Research priorities in the field of posttraumatic pain and disability: Results of a transdisciplinary consensus-generating workshop

David M. Walton*, James M. Elliott, Joshua Lee, Eldon Loh, Joy C. MacDermid, Siobhan Schabrun, Walter L. Siqueira, Brian D. Corneil, Bill Aal, Trevor Birmingham, Amy Brown, Lynn K. Cooper, James P. Dickey, S. Jeffrey Dixon, Douglas D. Fraser, Joseph S. Gati, Gregory B. Gloor, Gordon Good, David Holdsworth, Samuel A. McLeanWanda Millard, Jordan Miller, Jackie Sadi, David A. Seminowicz, J. Kevin Shoemaker, Gunter P. Siegmund, Theodore Vertseegh, Timothy H. Wideman

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Background. Chronic or persistent pain and disability following noncatastrophic 'musculoskeletal' (MSK) trauma is a pervasive public health problem. Recent intervention trials have provided little evidence of benefit from several specific treatments for preventing chronic problems. Such findings may appear to argue against formal targeted intervention for MSK traumas. However, these negative findings may reflect a lack of understanding of the causal mechanisms underlying the transition from acute to chronic pain, rendering informed and objective treatment decisions difficult. The Canadian Institutes of Health Research (CIHR) Institute ofMusculoskeletalHealth and Arthritis (IMHA) has recently identified better understanding of causalmechanisms as one of three priority foci of their most recent strategic plan. Objectives. A 2-day invitation-only active participation workshop was held inMarch 2015 that included 30 academics, clinicians, and consumers with the purpose of identifying consensus research priorities in the field of trauma-relatedMSK pain and disability, prediction, and prevention. Methods. Conversations were recorded, explored thematically, and member-checked for accuracy. Results. From the discussions, 13 themes were generated that ranged from a focus on identifying causal mechanisms and models to challenges with funding and patient engagement. Discussion. Novel priorities included the inclusion of consumer groups in research from the early conceptualization and design stages and interdisciplinary longitudinal studies that include evaluation of integrated phenotypes and mechanisms.

Original languageEnglish (US)
Article number1859434
JournalPain Research and Management
Volume2016
DOIs
StatePublished - 2016

ASJC Scopus subject areas

  • Neurology
  • Anesthesiology and Pain Medicine

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