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WHY GET INVOLVED? > Key Messages About Pain
Key Messages About Pain
People in pain have a right to timely, appropriate pain care.





 

Pain is a national healthcare crisis.  It is our nation’s hidden epidemic.

  • More than 76 million Americans – an estimated 26% of our population – suffer from persistent pain lasting more than 24 hours each month.[i]
  • Pain doesn’t discriminate. It affects people of all races and economic status at all stages of life—the young, the middle-aged, and the elderly.[i]

 

Undertreated pain has serious physiological, psychological, and social consequences.

  • All persons experience pain at some time during their lives. It affects physical and mental functioning, and can profoundly affect quality of life.[ii]
  • According to data released in 1998, the annual total cost of pain from all causes is estimated to be more than $100 billion.[ii]  However, more recent studies have indicated that costs associated with low back pain alone are an estimated $85.9 billion.[iii]  The total cost of arthritis – the nation’s leading cause of disability – is estimated at $128 billion.[iv] 

 

When pain is treated properly, many people can resume their lives.

  • Untreated or undertreated pain typically results from a failure to apply existing knowledge about pain management, and not from the lack of effective treatment modalities.[v]
  • People often mistakenly believe that pain is something they “just have to live with.” They are often made to feel that the pain is “just in their heads.”[vi] 

 

Unfortunately, many barriers prevent effective pain treatment.

  • Most healthcare professionals have little or no training in pain management (and are unable to effectively respond to patients' reports of pain).[vi] 
  • The public—including doctors and people with pain—carry concerns about
    addiction to pain medication.[vi] 
  • Funding for pain research is woefully inadequate: Less than 1% of the NIH
    research budget is dedicated to pain.
    [vii]
  • Overly restrictive regulatory policies impede pain relief.[vi]
  • Efforts to prevent the diversion and abuse of pain medication must be bal­anced so they do not interfere with patient care.[v]
  • Concerns about regulatory scrutiny may affect healthcare professionals' treatment choices.[v]

 

The Bottom Line:  People in pain have a right to timely, appropriate pain care.



[i] National Center for Health Statistics.  Health, United States, 2006.  With Chartbook on Trends in the Health of Americans.  Hyattsville, MD.

[ii] National Institutes of Health.  NIH Guide: New Directions in Pain Research I. September 4, 1998.  Available from http://grants.nih.gov/grants/guide/pa-files/PA-98-102.html.

[iii] Martin, B.I., MPH; Deyo, R.A., MD, MPH; Mirza, S.K., MD, MPH; Turner, J.A., PhD; Comstock, B.A., MS; Hollingworth, W., PhD; Sullivan, S.D., PhD.  “Expenditures and Health Status Among Adults With Back and Neck Problems.” JAMA. 2008;299(6):656-664.

[iv] Centers for Disease Control and Prevention.  “Targeting Arthritis: Improving Quality of Life for

More than 46 Million Americans.”  At a Glance 2008.  http://www.cdc.gov/nccdphp/publications/aag/arthritis.htm.  Retrieved March 6, 2008.

[v] Pain & Policy Studies Group.  Achieving Balance in State Pain Policy: A Progress Report Card (third edition).  University of Wisconsin Paul P. Carbone Comprehensive Cancer Center.  Madison, Wisconsin, 2007.

[vi] Miaskowski, C.; Cleary, J.; Burney, R.; Coyne, P.; Finley, R.; Foster, R.; Grossman, S.; Janjan, N.; Ray, J.; Syrjala, K.; Weisman, S.; and Zahrbock, C. (2005).  Guideline for the Management of Cancer Pain in Adults and Children, APS Clinical Practice Guidelines Series, No. 3.  Glenview, IL: American Pain Society. Page 4.

[vii] “What can be learned by assessing funding patterns for pain research? A commentary on

National Institutes of Health grant awards for pain, nausea, and dyspnea research.”  J Pain. 2005 May;6(5):275-6.



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