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Pain clinic definitions in the medical literature and U.S. state laws: an integrative systematic review and comparison

Overview of attention for article published in Substance Abuse Treatment, Prevention, and Policy, May 2018
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (63rd percentile)

Mentioned by

twitter
6 tweeters

Citations

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3 Dimensions

Readers on

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25 Mendeley
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Title
Pain clinic definitions in the medical literature and U.S. state laws: an integrative systematic review and comparison
Published in
Substance Abuse Treatment, Prevention, and Policy, May 2018
DOI 10.1186/s13011-018-0153-6
Pubmed ID
Authors

Barbara Andraka-Christou, Joshua B. Rager, Brittany Brown-Podgorski, Ross D. Silverman, Dennis P. Watson

Abstract

In response to widespread opioid misuse, ten U.S. states have implemented regulations for facilities that primarily manage and treat chronic pain, called "pain clinics." Whether a clinic falls into a state's pain clinic definition determines the extent to which it is subject to oversight. It is unclear whether state pain clinic definitions model those found in the medical literature, and potential differences lead to discrepancies between scientific and professionally guided advice found in the medical literature and actual pain clinic practice. Identifying discrepancies could assist states to design laws that are more compatible with best practices suggested in the medical literature. We conducted an integrative systematic review to create a taxonomy of pain clinic definitions using academic medical literature. We then identified existing U.S. state pain clinic statutes and regulations and compared the developed taxonomy using a content analysis approach to understand the extent to which medical literature definitions are reflected in state policy. In the medical literature, we identified eight categories of pain clinic definitions: 1) patient case mix; 2) single-modality treatment; 3) multidisciplinary treatment; 4) interdisciplinary treatment; 5) provider supervision; 6) provider composition; 7) marketing; and 8) outcome. We identified ten states with pain clinic laws. State laws primarily include the following definitional categories: patient case mix; single-modality treatment, and marketing. Some definitional categories commonly found in the medical literature, such as multidisciplinary treatment and interdisciplinary treatment, rarely appear in state law definitions. This is the first study to our knowledge to develop a taxonomy of pain clinic definitions and to identify differences between pain clinic definitions in U.S. state law and medical literature. Future work should explore the impact of different legal pain clinic definitions on provider decision-making and state-level health outcomes.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 25 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 16%
Student > Bachelor 4 16%
Researcher 4 16%
Professor > Associate Professor 2 8%
Other 2 8%
Other 4 16%
Unknown 5 20%
Readers by discipline Count As %
Social Sciences 4 16%
Nursing and Health Professions 4 16%
Medicine and Dentistry 4 16%
Design 2 8%
Psychology 2 8%
Other 4 16%
Unknown 5 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 November 2018.
All research outputs
#4,658,336
of 15,819,321 outputs
Outputs from Substance Abuse Treatment, Prevention, and Policy
#277
of 510 outputs
Outputs of similar age
#101,522
of 281,569 outputs
Outputs of similar age from Substance Abuse Treatment, Prevention, and Policy
#1
of 1 outputs
Altmetric has tracked 15,819,321 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 510 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.5. This one is in the 44th percentile – i.e., 44% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 281,569 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them