Racial and Ethnic Disparities in Acute Pain Control

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2005 by Agency for Healthcare Research and Quality (AHRQ).
Recruitment status was  Recruiting
Information provided by:
Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier:
First received: June 21, 2005
Last updated: June 23, 2005
Last verified: June 2005

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 Type: Observational
Study Design: Time Perspective: Longitudinal
Official Title: Racial and Ethnic Disparities in Acute Pain Control

Resource links provided by NLM:

Further study details as provided by Agency for Healthcare Research and Quality (AHRQ):

Estimated Enrollment: 285
Study Start Date: September 2003

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both

Inclusion Criteria:

  • 18 to 55 years;
  • Acute pain starting no more than 24 hours before presenting to the ED;
  • Have isolated long-bone fracture documented on x-ray;
  • Have a complaint of pain at triage or complaining of pain to the physician;
  • English and Spanish speaking

Exclusion Criteria:

  • Participating in another clinical study at the time of entry;
  • Unable to complete the pain intensity scale, or complete the questionnaire because of inability to understand the task and questions;
  • Intoxication with alcohol or other drug;
  • Pregnancy;
  • Methadone use;
  • Use of opioids or tramadol in past seven days;
  • Patients who are allergic to any analgesics;
  • Patients with a chronic pain syndrome (sickle cell anemia, fibromyalgia, migraine, peripheral neuropathies)
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00115180

Contact: Polly E Bijur, PhD 718-430-4217 bijur@aecom.yu.edu

United States, New York
Jacobi Medical Center Emergency Department Recruiting
Bronx, New York, United States, 10461
Contact: Polly Bijur, PhD    718-430-4217    bijur@aecom.yu.edu   
Principal Investigator: Polly Bijur, PhD         
Montefiore Medical Center Emergency Department Recruiting
Bronx, New York, United States, 10467
Contact: David Esses, MD    718-920-2084    desses@montefiore.org   
Sub-Investigator: David Esses, MD         
Sponsors and Collaborators
Agency for Healthcare Research and Quality (AHRQ)
Study Chair: E. John Gallagher, MD Albert Einstein College of Medicine of Yeshiva University
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00115180     History of Changes
Other Study ID Numbers: RO1HS13924
Study First Received: June 21, 2005
Last Updated: June 23, 2005
Health Authority: United States: Federal Government

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
Long Bone Fractures

Additional relevant MeSH terms:
Acute Pain
Nervous System Diseases
Neurologic Manifestations
Signs and Symptoms

ClinicalTrials.gov processed this record on November 24, 2015