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Clinical Orthopaedics and Related Research®
Erschienen in: Clinical Orthopaedics and Related Research® 7/2011

01.07.2011 | Symposium: AAOS/ORS/ABJS Musculoskeletal Healthcare Disparities Research Symposium

Defining Racial and Ethnic Disparities in Pain Management

verfasst von: Jana M. Mossey, PhD, MPH, MSN

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 7/2011

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Abstract

Background

Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate.

Questions/purposes

The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial/ethnic minority disparities in pain management, (2) identify factors contributing to observed disparities, and (3) identify strategies to minimize the disparities.

Methods

Scientific literature was selectively reviewed addressing pain epidemiology, differences in pain management of non-Hispanic whites versus racial/ethnic minority groups, and patient and physician factors contributing to such differences.

Results

Racial/ethnic minorities consistently receive less adequate treatment for acute and chronic pain than non-Hispanic whites, even after controlling for age, gender, and pain intensity. Pain intensity underreporting appears to be a major contribution of minority individuals to pain management disparities. The major contribution by physicians to such disparities appears to reflect limited awareness of their own cultural beliefs and stereotypes regarding pain, minority individuals, and use of narcotic analgesics.

Conclusions

Racial/ethnic minority patients with pain need to be empowered to accurately report pain intensity levels, and physicians who treat such patients need to acknowledge their own belief systems regarding pain and develop strategies to overcome unconscious, but potentially harmful, negative stereotyping of minority patients.
Literatur
1.
2.
Anderson KO, Green CR, Payne R. Racial and ethnic disparities in pain: causes and consequences of unequal care. J Pain. 2009;10:1187–1204.PubMedCrossRef
3.
Anderson KO, Mendoza TR, Valero V, Richman SP, Russell C, Hurley J, DeLeon C, Washington P, Palos G, Payne R, Cleeland CS. Minority cancer patients and their providers: pain management attitudes and practice. Cancer. 2000;88:1929–1938.PubMedCrossRef
4.
5.
Ballantyne JC, LaForge KS. Opioid dependence and addiction during opioid treatment of chronic pain. Pain. 2007;129:235–255.PubMedCrossRef
6.
Bates MS, Edwards WT. Ethnic variations in the chronic pain experience. Ethn Dis. 1992;2:63–83.PubMed
7.
Becker WC, Fiellin DA, Gallagher RM, Barth KS, Ross JT, Olsin DW. The association between chronic pain and prescription drug abuse in Veterans. Pain Med. 2009;10:531–536.PubMedCrossRef
8.
Bennett D, Carr D. Opiophobia as a barrier to the treatment of pain. J Pain Palliat Care Pharmacother. 2002;16:105–109.PubMedCrossRef
9.
Bernabei R, Gambassi G, Lapane K, Landi F, Gatsonis C, Dunlop R, Lipsitz L, Steel K, Mor V. Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology. JAMA. 1998;279:1877–1882.PubMedCrossRef
10.
Bijur P, Berard A, Nestor J, Calderon Y, Davitt M, Gallagher EJ. No racial or ethnic disparity in treatment of long-bone fractures. Am J Emer Med. 2008;26:270–274.CrossRef
11.
12.
Breitbart W, McDonald MV, Rosenfeld B, Passik SD, Hewitt D, Thaler H, Portenoy RK. Pain in ambulatory AIDS patients. Pain. 1996;68:315–321.PubMedCrossRef
13.
Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesthesia Analgesia. 2007;105:205–221.PubMedCrossRef
14.
Burgess D, van Ryn, Dovidio J, Saha S. Reducing racial bias among health care providers: lessons from social-cognitive psychology. J Gen Intern Med. 2007;22:882–887.PubMedCrossRef
15.
Burgess DJ. Are providers more likely to contribute to healthcare disparities under high levels of cognitive load? How features of the healthcare setting may lead to biases in medical care decision making. Med Decis Making. 2010;30:246–257.PubMedCrossRef
16.
Burgess DJ, Fu SS, van Ryn M. Why do providers contribute to disparities and what can be done about it? J Gen Intern Med. 2004;19:1154–1159.PubMedCrossRef
17.
Burgess DJ, van Ryan M, Crowley-Matoka M, Malat J. Understanding the provider contribution to race/ethnicity disparities in pain treatment: insights from dual process models of stereotyping. Pain Med. 2006;7:119–134.PubMedCrossRef
18.
Campbell CM, Edwards RR, Fillingim RB. Ethnic differences in responses to multiple experimental pain stimuli. Pain. 2005;113:20–26.PubMedCrossRef
19.
20.
Chen I, Kurz J, Pasanen M, Faselis C, Panda M, Staton LJ, O’Rorke J, Menon M, Genao I, Wood J, Mechaber AJ, Rosenberg E, Carey T, Calleson D, Cykert S. Racial differences in opioid use for chronic nonmalignant pain. J Gen Intern Med. 2005;20:593–598.PubMedCrossRef
21.
Choi DM, Yate P, Coats T, Kalinda P, Paul EA. Ethnicity and prescription of analgesia in an accident and emergency department: cross sectional study. BMJ. 2000;320:980–981.PubMedCrossRef
22.
Chou R, Fanciullo GJ, Fine PG, Adler JA, Ballantyne JC, Davies P, Donovan MI, Fishbain DA, Foley KM, Fudin J, Gilson AM, Kelter A, Mauskop A, O’Connor PG, Passik SD, Pasternak GW, Portenoy RK, Rich BA, Roberts RG, Todd KH, Miaskowski C; American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain. 2009;10:113–230.
23.
Cleeland CS, Gonin R, Basz L, Loehrer P, Pandya KJ. Pain and treatment of pain in minority patients with cancer. Ann Intern Med. 1997;127:813–816.PubMed
24.
Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Stewart JA, Pandya KJ. Pain and its treatment in outpatients with metastatic cancer. N Engl J Med. 1994;330:592–596.PubMedCrossRef
25.
Creamer P, Lethbridge-Cejku M, Hochberg MC. Determinants of pain severity in knee osteoarthritis: effect of demographic and psychosocial variables using 3 pain measures. J Rheumatol. 1999;26:1785–1792.PubMed
26.
Crowley-Makota M, Saha S, Dobscha SK, Burgess DJ. Problems of quality and equity in pain management: exploring the role of biomedical culture. Pain Med. 2009;10:1312–1324.CrossRef
27.
Deutsch R, Strack F. Duality models in social psychology: from dual processes to interacting systems. Psychol Inquiry. 2006;17:166–172.CrossRef
28.
Dobscha SK, Soleck GD, Dickinson KC, Burgess DJ, Lasarev MR, Lee ES, McFarland BH. Associations between race and ethnicity and treatment for chronic pain in the VA. J Pain. 2009;10:1078–1087.PubMedCrossRef
29.
Dubois MY, Gallagher RM, Lippe PM. Pain medicine position paper. Pain Med. 2009;10:972–1000.PubMedCrossRef
30.
Edwards RR, Doleys DM, Fillingim RB, Lowery D. Ethnic differences in pain tolerance: clinical implications in chronic pain population. Psychosom Med. 2001;63:316–323.PubMed
31.
Edwards RR, Fillingim RB. Ethnic differences in thermal pain responses. Psychosom Med. 1999;61:346–354.PubMed
32.
Eisenberg JM. Sociologic influences on decision making by clinicians. Ann Intern Med. 1979;90:957–964.PubMed
33.
34.
Fleming MF, Balousek SL, Klessig CL, Mundt MP, Brown DD. Substance use disorders in a primary care sample receiving daily opioid therapy. J Pain. 2007;8:573–582.PubMed
35.
Gallagher RM. Biopsychosocial pain medicine and mind-brain-body science. Phys Med Rehab Clin North Am. 2004;15:855–882.
36.
Gallagher RM, Fraifeld EM. Vision and purpose: AAPM members lead national initiative to improve pain care, education and training. Pain Med. 2010;11:154–157.PubMedCrossRef
37.
Green CR, Anderson KO, Baker TA, Campbell LC, Decker S, Fillingim RB, Kalauokalani DA, Lasch KE, Myers C, Tait RC, Todd KH, Vallerand AH. The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Med. 2003;4:277–294.PubMedCrossRef
38.
Green CR, Baker TA, Smith EM, Sato Y. The effect of race in older adults presenting for chronic pain management: a comparative study of black and white Americans. J Pain. 2003;4:82–90.PubMedCrossRef
39.
Greenwald AG, McGhee DE, Schwartz JL. Measuring individual differences in implicit cognition: the implicit association test. J Pers Soc Psychol. 1998;74:1464–1480.PubMedCrossRef
40.
Hardt J, Jacobsen C, Goldberg J, Nickel R, Buchwald D. Prevalence of chronic pain in a representative sample in the United States. Pain Med. 2008:9:803–812.PubMedCrossRef
41.
Hastie BA, Riley JL, Fillingim RB. Ethnic differences in pain coping: factor structure of the Coping Strategies Questionnaire and Coping Strategies Questionnaire-Revised. J Pain. 2004;5:304–316.PubMedCrossRef
42.
Heins JK, Heins A, Grammas M, Costello M, Huang K, Mishra S. Disparities in analgesia and opioid prescribing practices for patients with musculoskeletal pain in the emergency department. J Emerg Nurs. 2006;32:219–224.PubMedCrossRef
43.
Hostetler MA, Auinger P, Szilagyi PG. Parenteral analgesic and sedative use among ED patients in the United States: combined results from the National Hospital Ambulatory Medical Care Survey (NHAMCS) 1992–1997. Am J Emerg Med. 2002;20:139–143.PubMedCrossRef
44.
Im EO, Chee W, Guevara E, Liu Y, Lim HJ, Tsai HM, Clark M, Bender M, Suk KK, Hee KY, Shin H. Gender and ethnic differences in cancer pain experience: a multiethnic survey in the United States. Nurs Res. 2007;56:296–306.PubMedCrossRef
45.
Institute of Medicine; Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatments: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press; 2003.
46.
International Association for the Study of Pain (IASP). Pain. 1979;6:250.
47.
Jimenez N, Seidel K, Martin LD, Rivara FP, Lynn AM. Perioperative analgesic treatment in Latino and non-Latino pediatric patients. J Health Care Poor Underserved. 2010;21:229–236.PubMedCrossRef
48.
Johnson PA, Goldman L, Orav EJ, Garcia T. Comparison of the Medical Outcomes Study Short-Form 36-item Health Survey in African American patients and Caucasian patients with acute chest pain. Med Care. 1995;33:145–160.PubMed
49.
50.
Jordan MS. Effect of race and ethnicity on outcomes and rheumatic conditions. Curr Opin Rheumatol. 1999;11:98–103.PubMedCrossRef
51.
Jordan MS, Lumley MA, Leisen JC. The relationships of cognitive coping and pain control beliefs to pain and adjustment among African-American and Caucasian women with rheumatoid arthritis. Arthritis Care Res. 1998;11:80–88.PubMedCrossRef
52.
Kallai I, Barke A, Voss U. The effects of experimental characteristics on pain reports in women and men. Pain. 2004;112:142–147.PubMedCrossRef
53.
Kirsch B, Berdine H, Zablotsky D, et al. Management strategy: identifying pain as the fifth vital sign. Veterans Health System Journal. 2000;5:49–59.
54.
Klatzkin RR, Mechlin B, Bunevicius R, Girdler SS. Race and histories of mood disorders modulate experimental pain tolerance in women. J Pain. 2007;8:861–868.PubMedCrossRef
55.
Kposowa AJ, Tsunokai GT. Searching for relief: racial differences in treatment of patients with back pain. Race and Society. 2002;5:193–223.CrossRef
56.
Liebschutz JM, Saitz R, Weiss RD, Averbuch T, Schwartz S, Meltzer EC, Claggett-Borne E, Cabral H, Samet JH. Clinical factors associated with prescription drug use disorder in urban primary care patients with chronic pain. J Pain. 2010;11:1–9.
57.
Lippe PM, Brock C, David J, Crossno P, Gitlow S. The First National Pain Medicine Summit: final summary report. Pain Med. 2010;11:1447–1469.PubMedCrossRef
58.
59.
Magni G, Caldieron C, Rigatti-Luchini S, Merskey H. Chronic musculoskeletal pain and depressive symptoms in the general population: an analysis of the 1st National Health and Nutrition Examination Survey data. Pain. 1990;43:299–307.PubMedCrossRef
60.
Magni G, Marchetti M, Moreschi C, Merskey H, Luchini SR. Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination. I. Epidemiologic follow-up study. Pain. 1993;53:163–168.PubMedCrossRef
61.
McCracken LM, Matthews AK, Tang TS, Cuba SL. A comparison of blacks and whites seeking treatment for chronic pain. Clin J Pain. 2001;17:249–255.PubMedCrossRef
62.
McDonald DD. Gender and ethnic stereotyping and narcotic analgesic administration. Res Nurs Health. 1994;17:45–49.PubMedCrossRef
63.
McDowell I, Newell C. Pain measurement. In: Measuring Health. New York, NY: Oxford University Press; 1996.
64.
McNeill JA, Sherwood GD, Starck PL. The hidden error of mismanaged pain: a systems approach. J Pain Symptom Manage. 2004;28:47–58.PubMedCrossRef
65.
Melzack R. Pain and neuromatrix in the brain. J Dental Ed. 2001;65:1378–1382.
66.
Melzack R. Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the Third World Congress of World Institute of Pain, Barcelona 2004. Pain Pract. 2005;5:85–94.PubMedCrossRef
67.
Miller LR, Cano A. Comorbid chronic pain and depression: who is at risk? J Pain. 2009;10:619–627.PubMedCrossRef
68.
Mills AM, Shofer FS, Boulis AK, Holena DN, Abbuhl SB. Racial disparities in ED patients with abdominal or back pain. Am J Emerg Med. 2010 April 30 [Epub ahead of print].
69.
Misra-Herbert AD. Physician cultural competence: cross-cultural communication improves care. Cleve Clin J Med. 2003;70:289–303.CrossRef
70.
Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L. Measuring pain as the 5th vital sign does not improve quality of pain management. J Gen Intern Med. 2006;21:607–612.PubMedCrossRef
71.
72.
Ng B, Dimsdale JE, Rollnik JD, Shapiro H. The effect of ethnicity on prescriptions for patient-controlled analgesia for post-operative pain. Pain. 1996;66:9–12.PubMedCrossRef
73.
Ng B, Dimsdale JE, Shragg GP, Deutsch R. Ethnic differences in analgesic consumption for postoperative pain. Psychosom Med. 1996;58:125–129.PubMed
74.
Nguyen M, Ugarte C, Fuller I, Haas G, Portenoy RK. Access to care for chronic pain: racial and ethnic differences. J Pain. 2005;6:310–314.CrossRef
75.
Pletcher MJ, Kertesz SG, Kohn MA, Gonzales R. Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. JAMA. 2008;299:70–78.PubMedCrossRef
76.
Quazi S, Eberhart M, Jacoby J, Heller M. Are racial disparities in ED analgesia improving? Evidence from a national database. Am J Emer Med. 2008;26:462–464.CrossRef
77.
Reyes-Gibby CC, Aday LA, Todd KH, Cleeland CS, Anderson KO. Pain in aging community-dwelling adults in the United States: non-Hispanic whites, non-Hispanic blacks, and Hispanics. J Pain. 2007;8:75–84.PubMedCrossRef
78.
Riley JL 3rd, Wade JB, Myers CD, Sheffield D, Papas RK, Price DD. Racial/ethnic differences in the experience of chronic pain. Pain. 2002;100:291–298.PubMedCrossRef
79.
Riley JL 3rd, Wade JB, Robinson ME, Price DD. The stages of pain processing across the lifespan. J Pain. 2000;1:162–170.CrossRef
80.
Sabin JA, Nosek BA, Greenland AG, Rivara FP. Physicians’ implicit and explicit attitudes about race by MD race, ethnicity, and gender. J Health Care Poor Underserved. 2009;20:896–913.PubMedCrossRef
81.
Shapiro SL, Shapiro DE, Schwartz GE. Stress management in medical education: a review of the literature. Acad Med. 2000;75:748–759.PubMedCrossRef
82.
Shavers VL, Bakos A, Sheppard VB. Race, ethnicity, and pain among the U.S. adult population. J Health Care Poor Underserved. 2010;21:177–220.
83.
Sheffield D, Biles PL, Orom H, Maixner W, Sheps DS. Race and sex differences in cutaneous pain perception. Psychosom Med. 2000;62:517–523.PubMed
84.
Sherwood MB, Garcia-Sickavizza A, Meltzer MI, Herbert A, Burns AF, McGorray S. Glaucoma’s impact on quality of life and its relation to clinical indicators. Ophthalmology. 1998;105:561–566.PubMedCrossRef
85.
Smith ER, DeCoster J. Dual-process models in social and cognitive psychology: conceptual integration and links to underlying memory systems. Pers Soc Psychol Rev. 2000;4:108–131.CrossRef
86.
Smith RC, Dwamena FC, Fortin AH. Teaching personal awareness. J Gen Intern Med. 2005;20:201–207.PubMedCrossRef
87.
Staton LJ, Panda M, Chen I, Genao I, Kurz J, Pasanen M, Mechaber AJ, Menon M, O’Rorke J, Wood J, Rosenberg E, Faeslis C, Carey T, Calleson D, Cykert S. When race matters: disagreement in pain perception between patients and their physicians in primary care. J Natl Med Assoc. 2007;99:532–538.PubMed
88.
Stewart WF, Lipton RB, Liberman J. Variation in migraine prevalence by race. Neurology. 2007;69:16–25.PubMedCrossRef
89.
Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–2454.PubMedCrossRef
90.
Stinson FS, Grant BF, Dawson DA, Ruan WJ, Huang B, Saha T. Comorbidity between DSM-IV alcohol and specific drug use disorders in the United States: results from the National Epidemiologic Survey of Alcohol and Related Conditions. Drug Alcohol Depend. 2005;80:105–116.PubMedCrossRef
91.
Tamayo-Sarver JH, Hinze SW, Cydulka RK, Baker DW. Racial and ethnic disparities in emergency department analgesic prescription. Am J Public Health. 2003;93:2067–2073.PubMedCrossRef
92.
Tan G, Jensen MP, Thornby J. Ethnicity, control appraisal, coping and adjustment to chronic pain among black and white Americans. Pain Med. 2005;6:18–28.PubMedCrossRef
93.
Taylor BA, Casas-Ganem J, Vaccaro AR, Hilibrand AS, Hanscom BS, Albert TJ. Differences in the work-up and treatment of conditions associated with low back pain by patient gender and ethnic background. Spine (Phila Pa 1976). 2005;30:359–364.CrossRef
94.
Todd KH, Deaton C, D’Adamo AP, Goe L. Ethnicity and analgesic practice. Ann Emerg Med. 2000;35:11–16.PubMedCrossRef
95.
Todd KH, Ducharme J, Choiniere M, Cameron S, Crandall S, Fosnochi DE, Homel P, Tanabe P. Pain in the emergency department: results of the Pain and Emergency Medicine Initiative (PEMI) Multicenter Study. J Pain. 2007;8:460–466.PubMedCrossRef
96.
Todd KH, Samaroo N, Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia. JAMA. 1993;269:1537–1539.PubMedCrossRef
97.
van Ryn M, Burke J. The effects of race and socio-economic status on physicians’ perceptions of patients. Soc Sci Med. 2000;50:813–828.PubMedCrossRef
98.
van Ryn M, Fu SS. Paved with good intentions: do public health and human service providers contribute to racial/ethnic disparities in health? Am J Public Health. 2003;93:248–255.PubMedCrossRef
99.
Verhaak PF, Kerssens JJ, Dekker J, Sorbi MJ, Bensing JM. Prevalence of chronic benign pain disorder among adults: a review of the literature. Pain. 1998;77:231–239.PubMedCrossRef
100.
Von Roenn JH, Cleeland CS, Gonin R, Hatfield AK, Pandya KJ. Physician attitudes and practice in cancer pain management: a survey from the Eastern Cooperative Oncology Group. Ann Intern Med. 1993;119:121–126.
101.
Wade JB, Price DD, Hamer RM, Schwartz SM, Hart RP. An emotional component analysis of chronic pain. Pain. 1990;40:303–310.PubMedCrossRef
102.
Ware JE Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–233.PubMedCrossRef
103.
Watson PJ, Latif RK, Rowbotham DJ. Ethnic differences in thermal responses: a comparison of South Asian and White British healthy males. Pain. 2005;118:194–200.PubMedCrossRef
104.
Weisse CS, Sorum PC, Sanders KN, Sytt BL. Do gender and race affect decisions about pain management? J Gen Intern Med. 2001;16:211–217.PubMedCrossRef
105.
Weissman DE, Gordon D, Bidar-Sielaff S. Cultural aspects of pain management. J Palliat Med. 2004;7:715–717.PubMedCrossRef
106.
World Health Organization. Cancer Pain Relief. 2nd ed. Geneva, Switzerland: World Health Organization; 1996.
107.
Zborowski M. Cultural components in response to pain. J Soc Issues. 1952;8:16–30.CrossRef
108.
Zola IK. Culture and symptoms—an analysis of patient’s presenting complaints. Am Sociol Rev. 1966;31:615–630.PubMedCrossRef
Metadaten
Titel
Defining Racial and Ethnic Disparities in Pain Management
verfasst von
Jana M. Mossey, PhD, MPH, MSN
Publikationsdatum
01.07.2011
Verlag
Springer-Verlag
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 7/2011
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-011-1770-9

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