Abstract
After the 2011 Institute of Medicine report on chronic pain, the Interagency Pain
Research Coordinating Committee (IPRCC) was created to enhance research efforts among
federal agencies. The IPRCC and Office of Pain Policy at the National Institutes of
Health collaborated to identify gaps in knowledge and address them via a Federal Pain
Research Strategy (FPRS). Interdisciplinary work groups (WGs) were established to
make research recommendations in 5 areas: prevention of acute and chronic pain, acute
pain and acute pain management, transition from acute to chronic pain, chronic pain
and chronic pain management, and disparities in pain and pain care; cross-cutting
issues were also considered. The objective was to provide guidance on current research
and to make recommendations about addressing identified gaps. Findings from the Prevention
of Acute and Chronic Pain WG are summarized in this article. The WG created subgroups
to develop recommendations on specific aspects of prevention of acute and chronic
pain, including: public education, primary prevention, secondary prevention, tertiary
prevention, transition from acute to chronic pain, and cross-cutting mediators. No
formal literature review was conducted; however, external advisors were available
and consulted as needed. Seven key research priorities were identified. The one deemed
“greatest near-term value” was to optimize public health strategies to educate patients
on managing pain; that deemed “most impactful” was to determine an association between
patient and intervention factors. Other recommendations were related to the epidemiology
of acute pain from health care procedures, the epidemiology of acute pain from work-related
injuries, safety and effectiveness of management of pain associated with health care
procedures, optimizing approaches to acute postsurgical pain, and safety and effectiveness
of early interventions for tertiary prevention. Stakeholders, including federally
sponsored research programs, researchers, health care providers, policy makers, patients,
and others should work together to implement recommendations and address important
gaps.
Perspective
The FPRS Steering Committee created 5 WGs to identify research needs and make recommendations
in key areas of research. This article reports the results of one—the Prevention of
Acute and Chronic Pain group. Several research priorities emerged, and recommendations
made to fill existing knowledge gaps.
Key words
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Article info
Publication history
Published online: March 22, 2018
Footnotes
From the National Institutes of Health and Interagency Pain Research Coordinating Committee (www.iprcc.nih.gov). Other committee members: Anthony Delitto, Cathy Glaser, and Ruth Grunau.
The authors have no conflicts of interest to declare.
Identification
Copyright
© 2018 by the American Pain Society
