HIV pain management challenges and alternative therapies

Mello, A S Da; Gravel, Tammy

doi:10.1097/01.nurse.0000513611.64023.0b

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Therefore, it is important that health professionals know that they will often have to deal with the somatization of emotional complaints and illnesses, in order to promote the mental health of PLWHA. Thus, the nurse play an important role in this situation, helping the health team in the prevention, diagnosis and treatment of DS among PLWHA, as well as in the comprehensive care for these individuals ( 8 , 10 , 27 – 28 ) .…”

Section: Discussionmentioning

confidence: 99%

Avaliação da dor e fatores associados em pessoas que vivem com HIV/AIDS

Pereira

Bradbury

Rossetti

et al. 2019

Rev. Latino-Am. Enfermagem

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Objetivo: avaliar a dor em pessoas que vivem com o vírus da imunodeficiência humana/síndrome da imunodeficiência adquirida e relacionar com fatores sociodemográficos, clínicos, sintomas depressivos e qualidade de vida relacionada à saúde. Método: estudo descritivo, analítico, observacional, de corte transversal e de caráter quantitativo. Participaram trezentas e duas (302) pessoas de um serviço de atendimento especializado. Foram utilizados instrumentos para avaliação de dados sociodemográficos, clínicos, sintomas depressivos e qualidade de vida relacionada à saúde. Empregou-se análise descritiva, bivariada e regressão logística múltipla. Resultados: foram encontrados 59,27% de presença de dor de intensidade leve, recorrente na cabeça, com interferência no humor, a maioria do sexo feminino e em indivíduos sem/baixa escolaridade. As mulheres apresentaram maior probabilidade de ter dores moderadas ou severas. Pessoas de 49 a 59 anos apresentaram maior intensidade de dor do que as de 18 a 29 anos. Sintomas depressivos e dor são variáveis diretamente proporcionais. Quanto maior o nível da qualidade de vida relacionada à saúde e escolaridade, menor a possibilidade da presença de dor. Conclusão: a presença de dor encontrada é preocupante e possui associação com o sexo feminino, sem/baixa escolaridade, pior nível da qualidade de vida relacionada à saúde e presença de sintomas depressivos.

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Section: Discussionmentioning

confidence: 99%

Avaliação da dor e fatores associados em pessoas que vivem com HIV/AIDS

Pereira

Bradbury

Rossetti

et al. 2019

Rev. Latino-Am. Enfermagem

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“…HIV-positive patients experience more chronic pain than uninfected patients, with a direct impact on their quality of life. [29][30][31] Recurring pain was demonstrated in 54 to 83% of seropositive patients according to data references. 32 The most common complaint of HIV-infected patients was neck pain (80%), followed by low back pain (47%).…”

Section: Pain Syndromementioning

confidence: 97%

“…The neck or back pain and radiculopathy were usually misjudged as spine symptoms in HIV patients. 19,29,31,33 The lack of attention to the clinical presentation of spine disease in HIV-positive patients leads to a less effective management of the disease, reducing the referral of HIV-infected patients for surgery. Pain in seropositive patients is commonly underestimated and undertreated; however, early detection and intervention have an essential role in improving the quality of life.…”

Section: Surgical Cases In Hiv Patientsmentioning

confidence: 99%

HIV and Surgery for Degenerative Spine Disease: A Systematic Review

Farias

Dagostini

Falavigna

2021

J Neurol Surg A Cent Eur Neurosurg

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Background and Study Aims The objective of this review is to evaluate the incidence of operative treatment, outcomes, and complications of surgery for degenerative spine disease (DSD) on human immunodeficiency virus (HIV) positive patients. Combined antiretroviral treatment led HIV patients to live long enough to develop many chronic conditions common in the uninfected population. Surgery for DSD is one of the most commonly performed neurosurgical procedures. However, the incidence of spine surgery for DSD in HIV-positive patients seems to be lower than that in uninfected individuals, although this has not been clearly determined. Methods A systematic search of the Medline, Web of Science, Embase, and SciElo databases was conducted. Only primary studies addressing DSD surgery on HIV-positive patients were included. Evaluated variables were rates of surgical treatment, surgical outcomes and complications, year of publication, country where study was conducted, type of study, and level of evidence. Results Six articles were included in the review from 1,108 records. Significantly lower rates of DSD surgery were identified in HIV-infected patients (0.86 per 1,000 patient-years) when compared with uninfected patients (1.41 per 1,000 patient-years). There was a significant increase in spinal surgery in HIV-positive patients over time, with a 0.094 incidence per 100,000 in the year 2000 and 0.303 in 2009. HIV-positive patients had very similar outcomes when compared with controls, with 66.6% presenting pain relief at a 3-month follow-up. Higher incidences of hospital mortality (1.6 vs. 0.3%; p < 0.001) and complications (12.2 vs. 9.5%, p < 0.001) were observed in HIV carriers. Conclusions HIV-positive individuals appear to undergo less surgery for DSD than HIV-negative individuals. Improvement rates appear to be similar in both groups, even though some complications appear to be more prevalent in HIV carriers. Larger studies are needed for decisive evidence on the subject.

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“…Although clinical guidelines for the treatment of chronic pain 11 stated that opioid should not be a first-line treatment for chronic pain, opioids have been often prescribed 12,13 . In the context of widely diverted and improperly used opioids leading to the current national epidemic of opioid overdoses and opiate use disorders in the USA, prescribing practices for opioids have been questioned.…”

Section: Introductionmentioning

confidence: 99%

Association Between Diagnoses of Chronic Noncancer Pain, Substance Use Disorder, and HIV-Related Outcomes in People Living With HIV

Denis

Morales

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: Chronic pain is common in people living with HIV (PLWH). Few studies have evaluated the association between the diagnoses of chronic pain, substance use disorder (SUD) and HIV-related outcomes in clinical settings over a 10-year period. Methods: Using electronic medical records, the study described psychiatric diagnoses, pain medication, and HIV-related variables in PLWH, and examined the factors associated with pain diagnosis and HIV-related outcomes. Results: Among 3,528 PLWH, over a third exhibited a chronic pain diagnosis and over a third a psychiatric disorder. Chronic pain diagnosis has been associated with SUD and mood and anxiety disorders, and occurred before SUD or psychiatric disorders about half of the time. Opioids have been commonly prescribed for pain management, more often than non-opioid analgesic, without any change in prescription pattern over the 10-year period. A dual diagnosis of pain and SUD has been associated with more psychiatric disorders and had a negative impact on the pain management by requesting more healthcare utilization and higher frequency of both opioids and non-opioids medications prescriptions. Chronic pain and SUD had a negative impact on ART adherence. SUD but not chronic pain has been associated with an unsuppressed HIV viral load. Conclusion: In the current intertwining opioid prescription and opioids epidemic, opioids are still commonly prescribed in PLWH in HIV care. A diagnosis of chronic pain and/or SUD worsened the HIV-related outcomes, emphasizing the potential risk for the HIV epidemic. These findings called for a better coordinated care program in HIV clinics.

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HIV pain management challenges and alternative therapies

Cited by 6 publications

References 22 publications

Avaliação da dor e fatores associados em pessoas que vivem com HIV/AIDS

Avaliação da dor e fatores associados em pessoas que vivem com HIV/AIDS

HIV and Surgery for Degenerative Spine Disease: A Systematic Review

Association Between Diagnoses of Chronic Noncancer Pain, Substance Use Disorder, and HIV-Related Outcomes in People Living With HIV

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