Gender differences in acute and chronic pain in the emergency department: Results of the 2014 academic emergency medicine consensus conference pain section

Paul Musey, Sarah D. Linnstaedt, Timothy F. Platts-Mills, James R. Miner, Andrey V. Bortsov, Basmah Safdar, Polly Bijur, Alex Rosenau, Daniel S. Tsze, Andrew K. Chang, Suprina Dorai, Kirsten G. Engel, James A. Feldman, Angela M. Fusaro, David C. Lee, Mark Rosenberg, Francis J. Keefe, David A. Peak, Catherine S. Nam, Roma G. PatelRoger B. Fillingim, Samuel A. McLean

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Pain is a leading public health problem in the United States, with an annual economic burden of more than $630 billion, and is one of the most common reasons that individuals seek emergency department (ED) care. There is a paucity of data regarding sex differences in the assessment and treatment of acute and chronic pain conditions in the ED. The Academic Emergency Medicine consensus conference convened in Dallas, Texas, in May 2014 to develop a research agenda to address this issue among others related to sex differences in the ED. Prior to the conference, experts and stakeholders from emergency medicine and the pain research field reviewed the current literature and identified eight candidate priority areas. At the conference, these eight areas were reviewed and all eight were ratified using a nominal group technique to build consensus. These priority areas were: 1) gender differences in the pharmacological and nonpharmacological interventions for pain, including differences in opioid tolerance, side effects, or misuse; 2) gender differences in pain severity perceptions, clinically meaningful differences in acute pain, and pain treatment preferences; 3) gender differences in pain outcomes of ED patients across the life span; 4) gender differences in the relationship between acute pain and acute psychological responses; 5) the influence of physician-patient gender differences and characteristics on the assessment and treatment of pain; 6) gender differences in the influence of acute stress and chronic stress on acute pain responses; 7) gender differences in biological mechanisms and molecular pathways mediating acute pain in ED populations; and 8) gender differences in biological mechanisms and molecular pathways mediating chronic pain development after trauma, stress, or acute illness exposure. These areas represent priority areas for future scientific inquiry, and gaining understanding in these will be essential to improving our understanding of sex and gender differences in the assessment and treatment of pain conditions in emergency care settings.

Original languageEnglish (US)
Pages (from-to)1421-1430
Number of pages10
JournalAcademic Emergency Medicine
Volume21
Issue number12
DOIs
StatePublished - Dec 1 2014

Fingerprint

Emergency Medicine
Acute Pain
Chronic Pain
Hospital Emergency Service
Consensus
Pain
Sex Characteristics
Emergency Medical Services
Pain Measurement
Pain Perception
Therapeutics
Research
Opioid Analgesics
Public Health
Economics
Pharmacology
Psychology
Physicians
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)

Cite this

Gender differences in acute and chronic pain in the emergency department : Results of the 2014 academic emergency medicine consensus conference pain section. / Musey, Paul; Linnstaedt, Sarah D.; Platts-Mills, Timothy F.; Miner, James R.; Bortsov, Andrey V.; Safdar, Basmah; Bijur, Polly; Rosenau, Alex; Tsze, Daniel S.; Chang, Andrew K.; Dorai, Suprina; Engel, Kirsten G.; Feldman, James A.; Fusaro, Angela M.; Lee, David C.; Rosenberg, Mark; Keefe, Francis J.; Peak, David A.; Nam, Catherine S.; Patel, Roma G.; Fillingim, Roger B.; McLean, Samuel A.

In: Academic Emergency Medicine, Vol. 21, No. 12, 01.12.2014, p. 1421-1430.

Research output: Contribution to journalArticle

Musey, P, Linnstaedt, SD, Platts-Mills, TF, Miner, JR, Bortsov, AV, Safdar, B, Bijur, P, Rosenau, A, Tsze, DS, Chang, AK, Dorai, S, Engel, KG, Feldman, JA, Fusaro, AM, Lee, DC, Rosenberg, M, Keefe, FJ, Peak, DA, Nam, CS, Patel, RG, Fillingim, RB & McLean, SA 2014, 'Gender differences in acute and chronic pain in the emergency department: Results of the 2014 academic emergency medicine consensus conference pain section', Academic Emergency Medicine, vol. 21, no. 12, pp. 1421-1430. https://doi.org/10.1111/acem.12529
Musey, Paul ; Linnstaedt, Sarah D. ; Platts-Mills, Timothy F. ; Miner, James R. ; Bortsov, Andrey V. ; Safdar, Basmah ; Bijur, Polly ; Rosenau, Alex ; Tsze, Daniel S. ; Chang, Andrew K. ; Dorai, Suprina ; Engel, Kirsten G. ; Feldman, James A. ; Fusaro, Angela M. ; Lee, David C. ; Rosenberg, Mark ; Keefe, Francis J. ; Peak, David A. ; Nam, Catherine S. ; Patel, Roma G. ; Fillingim, Roger B. ; McLean, Samuel A. / Gender differences in acute and chronic pain in the emergency department : Results of the 2014 academic emergency medicine consensus conference pain section. In: Academic Emergency Medicine. 2014 ; Vol. 21, No. 12. pp. 1421-1430.
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