TY  - CHAP
M1  - Book, Section
TI  - Chapter 31. Pain Management in Rheumatologic Disorders
A1  - Lefkowitz, Matthew
A1  - Ricciardi, Daniel
A2  - Warfield, Carol A.
A2  - Bajwa, Zahid H.
Y1  - 2004
N1  - 
T2  - Principles & Practice of Pain Medicine, 2e
AB  - Pain  resulting  from  various  bone  and  joint  disorders,  whether  noninflammatory  (e.g.,  degenerative  joint  disease,  osteoarthritis  [OA])  or  inflammatory  (e.g.,  rheumatoid  arthritis  [RA]),  significantly  reduces  the  quality  of  life  in  affected  patients.  Individuals  with  chronic  pain  often  become  depressed  and  socially  isolated  and  experience  functional  decline  and  disability  as  well  as  morbidity  and  mortality  associated  with  pain.  Data  on  undertreatment  of  pain  in  patients  with  arthritis  do  not  appear  to  be  available.  However,  as  many  as  20%  of  patients  with  cancer  may  have  inadequate  pain  relief  even  when  World  Health  Organization  (WHO)  guidelines  (the  analgesic  ladder)2  are  used.3  Pain  is  frequently  underassessed  and  undertreated  in  patients  with  arthritis4  and  in  elderly  patients.  A  review  of  15  studies  of  chronic  pain  in  the  elderly  found  a  median  point  prevalence  of  15%  (range  from  2%  to  40%)  and  noted  that  there  were  no  clearcut  differences  between  estimates  based  on  self-assessment  and  those  made  by  physicians  after  clinical  examination.5  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=3413548
ER  -