDiana J Wilkie
Aug 15, 2014·International Journal of Health Care Quality Assurance·Emmanuel NwenyiNkonye Ezeobah
Feb 20, 2016·The Journal of Pain : Official Journal of the American Pain Society·Claudia M CampbellJennifer A Haythornthwaite
Sep 14, 2011·Hemoglobin·Miriam H FeliuChristopher L Edwards
Nov 28, 2015·Expert Review of Hematology·Sarah-Jo StimpsonMichael R DeBaun
Nov 26, 2015·Journal of Pain and Symptom Management·Hants Williams, Paula Tanabe
Apr 13, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Wally R SmithUNKNOWN Investigators of the Multicenter Study of Hydroxyurea in Sickle Cell Anemia
Aug 28, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Valerian J DerlegaWally Smith
May 14, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Stephen H Embury
May 25, 2013·The Journal of Pain : Official Journal of the American Pain Society·William T ZempskyJames F Casella
May 15, 2012·Journal of Pain and Symptom Management·Mark HollinsKaren M Gil
Dec 10, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Lou Ella V TaylorChristine Miaskowski
Feb 1, 2011·The Journal of Pain : Official Journal of the American Pain Society·Deepika S DarbariSohail Rana
Sep 2, 2010·The Nursing Clinics of North America·Diana J WilkieRobert E Molokie
Sep 25, 2010·Journal of Pain and Symptom Management·Samir K BallasUNKNOWN Investigators of the Multicenter Study of Hydroxyurea in Sickle Cell Anemia
Jul 27, 2010·Journal of Pain and Symptom Management·Lou Ella V TaylorChristine Miaskowski
Aug 6, 2010·Obstetrics and Gynecology Clinics of North America·Dennie T Rogers, Robert Molokie
Jul 12, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·C D R Christopher ReddinPaula Tanabe
Dec 18, 2015·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Gyasi Moscou-JacksonCarlton Haywood

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