Treatment Disparities in Hispanic Patients with Chronic Pain: An Evidence-Based Narrative Review

被引:2
作者
Crimmel, Stephanie [1 ]
Hu, Lizbeth [1 ]
D'Souza, Ryan S. [2 ]
Wang, Eric J. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21218 USA
[2] Mayo Clin, Dept Anesthesiol & Perioperat Med, Rochester, MN USA
关键词
Chronic pain; Hispanic; Latino; Latinx; Disparities; Inequity; COGNITIVE-BEHAVIORAL THERAPY; LIMITED ENGLISH PROFICIENCY; BACK-PAIN; ADULTS; HEALTH; CARE; PREVALENCE; INTERVENTION; EXPERIENCE; MANAGEMENT;
D O I
10.1007/s11916-024-01220-y
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of ReviewThe purpose of this narrative review is to summarize healthcare disparities experienced by Hispanic and Latino/Latinx patients with chronic pain, evaluate the existing literature exploring the specific therapeutic inequities affecting this patient population, and identify gaps in the literature requiring future study.Recent FindingsHispanic 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.SummaryHispanic 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.
引用
收藏
页码:271 / 278
页数:8
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