Racial and Ethnic Disparities in Acute Pain Control
Recruitment status was Recruiting
We aim to compare pain management among three groups of ethnic disparity (ED) patients, Hispanics, non-Hispanic Blacks, non-Hispanic Whites, and assess whether the observed association between pain management and race/ethnicity is independent of potentially important confounding variables (e.g., age, sex, insurance status, education). We also aim to assess whether the effect of race/ethnicity on adequacy of pain management is explained by patients’ initial pain intensity or by discordance between patient and physician’s: a) race/ethnicity; b) perception of patient’s pain. To do this 285 patients with long-bone fractures will be recruited in the EDs of one municipal and one voluntary hospital serving an inner-city, disadvantaged population in the Bronx. Data will be collected on pain using self-reported pain and non-verbal pain expressions at baseline, one hour post-baseline, and discharge. Data on analgesics administered, patient and physician characteristics will also be collected.
We plan to conduct a chart review of long bone fractures in 2000 and 2001 so that we can analyze the association between race/ethnicity and pain management using the same design as published studies. Comparison of the retrospective and prospective studies will strengthen inferences that can be drawn.
We hypothesize that Black and Hispanic patients will be less likely to receive opioid analgesics than white patients.
|Study Design:||Time Perspective: Longitudinal|
|Official Title:||Racial and Ethnic Disparities in Acute Pain Control|
|Contact: Polly E Bijur, PhDfirstname.lastname@example.org|
|United States, New York|
|Montefiore Medical Center Emergency Department||Recruiting|
|Bronx, New York, United States, 10467|
|Contact: David Esses, MD 718-920-2084 email@example.com|
|Sub-Investigator: David Esses, MD|
|Jacobi Medical Center Emergency Department||Recruiting|
|Bronx, New York, United States, 10461|
|Contact: Polly Bijur, PhD 718-430-4217 firstname.lastname@example.org|
|Principal Investigator: Polly Bijur, PhD|
|Study Chair:||E. John Gallagher, MD||Albert Einstein College of Medicine of Yeshiva University|