Clinical Profiles of Concurrent Cannabis Use in Chronic Pain: A CHOIR Study.
Identifieur interne : 000026 ( Main/Exploration ); précédent : 000025; suivant : 000027Clinical Profiles of Concurrent Cannabis Use in Chronic Pain: A CHOIR Study.
Auteurs : John A. Sturgeon [États-Unis] ; James Khan [Canada] ; Jennifer M. Hah [États-Unis] ; Heather Hilmoe [États-Unis] ; Juliette Hong [États-Unis] ; Mark A. Ware [Canada] ; Sean C. Mackey [États-Unis]Source :
- Pain medicine (Malden, Mass.) [ 1526-4637 ] ; 2020.
Abstract
OBJECTIVE
Despite evidence of the analgesic benefits of cannabis, there remains a relative scarcity of research on the short- and long-term effects of cannabis use in individuals with chronic pain.
DESIGN
The current study is a secondary analysis of clinical data from the Collaborative Health Outcomes Information Registry (CHOIR).
SETTING
Data were drawn from a cohort of patients of a multidisciplinary tertiary care pain clinic.
SUBJECTS
The study sample consisted of data from 7,026 new patient visits from CHOIR; of these, 1,668 patients with a follow-up time point within 180 days were included in a longitudinal analysis.
METHODS
Clinical data were analyzed to characterize cross-sectional differences in pain and indicators of psychological and physical function according to self-reported, concurrent cannabis use. Additionally, a propensity score-weighted longitudinal analysis was conducted, examining cannabis use as a predictor of changes in clinical variables across time.
RESULTS
Cross-sectional analyses suggested significantly poorer sleep and significantly higher intensities of pain, emotional distress, and physical and social dysfunction in patients reporting ongoing cannabis use; however, these differences were relatively small in magnitude. However, no differences between cannabis users and nonusers in terms of longitudinal changes in clinical variables were noted.
DISCUSSION
Our results are among the first to examine concurrent cannabis use as a prognostic variable regarding trajectories of pain-related variables in tertiary care. Future studies may benefit from examining the effect of cannabis initiation, concurrent medication use, and specific aspects of cannabis use (dose, duration of use, or cannabis type) on clinical outcomes.
DOI: 10.1093/pm/pnaa060
PubMed: 32232476
Affiliations:
- Canada, États-Unis
- Californie, Ontario, Québec, Washington (État)
- Montréal, Toronto
- Université McGill, Université de Toronto
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Sturgeon</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, Washington, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></affiliation></author><author><name sortKey="Khan, James" sort="Khan, James" uniqKey="Khan J" first="James" last="Khan">James Khan</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesia, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Anesthesia, Mount Sinai Hospital, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Hah, Jennifer M" sort="Hah, Jennifer M" uniqKey="Hah J" first="Jennifer M" last="Hah">Jennifer M. Hah</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Hilmoe, Heather" sort="Hilmoe, Heather" uniqKey="Hilmoe H" first="Heather" last="Hilmoe">Heather Hilmoe</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Hong, Juliette" sort="Hong, Juliette" uniqKey="Hong J" first="Juliette" last="Hong">Juliette Hong</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Ware, Mark A" sort="Ware, Mark A" uniqKey="Ware M" first="Mark A" last="Ware">Mark A. Ware</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesia, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Anesthesia, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Family Medicine, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Family Medicine, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Mackey, Sean C" sort="Mackey, Sean C" uniqKey="Mackey S" first="Sean C" last="Mackey">Sean C. Mackey</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">Pain medicine (Malden, Mass.)</title><idno type="eISSN">1526-4637</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Despite evidence of the analgesic benefits of cannabis, there remains a relative scarcity of research on the short- and long-term effects of cannabis use in individuals with chronic pain.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>The current study is a secondary analysis of clinical data from the Collaborative Health Outcomes Information Registry (CHOIR).</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Data were drawn from a cohort of patients of a multidisciplinary tertiary care pain clinic.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS</b></p><p>The study sample consisted of data from 7,026 new patient visits from CHOIR; of these, 1,668 patients with a follow-up time point within 180 days were included in a longitudinal analysis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Clinical data were analyzed to characterize cross-sectional differences in pain and indicators of psychological and physical function according to self-reported, concurrent cannabis use. Additionally, a propensity score-weighted longitudinal analysis was conducted, examining cannabis use as a predictor of changes in clinical variables across time.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Cross-sectional analyses suggested significantly poorer sleep and significantly higher intensities of pain, emotional distress, and physical and social dysfunction in patients reporting ongoing cannabis use; however, these differences were relatively small in magnitude. However, no differences between cannabis users and nonusers in terms of longitudinal changes in clinical variables were noted.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Our results are among the first to examine concurrent cannabis use as a prognostic variable regarding trajectories of pain-related variables in tertiary care. Future studies may benefit from examining the effect of cannabis initiation, concurrent medication use, and specific aspects of cannabis use (dose, duration of use, or cannabis type) on clinical outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32232476</PMID><DateRevised><Year>2020</Year><Month>05</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1526-4637</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Mar</Month><Day>31</Day></PubDate></JournalIssue><Title>Pain medicine (Malden, Mass.)</Title></Journal><ArticleTitle>Clinical Profiles of Concurrent Cannabis Use in Chronic Pain: A CHOIR Study.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">pnaa060</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/pm/pnaa060</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Despite evidence of the analgesic benefits of cannabis, there remains a relative scarcity of research on the short- and long-term effects of cannabis use in individuals with chronic pain.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">The current study is a secondary analysis of clinical data from the Collaborative Health Outcomes Information Registry (CHOIR).</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Data were drawn from a cohort of patients of a multidisciplinary tertiary care pain clinic.</AbstractText><AbstractText Label="SUBJECTS" NlmCategory="METHODS">The study sample consisted of data from 7,026 new patient visits from CHOIR; of these, 1,668 patients with a follow-up time point within 180 days were included in a longitudinal analysis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Clinical data were analyzed to characterize cross-sectional differences in pain and indicators of psychological and physical function according to self-reported, concurrent cannabis use. Additionally, a propensity score-weighted longitudinal analysis was conducted, examining cannabis use as a predictor of changes in clinical variables across time.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Cross-sectional analyses suggested significantly poorer sleep and significantly higher intensities of pain, emotional distress, and physical and social dysfunction in patients reporting ongoing cannabis use; however, these differences were relatively small in magnitude. However, no differences between cannabis users and nonusers in terms of longitudinal changes in clinical variables were noted.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Our results are among the first to examine concurrent cannabis use as a prognostic variable regarding trajectories of pain-related variables in tertiary care. Future studies may benefit from examining the effect of cannabis initiation, concurrent medication use, and specific aspects of cannabis use (dose, duration of use, or cannabis type) on clinical outcomes.</AbstractText><CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sturgeon</LastName><ForeName>John A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>James</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Anesthesia, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hah</LastName><ForeName>Jennifer M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hilmoe</LastName><ForeName>Heather</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hong</LastName><ForeName>Juliette</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ware</LastName><ForeName>Mark A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Anesthesia, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Family Medicine, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mackey</LastName><ForeName>Sean C</ForeName><Initials>SC</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 DA045027</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Pain Med</MedlineTA><NlmUniqueID>100894201</NlmUniqueID><ISSNLinking>1526-2375</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cannabis</Keyword><Keyword MajorTopicYN="N">Chronic Pain</Keyword><Keyword MajorTopicYN="N">Pain Interference</Keyword><Keyword MajorTopicYN="N">Psychosocial Function</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32232476</ArticleId><ArticleId IdType="pii">5814197</ArticleId><ArticleId IdType="doi">10.1093/pm/pnaa060</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Californie</li><li>Ontario</li><li>Québec</li><li>Washington (État)</li></region><settlement><li>Montréal</li><li>Toronto</li></settlement><orgName><li>Université McGill</li><li>Université de Toronto</li></orgName></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Sturgeon, John A" sort="Sturgeon, John A" uniqKey="Sturgeon J" first="John A" last="Sturgeon">John A. Sturgeon</name></region><name sortKey="Hah, Jennifer M" sort="Hah, Jennifer M" uniqKey="Hah J" first="Jennifer M" last="Hah">Jennifer M. Hah</name><name sortKey="Hilmoe, Heather" sort="Hilmoe, Heather" uniqKey="Hilmoe H" first="Heather" last="Hilmoe">Heather Hilmoe</name><name sortKey="Hong, Juliette" sort="Hong, Juliette" uniqKey="Hong J" first="Juliette" last="Hong">Juliette Hong</name><name sortKey="Mackey, Sean C" sort="Mackey, Sean C" uniqKey="Mackey S" first="Sean C" last="Mackey">Sean C. Mackey</name></country><country name="Canada"><region name="Ontario"><name sortKey="Khan, James" sort="Khan, James" uniqKey="Khan J" first="James" last="Khan">James Khan</name></region><name sortKey="Ware, Mark A" sort="Ware, Mark A" uniqKey="Ware M" first="Mark A" last="Ware">Mark A. Ware</name><name sortKey="Ware, Mark A" sort="Ware, Mark A" uniqKey="Ware M" first="Mark A" last="Ware">Mark A. Ware</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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