Pain management modalities for hidradenitis suppurativa: a patient survey.
Hidradenitis suppurativa
pain
pain management
Journal
The Journal of dermatological treatment
ISSN: 1471-1753
Titre abrégé: J Dermatolog Treat
Pays: England
ID NLM: 8918133
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
pubmed:
12
9
2020
medline:
10
6
2022
entrez:
11
9
2020
Statut:
ppublish
Résumé
Pain is one of the most common and debilitating symptoms of hidradenitis suppurativa (HS). We sought to identify pain management therapies used in HS and assess patient-perceived effectiveness. An anonymous online survey was posted to Facebook HS support groups. Participants selected all that applied from a list of 20 therapies to indicate which ones they have tried for HS pain. For each therapy used, participants were asked to rate effectiveness on a 5-point scale: not successful (1), mildly successful (2), moderately successful (3), very successful (4), and extremely successful (5). Mean effectiveness ratings were calculated by averaging the corresponding numbers. Of the 438 participants, 93.8% were female. Participants classified themselves as Hurley stage I (8.2%), II (53.4%), and III (38.4%). Warm compresses were the most commonly used therapy (82.4%), followed by ibuprofen/naproxen (74.7%), Epsom salt baths (57.8%), cold compresses (45.4%), and acetaminophen (44.7%). Marijuana smoking received the highest mean effectiveness rating (2.92 ± 1.10), followed by marijuana edibles (2.87 ± 1.10), and opioids (2.83 ± 0.98). Mean effectiveness ratings were lowest for bleach baths (1.52 ± 0.80), sitz baths (1.53 ± 0.56), massage (1.61 ± 0.92), gabapentin (1.64 ± 0.73), and acetaminophen (1.71 ± 0.75). Even the highest-rated pain management modalities are considered only moderately effective by HS patients.
Sections du résumé
BACKGROUND
UNASSIGNED
Pain is one of the most common and debilitating symptoms of hidradenitis suppurativa (HS).
OBJECTIVE
UNASSIGNED
We sought to identify pain management therapies used in HS and assess patient-perceived effectiveness.
METHODS
UNASSIGNED
An anonymous online survey was posted to Facebook HS support groups. Participants selected all that applied from a list of 20 therapies to indicate which ones they have tried for HS pain. For each therapy used, participants were asked to rate effectiveness on a 5-point scale: not successful (1), mildly successful (2), moderately successful (3), very successful (4), and extremely successful (5). Mean effectiveness ratings were calculated by averaging the corresponding numbers.
RESULTS
UNASSIGNED
Of the 438 participants, 93.8% were female. Participants classified themselves as Hurley stage I (8.2%), II (53.4%), and III (38.4%). Warm compresses were the most commonly used therapy (82.4%), followed by ibuprofen/naproxen (74.7%), Epsom salt baths (57.8%), cold compresses (45.4%), and acetaminophen (44.7%). Marijuana smoking received the highest mean effectiveness rating (2.92 ± 1.10), followed by marijuana edibles (2.87 ± 1.10), and opioids (2.83 ± 0.98). Mean effectiveness ratings were lowest for bleach baths (1.52 ± 0.80), sitz baths (1.53 ± 0.56), massage (1.61 ± 0.92), gabapentin (1.64 ± 0.73), and acetaminophen (1.71 ± 0.75).
CONCLUSIONS AND RELEVANCE
UNASSIGNED
Even the highest-rated pain management modalities are considered only moderately effective by HS patients.
Identifiants
pubmed: 32914659
doi: 10.1080/09546634.2020.1822501
doi:
Substances chimiques
Acetaminophen
362O9ITL9D
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM