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2020 ; 131
(2
): 387-394
Nephropedia Template TP
gab.com Text
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English Wikipedia
Emergence From the COVID-19 Pandemic and the Care of Chronic Pain: Guidance for
the Interventionalist
#MMPMID32452905
Deer TR
; Sayed D
; Pope JE
; Chakravarthy KV
; Petersen E
; Moeschler SM
; Abd-Elsayed A
; Amirdelfan K
; Mekhail N
Anesth Analg
2020[Aug]; 131
(2
): 387-394
PMID32452905
show ga
BACKGROUND: The current coronavirus disease 2019 (COVID-19) pandemic led to a
significant disruption in the care of pain from chronic and subacute conditions.
The impact of this cessation of pain treatment may have unintended consequences
of increased pain, reduced function, increased reliance on opioid medications,
and potential increased morbidity, due to the systemic impact of untreated
disease burden. This may include decreased mobility, reduction in overall health
status, and increase of opioid use with the associated risks. METHODS: The
article is the study of the American Society of Pain and Neuroscience (ASPN)
COVID-19 task force to evaluate the policies set forth by federal, state, and
local agencies to reduce or eliminate elective procedures for those patients with
pain from spine, nerve, and joint disease. The impact of these decisions, which
were needed to reduce the spread of the pandemic, led to a delay in care for many
patients. We hence review an emergence plan to reinitiate this pain-related care.
The goal is to outline a path to work with federal, state, and local authorities
to combat the spread of the pandemic and minimize the deleterious impact of pain
and suffering on our chronic pain patients. RESULTS: The article sets forth a
strategy for the interventional pain centers to reemerge from the current
pandemic and to set a course for future events. CONCLUSIONS: The COVID-19
pandemic represents an overwhelming challenge to interventional pain physicians
and their patients. In addition to urgent actions needed for disease mitigation,
the ASPN recommends a staged return to pain management professionals' workflow.