Can Patient-centered Education and Pain Management Delivered by Coaches Improve Pain Outcomes After Orthopaedic Trauma? A Randomized Trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Two hundred twelve patients with orthopedic trauma were randomized to receive either a personalized pain education and management intervention delivered by paraprofessional coaches (n=104) or usual care consisting of written discharge instructions on pain management and opioid safety (n=108). The primary outcome of interest was change in pain intensity scores over 12 weeks. Secondary outcomes included opioid consumption (measured in daily morphine milligram equivalents), patient-reported outcomes using PROMIS measures (physical functioning, pain interference, and sleep disturbance), and the proportion of patients achieving the minimum clinically important difference (MCID) on these measures. Outcomes were assessed at baseline and at 2, 6, and 12 weeks post-discharge. Overall, the study found no significant differences between the intervention and control groups in mean pain scores at 12 weeks, opioid consumption, or patient-reported outcomes. Although a higher proportion of intervention participants reported improved pain scores from baseline, this difference was not clinically significant.