Publications by authors named "D N Ruskin"

Background: The risk of developing chronic postsurgical pain (CPSP) in youth is related to psychological factors, including preoperative anxiety, depression, patient/caregiver pain catastrophizing, and poor self-efficacy in managing pain. While interventions exist to address these factors, they are generally brief and educational in nature. The current paper details patient partner feedback on the development of a psychologist-delivered perioperative psychological program (PPP) designed to identify and target psychological risk factors for CPSP and improve self-efficacy in managing pain.

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The prevention of chronic pain is a key priority in North America and around the world. A novel pediatric Transitional Pain Service (pTPS) at the Hospital for Sick Children was established to address four main areas of need, which the authors will describe in more detail: (1) provide comprehensive multi-modal pain management and prevention techniques to children at-risk for the development of chronic pain, (2) provide opioid stewardship for children at-risk for chronic pain and their families at home after discharge, (3) facilitate continuity of pain care for children across transitions between inpatient and outpatient care settings, and (4) support caregivers to manage their child's pain at home. The pTPS works with healthcare providers, patients, and their families to address these areas of need and improve quality of life.

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Article Synopsis
  • Enhanced Recovery After Surgery (ERAS) aims to standardize perioperative care to improve patient recovery outcomes, specifically in surgeries for adolescent idiopathic scoliosis (AIS).
  • A study compared length of stay (LOS) between patients undergoing surgery with ERAS protocols versus those without (N-ERAS), finding ERAS patients had a median LOS of 3 days compared to 5 days for N-ERAS.
  • The ERAS group reported lower pain levels on postoperative days and reduced opioid use, indicating that following ERAS protocols significantly benefits recovery for AIS surgeries.
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Background: The onset of the coronavirus disease in 2019 necessitated a rapid transition to virtual care for chronic pain treatment.

Methods: A mixed methods design was implemented using qualitative interviews and quantitative satisfaction surveys. Interviews were conducted in February 2021 with a sample of healthcare professionals (HCPs; = 6) who had provided multidisciplinary treatment (MDT) through an outpatient hospital pediatric chronic pain program.

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Background: The onset of the coronavirus disease 2019 (COVID-19) necessitated a rapid transition to virtual care for chronic pain treatment.

Objective: This study examined experiences of patients and caregivers who received virtual multidisciplinary pain treatment (MDT) for pediatric chronic pain between March 2020 and August 2021.

Methods: A mixed methods design was implemented using qualitative interviews and quantitative satisfaction surveys.

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