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Pain Coping Skills Training for Patients Receiving Hemodialysis: The HOPE Consortium Randomized Clinical Trial.
JAMA Intern Med
December 2024
The Rogosin Institute, New York, New York.
Importance: Chronic pain is common among individuals with dialysis-dependent kidney failure.
Objective: To evaluate the effectiveness of pain coping skills training (PCST), a cognitive behavioral intervention, on pain interference.
Design, Setting, And Participants: This multicenter randomized clinical trial of PCST vs usual care was conducted across 16 academic centers and 103 outpatient dialysis facilities in the US.
Cohort Profile: Baseline Characteristics of Veterans from Improving Veteran Access to Integrated Management of Back Pain (AIM-Back) - an Embedded Pragmatic, Cluster Randomized Trial in the United States.
medRxiv
November 2024
Center of Innovation to Accelerate Discovery and Practice Transformation at Durham VAHCS, HSR; Duke University School of Medicine, Division of Geriatrics; Department of Population Health Sciences, Duke University School of Medicine, Durham NC.
Purpose: AIM-Back is an embedded pragmatic clinical trial (ePCT) with cluster randomization designed to increase access and compare the effectiveness of two different non-pharmacological care pathways for low back pain (LBP) delivered within the Veteran Administration Health Care System (VAHCS). This manuscript describes baseline characteristics of AIM-Back participants as well as the representativeness of those referred to the AIM-Back program by sex, age, race, and ethnicity, relative to Veterans with low back pain at participating clinics.
Participants: To be eligible for AIM-Back, Veterans were referred to the randomized pathway at their clinic by trained primary care providers (Referral cohort).
Pain Coping Skills Training (PCST) is a first-line cognitive-behavioral, non-pharmacological treatment for chronic pain and comorbid symptoms. PCST has been shown to be effective in racially and ethnically diverse cohorts across several chronic medical conditions. However, PCST has not been evaluated in those with end stage kidney disease (ESKD) receiving in-center maintenance hemodialysis.
View Article and Find Full Text PDF"The Gordian knot of it he will unloose": Lessons learned from studies of half-hitch surgical knots and implications for practicing surgeons: A systematic review.
Surgery
February 2025
Department of Surgery, Jennifer Moreno Department of Veterans Affairs Medical Center, La Jolla, CA; University of California San Diego Department of Surgery, La Jolla, CA; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego Department of Surgery, San Diego, CA.
Background: Insecure surgical knots can cause surgical complications ranging from wound dehiscence to massive exsanguination and death. Most surgeons tie half-hitch knots, of which some configurations are prone to slippage. We aim to characterize the securities of different half-hitch knot configurations.
View Article and Find Full Text PDFEnhancing the trustworthiness of pain research: A call to action.
J Pain
November 2024
Dept of Clinical, Educational & Health Psychology, University College London, UK.
Article Synopsis
- * Critical issues in research include poor governance, lack of diversity, inadequate stakeholder engagement, and issues with data transparency and reporting, which can lead to misguided clinical practices and low value care.
- * The article proposes the ENTRUST-PE framework to enhance the reliability of pain research, aiming to build trust among stakeholders and calling for collective action to improve the quality and outcomes of pain science.
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