Treatment Disparities in Hispanic Patients with Chronic Pain: An Evidence-Based Narrative Review.
Stephanie CrimmelLizbeth HuRyan Steven D'SouzaEric Jyun-Han WangPublished in: Current pain and headache reports (2024)
Hispanic and Latino/Latinx patients experience disparities in chronic pain management. They are less likely to be prescribed pharmacologic therapies, including non-steroidal anti-inflammatory drugs and opioids. Hispanic and Latino/Latinx patients are also less likely to receive spinal cord stimulators and may be charged higher costs for them. There are no published studies specifically assessing Hispanic and Latino/Latinx patients' utilization and outcomes from other common interventional pain procedures (e.g., epidural steroid injections, radiofrequency ablation). Limited data suggest non-pharmacologic treatments, such as cognitive behavioral therapy and complementary/integrative health modalities, might have more benefit for this population, potentially because of greater utilization. Hispanic and Latino/Latinx patients experience disparities in chronic pain management. There is a paucity of data available pertaining specifically to pain-related outcomes and the utilization of pain treatment modalities, especially in regard to interventional procedures. Additional research is urgently needed in order to understand the full extent of these disparities and develop solutions to provide more equitable care.
Keyphrases
- pain management
- chronic pain
- end stage renal disease
- spinal cord
- ejection fraction
- chronic kidney disease
- african american
- peritoneal dialysis
- public health
- randomized controlled trial
- neuropathic pain
- machine learning
- risk assessment
- spinal cord injury
- electronic health record
- radiofrequency ablation
- skeletal muscle
- big data
- social media
- drug induced
- platelet rich plasma