Ethnic Differences in Analgesic Consumption for Postoperative Pain

Ng, Bernardo; Dimsdale, Joel E.; Shragg, G.Paul; Deutsch, Reena

doi:10.1097/00006842-199603000-00005

Cited by 136 publications

(93 citation statements)

References 18 publications

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“…Comparable racial/ethnic inequalities in receipt of opioid analgesics for acute pain, but not nonopioid analgesics, have been observed for different presenting complaints, including musculoskeletal pain and back pain [42,43,55]. Examination of the literature concerning postoperative care shows, irrespective of study design, surgical procedure investigated, patient age, or whether or not patient-controlled analgesia was administered, whites received higher doses of opioid analgesics than African Americans, non-Hispanic whites, or Asian Americans [62,72,73] or were more likely to receive analgesic medications adequate to their pain level [64]. More distressing, Jimenez et al [47] reported differences in perioperative analgesic prescribing between Latino and white children who had a tonsillectomy/adenoidectomy.…”

Section: Acute Nonmalignant Painmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

273

215

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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.

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Section: Acute Nonmalignant Painmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

273

215

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“…through the use of a cold-pressor task; Nayak, Shiflett, Eshun, & Levine, 2000) and clinical settings (e.g. post-operative pain; Ng, Dimsdale, Shragg, & Deutsch, 1996). Second, and potentially offering an explanation for at least some of the above cultural differences, social modelling directly affects individuals' pain responses.…”

Section: The Social-psychological Contribution To Pain Responsesmentioning

confidence: 99%

In‐group reassurance in a pain setting produces lower levels of physiological arousal: direct support for a self‐categorization analysis of social influence

Platow

Voudouris

Coulson

et al. 2006

Euro J Social Psych

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A large body of research demonstrates a strong social component to people's pain experiences and pain-related behaviours. We investigate this by examining the impact of social-influence processes on laboratory-induced pain responses by manipulating the social-categorical relationship between the person experiencing pain and another who offers reassurance. We show that physiological arousal associated with laboratory-induced pain is significantly lower in normal, healthy participants following reassurance about the pain-inducing activity when that reassurance comes from an ingroup member in contrast to reassurance from an out-group member and a no reassurance control. These data are consistent with predictions derived from self-categorization theory, providing convincing empirical support of its analysis of social influence using a non-reactive measure. These data also represent a clear advance within the pain literature by identifying a possible common process to the social-psychological component of pain responses.

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“…Similarly, ethnic disparities in analgesic administration were observed in patients recovering from open reduction and internal fixation procedures. In a study, nonHispanic whites received more morphine equivalent medication than latino or black patients [18]. Another recent study supports a culturally-mediated basis for differences in pain perception or reporting [19].…”

Section: Discussionmentioning

confidence: 92%