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亡羊补牢,为时未晚?2019冠状病毒病大流行导致择期介入性疼痛治疗延迟的影响

Better late than never? Impact of delayed elective interventional pain procedures due to the COVID-19 pandemic.

作者信息

Gitkind Andrew I, Ms-Ii Jordan Schnoll, Mowrey Wenzhu, Qin Jiyue, Sim Geum Yeon, Shaparin Naum, Yassari Reza

机构信息

Department of Rehabilitation Medicine, Montefiore Medical Center, 150 East 210 Street, Bronx, NY, 10467, USA.

Montefiore Spine Center, Montefiore Medical Center, 1250 Waters Place Tower 1, Bronx, NY, 10461, USA.

出版信息

Interv Pain Med. 2023 Jun 30;2(3):100266. doi: 10.1016/j.inpm.2023.100266. eCollection 2023 Sep.

Abstract

Despite the well documented importance and success of interventional pain procedures in the management of painful spine conditions, detractors have questioned their role as part of the care paradigm since their inception. One of the many unexpected consequences of the COVID-19 pandemic in the United States was the forced shut down of elective procedures in early 2020. This caused many patients suffering with pain, who had already been deemed appropriate for an interventional procedure to have to wait an extended period of time. This unprecedented period in modern healthcare provided the opportunity for a long term examination of how this cohort of patients suffering with pain faired while being forced to wait for pain relieving intervention, and to demonstrate the vital importance of these procedures for not only pain relief but for improvement in quality of life. This study will show that an overwhelming number of patients reported that their pain had not improved spontaneously over time, and were anxious to proceed with intervention once given the opportunity.

摘要

尽管介入性疼痛治疗方法在治疗脊柱疼痛病症方面的重要性和成功已有充分记录,但自其诞生以来,诋毁者就一直质疑其作为护理模式一部分的作用。2020年初美国新冠疫情带来的众多意外后果之一,是选择性手术被迫停止。这使得许多已被认为适合进行介入性手术的疼痛患者不得不长时间等待。现代医疗保健领域的这一前所未有的时期,为长期研究这群疼痛患者在被迫等待缓解疼痛的干预措施期间的情况提供了机会,并证明了这些手术不仅对缓解疼痛而且对改善生活质量至关重要。这项研究将表明,绝大多数患者报告称,随着时间推移,他们的疼痛并未自行改善,一旦有机会,他们渴望进行干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/11372876/004abc326a12/gr1.jpg

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