Special Patient Populations

Pain & Aging: 3rd Annual Perry Fine Lecture at West Virginia University
Perry Fine, MD

As the population ages, more individuals will be living with chronic pain, resulting in increased morbidity, mortality, and healthcare utilization.
Sex, Gender, and Pain: A Review of Recent Clinical and Experimental Findings
Roger B. Fillingim, PhD

The effects of sex and gender on the subjective experience of pain and analgesic response have generated marked scientific and clinical interest over the last decade. Women are at greater risk for many painful conditions and are more sensitive to experimentally induced pain.
Integrating Nonpharmacologic and Alternative Strategies into a Comprehensive Management Approach for Older Adults with Pain
Patricia Bruckenthal, PhD, RN, APRN-C

Pain in older adults is underreported and under-treated. Physical changes associated with getting older, increased cognitive impairment, and patient beliefs that pain is an inevitable consequence of aging are just a few of the factors that complicate pain management in this population.
Racial Differences in Osteoarthritis Pain and Function: Potential Explanatory Factors
Kelli D. Allen, PhD

Multiple studies of African-American patients have noted differences in osteoarthritis (OA) symptoms compared with Caucasians, including higher levels of reported pain and increased limitations in activity.

Management of Headache in the Elderly
Matthew S. Robbins, MD

Diagnosis and management of headache can be challenging in older patients. New-onset headache is rare in this population and is usually a symptom of another disorder.
Racial and Ethnic Disparities in Pain: Causes and Consequences of Unequal Care
Karen O. Anderson, PhD, MPH

A review of the recent literature suggests that racial and ethnic disparities in pain assessment, analgesic treatment, and patient outcomes continue to exist across various acute and chronic pain conditions.
Hippocampal correlates of pain in healthy elderly adults: A pilot study
Molly E. Zimmerman, PhD

Previous imaging studies of patients with chronic pain have identified abnormalities in the thalamus, prefrontal cortex, cingulate, and somatosensory cortex, each of which is involved in nociceptive processing.
Relative Pain Levels in Patients at High Risk for Substance Misuse
Robert N. Jamison, PhD

The Screener and Opioid Assessment for Patients with Pain (SOAPP) is a brief self-report questionnaire that assesses patients for risk factors associated with potential opioid misuse. Jamison et al. sought to identify differences among patients with chronic pain who were stratified as either low or high risk based on their SOAPP scores.

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The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population.

Day MA, Thorn BE.
Pain. 2010 Nov;151(2):467-74.
Rural residency and low socioeconomic...

Moskowitz D, Thom DH, Guzman D, Penko J, Miaskowski C, Kushel M.
J Gen Intern Med. 2011 Mar...

Upshur, CC. Bacigalupe, G. Luckmann, R.
Pain Med. 2010 Dec;11(12):1791-8.
OBJECTIVE:...

Opioid Use in Primary Care: Asking the Right Questions.

Lewis, ET. Trafton, JA.
Curr Pain Headache Rep. 2011 Jan 12.
Pain is one of the most...

Chronic low back pain, sleep disturbance, and interleukin-6.

Heffner KL, France CR, Trost Z. et al.
Clin J Pain. 2011 Jan;27(1):35-41.
OBJECTIVES:...