Shining the LAMP on Efforts to Transform Pain Care in America
Authors: Robert D. Kerns
Journal: Annals of Internal Medicine (2018)

Editorials3 April 2018Shining the LAMP on Efforts to Transform Pain Care in AmericaRobert D. Kerns, PhDRobert D. Kerns, PhDYale University, New Haven, Connecticut (R.D.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-0061 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Pain, particularly chronic pain, is a public health crisis requiring a comprehensive national and international effort to address it. In the seminal report “Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research,” the Institute of Medicine (IOM) (now the National Academy of Medicine) cites data showing that approximately 100 million U.S. adults report chronic pain, with the rate increasing each year (1). The IOM also estimates the national cost associated with pain care and lost productivity to be around $600 billion annually. The report's authors note that chronic pain may be associated with considerable morbidity, mortality, ...References1. Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. National Research Council. Washington, DC: National Academies Pr; 2011. Google Scholar2. Janevic MR, McLaughlin SJ, Heapy AA, Thacker C, Piette JD. Racial and Socioeconomic Disparities in Disabling Chronic Pain: Findings From the Health and Retirement Study. J Pain. 2017;18:1459-1467. [PMID: 28760648] doi:10.1016/j.jpain.2017.07.005 CrossrefMedlineGoogle Scholar3. High-impact pain does not affect all Americans the same. Michigan News. Accessed at http://ns.umich.edu/new/releases/25045-high-impact-pain-does-not-impact-all-americans-the-same on 26 January 2018. Google Scholar4. Thorn BE, Eyer JC, Van Dyke BP, Torres CA, Burns JW, Kim M, et al. Literacy-adapted cognitive behavioral therapy versus education for chronic pain at low-income clinics. A randomized controlled trial. Ann Intern Med. 2018;168:471-80. doi:10.7326/M17-0972 LinkGoogle Scholar5. Eyer JC, Thorn BE. The Learning About My Pain study protocol: Reducing disparities with literacy-adapted psychosocial treatments for chronic pain, a comparative behavioral trial. J Health Psychol. 2016;21:2063-74. [PMID: 25712491] doi:10.1177/1359105315570985 CrossrefMedlineGoogle Scholar6. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health. National Pain Strategy outlines actions for improving pain care in America. 18 March 2016. Accessed at www.hhs.gov/ash/about-ash/news/2016/national-pain-strategy-outlines-actions-improving-pain-care/index.html on 26 January 2018. Google Scholar7. National Institutes of Health, Interagency Pain Research Coordinating Committee. Federal Pain Research Strategy overview. Accessed at https://iprcc.nih.gov/Federal-Pain-Research-Strategy/Overview? on 26 January 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Yale University, New Haven, Connecticut (R.D.K.)Disclosures: Author has disclosed no conflicts of interest. Form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0061.Corresponding Author: Robert D. Kerns, PhD, PRIME Center/11ACSLG, VA Connecticut Healthcare System, West Haven, CT 06516; e-mail, robert.[email protected]edu.This article was published at Annals.org on 27 February 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLiteracy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain at Low-Income Clinics Beverly E. Thorn , Joshua C. Eyer , Benjamin P. Van Dyke , Calia A. Torres , John W. Burns , Minjung Kim , Andrea K. Newman , Lisa C. Campbell , Brian Anderson , Phoebe R. Block , Bentley J. Bobrow , Regina Brooks , Toya T. Burton , Jennifer S. Cheavens , Colette M. DeMonte , William D. DeMonte , Crystal S. Edwards , Minjeong Jeong , Mazheruddin M. Mulla , Terence Penn , Laura J. Smith , and Deborah H. Tucker Metrics Cited by Translation and Validation of the Farsi Version of the Pain Management Self-Efficacy Questionnaire Delivering Effective Chronic Pain Interventions to a Hard-Bitten Group—in Fifth-Grade Language 3 April 2018Volume 168, Issue 7Page: 517-518KeywordsClinical trial reportingHealth careMotivationPain managementPhysical functioningPopulation statisticsPrevention, policy, and public healthResearch design ePublished: 27 February 2018 Issue Published: 3 April 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...