Carrillo-de-la-Peña María T, González-Villar Alberto, Triñanes Yolanda
Brain and Pain (BaP) Lab, Faculty of Psychology, Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Santiago de Compostela, Spain.
Psychological Neuroscience Lab, Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal.
Pain Rep. 2021 Feb 16;6(1):e899. doi: 10.1097/PR9.0000000000000899. eCollection 2021 Jan-Feb.
The COVID-19 outbreak has been a great challenge in the management of chronic pain patients. We have conducted a rapid scoping review to assess the impact of the pandemic (and the associated public health measures) on the health status and management practices of chronic pain patients in Spain. To this end, we performed a bibliographic search in LitCOVID and PubMed, and reviewed official websites and documents, and expert reports. The review showed that (1) the studies consistently indicate that the pandemic has had a very negative impact on the physical and psychological health of chronic pain patients; (2) there are scarce data on how the pandemic affected pain unit consultations and a lack of protocols to organize health care in the face of future waves of contagion, with little implementation of telehealth. We make proposals to improve management of chronic pain patients in pandemic situations, which should pivot around 3 axes: (1) a coordinated response of all the relevant stakeholders to define a future roadmap and research priorities, (2) a biopsychosocial approach in pain management, and (3) development and implementation of novel telemedicine solutions.
新型冠状病毒肺炎疫情给慢性疼痛患者的管理带来了巨大挑战。我们进行了一项快速范围审查，以评估疫情（及相关公共卫生措施）对西班牙慢性疼痛患者健康状况和管理实践的影响。为此，我们在LitCOVID和PubMed上进行了文献检索，并查阅了官方网站、文件和专家报告。审查表明：（1）研究一致表明，疫情对慢性疼痛患者的身心健康产生了非常负面的影响；（2）关于疫情如何影响疼痛科会诊的数据稀缺，且缺乏应对未来感染浪潮的医疗保健组织方案，远程医疗的实施也很少。我们提出了在疫情情况下改善慢性疼痛患者管理的建议，这些建议应围绕三个轴心展开：（1）所有相关利益攸关方做出协调一致的反应，以确定未来路线图和研究重点；（2）疼痛管理采用生物心理社会方法；（3）开发并实施新型远程医疗解决方案。
