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Published in: Clinical Orthopaedics and Related Research® 10/2017

01-10-2017 | Gendered Innovations in Orthopaedic Science

Gendered Innovations in Orthopaedic Science: 11 Out of 10 on the Pain Scale: Acknowledging My Own Gender Biases

Author: Alexandra E. Page, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2017

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Excerpt

I suspect a number of orthopaedic surgeons like myself develop an internal benchmark against which we note the subjective pain of a patient. An arthritic knee should hurt this much, a femur fracture should hurt THIS much. Enter the pain scale. As a clinician, I try to avoid prejudicing my assessment of a new patient. But I cringe when I see “11” on the 10-point scale. …
Literature
1.
go back to reference Bawa HS, Weick JW, Dirschl DR. Gender disparities in osteoarthritis-related health care utilization before total knee arthroplasty. J Arthroplasty. 2016;31:2115–2118.CrossRefPubMed Bawa HS, Weick JW, Dirschl DR. Gender disparities in osteoarthritis-related health care utilization before total knee arthroplasty. J Arthroplasty. 2016;31:2115–2118.CrossRefPubMed
2.
go back to reference Caicedo MA, Solver E, Coleman L, Jacobs J, Hallab NJ. Females with unexplained joint pain following total joint arthroplasty exhibit a higher rate and severity of hypersensitivity to implant metals compared with males: Implications of sex-based bioreactivity differences. J Bone Joint Surg Am. 2017;99:621–628.CrossRefPubMed Caicedo MA, Solver E, Coleman L, Jacobs J, Hallab NJ. Females with unexplained joint pain following total joint arthroplasty exhibit a higher rate and severity of hypersensitivity to implant metals compared with males: Implications of sex-based bioreactivity differences. J Bone Joint Surg Am. 2017;99:621–628.CrossRefPubMed
3.
go back to reference Chapman T, Kim N, Maltenfort M, Ilyas AM. Prospective evaluation of opioid consumption following carpal tunnel release surgery. Hand. 2016;12(1):39–42.CrossRefPubMed Chapman T, Kim N, Maltenfort M, Ilyas AM. Prospective evaluation of opioid consumption following carpal tunnel release surgery. Hand. 2016;12(1):39–42.CrossRefPubMed
4.
go back to reference Chou LB, Wagner D, Witten DM, Martinez-Diaz GJ, Brook NS, Toussaint M, Carroll IR. Postoperative pain following foot and ankle surgery: A prospective study. Foot & Ankle Int. 2008;29:1063–1068.CrossRef Chou LB, Wagner D, Witten DM, Martinez-Diaz GJ, Brook NS, Toussaint M, Carroll IR. Postoperative pain following foot and ankle surgery: A prospective study. Foot & Ankle Int. 2008;29:1063–1068.CrossRef
5.
go back to reference Denk F, McMahon SB, Tracey I. Pain vulnerability: A neurobiological perspective. Nat Neurosci. 2014;17:192–200.CrossRefPubMed Denk F, McMahon SB, Tracey I. Pain vulnerability: A neurobiological perspective. Nat Neurosci. 2014;17:192–200.CrossRefPubMed
7.
go back to reference Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: National Academies Press; 2011. Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: National Academies Press; 2011.
8.
go back to reference Klein SE, Dale AM, Hayes MH, Johnson JE, McCormick JJ, Racette BA. Clinical presentation and self-reported patterns of pain and function in patients with plantar heel pain. Foot & Ankle Int. 2012;33:693–698.CrossRef Klein SE, Dale AM, Hayes MH, Johnson JE, McCormick JJ, Racette BA. Clinical presentation and self-reported patterns of pain and function in patients with plantar heel pain. Foot & Ankle Int. 2012;33:693–698.CrossRef
9.
go back to reference Liu SS, Buvanendran A, Rathmell JP, Sawhney M, Bae JJ, Moric M, Perros S, Pope AJ, Poultsides L, Della Valle CJ, Shin NS, McCartney CJ, Ma Y, Shah M, Wood MJ, Manion SC, Sculco TP. A cross-sectional survey on prevalence and risk factors for persistent postsurgical pain 1 year after total hip and knee replacement. Reg Anesth Pain Med. 2012;37:415–422.CrossRefPubMed Liu SS, Buvanendran A, Rathmell JP, Sawhney M, Bae JJ, Moric M, Perros S, Pope AJ, Poultsides L, Della Valle CJ, Shin NS, McCartney CJ, Ma Y, Shah M, Wood MJ, Manion SC, Sculco TP. A cross-sectional survey on prevalence and risk factors for persistent postsurgical pain 1 year after total hip and knee replacement. Reg Anesth Pain Med. 2012;37:415–422.CrossRefPubMed
10.
go back to reference McHugh K, Elise E. DeVito EE, Dodd D, Carroll KM, Potter JS, Shelly F. Greenfield SF, Connery HS, Weiss RD. Gender differences in a clinical trial for prescription opioid dependence J Subst Abuse Treat. 2013;45:38–43.CrossRefPubMedPubMedCentral McHugh K, Elise E. DeVito EE, Dodd D, Carroll KM, Potter JS, Shelly F. Greenfield SF, Connery HS, Weiss RD. Gender differences in a clinical trial for prescription opioid dependence J Subst Abuse Treat. 2013;45:38–43.CrossRefPubMedPubMedCentral
11.
go back to reference Parsells Kelly J, Cook SF, Kaufman DW, Anderson T, Rosenberg L, Mitchel AA. Prevalence and characteristics of opioid use in the US adult population. Pain. 2008;138:507–513.CrossRefPubMed Parsells Kelly J, Cook SF, Kaufman DW, Anderson T, Rosenberg L, Mitchel AA. Prevalence and characteristics of opioid use in the US adult population. Pain. 2008;138:507–513.CrossRefPubMed
12.
go back to reference Pope D, El-Othmani MM, Manning BT, Sepula M, Markwell SJ, Saleh KJ. Impact of age, gender and anesthesia modality on post-operative pain in total knee arthroplasty patients. Iowa Orthop J. 2015;35:92–98.PubMedPubMedCentral Pope D, El-Othmani MM, Manning BT, Sepula M, Markwell SJ, Saleh KJ. Impact of age, gender and anesthesia modality on post-operative pain in total knee arthroplasty patients. Iowa Orthop J. 2015;35:92–98.PubMedPubMedCentral
13.
go back to reference Tracy LM, Labuschagne I, Georgiou-Karistianis N, Gibson SJ, Giummarra MJ Psychoneuroendocrinology. Sex-specific effects of intranasal oxytocin on thermal pain perception: A randomised, double-blind, placebo-controlled cross-over study. 2017;83:101–110. Tracy LM, Labuschagne I, Georgiou-Karistianis N, Gibson SJ, Giummarra MJ Psychoneuroendocrinology. Sex-specific effects of intranasal oxytocin on thermal pain perception: A randomised, double-blind, placebo-controlled cross-over study. 2017;83:101–110.
14.
Metadata
Title
Gendered Innovations in Orthopaedic Science: 11 Out of 10 on the Pain Scale: Acknowledging My Own Gender Biases
Author
Alexandra E. Page, MD
Publication date
01-10-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 10/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-017-5455-x

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