- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pediatric Pain Management Techniques
- Pain Management and Placebo Effect
- Pain Mechanisms and Treatments
- Autoimmune and Inflammatory Disorders Research
- Rheumatoid Arthritis Research and Therapies
- Systemic Lupus Erythematosus Research
- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Childhood Cancer Survivors' Quality of Life
- Psychosomatic Disorders and Their Treatments
- Resilience and Mental Health
- Health, psychology, and well-being
- Family Support in Illness
- Osteoarthritis Treatment and Mechanisms
- Mindfulness and Compassion Interventions
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Occupational Health and Performance
- Vector-borne infectious diseases
- Heart Rate Variability and Autonomic Control
- Systemic Sclerosis and Related Diseases
- Cancer survivorship and care
University of Michigan
2016-2025
American College of Rheumatology
2016-2024
Durham VA Medical Center
2021-2024
University of Alabama at Birmingham
2024
University of North Carolina at Chapel Hill
2001-2024
Convergence
2024
AID Atlanta
2023-2024
Emory University
2021-2024
Michigan Medicine
2015-2023
Michigan United
2019-2023
Few studies have assessed postoperative trends in opioid cessation and predictors of persistent use after total knee arthroplasty (TKA) hip (THA). Preoperatively, 574 TKA THA patients completed validated, self-report measures pain, functioning, mood were longitudinally for 6 months surgery. Among who naive the day surgery, 8.2% 4.3% using opioids at months. In comparison, 53.3% 34.7% reported surgery continued to Patients taking >60 mg oral morphine equivalents preoperatively had an 80%...
Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating development of evidence-based recommendations health professional's approach to pain management. A multidisciplinary task force including professionals patient representatives conducted a systematic literature review reviews evaluate evidence regarding effects on multiple treatment modalities. Overarching principles assessment were specified basis reviewed expert opinion. From 2914...
Although 2 recent studies have found associations between catastrophizing and poor medical outcomes in patients with fibromyalgia syndrome (FMS), neither assessed these findings comparison a similar group of chronic pain. Our study examined the complex relationships depression, catastrophizing, multidimensional aspects pain women FMS compared those rheumatoid arthritis (RA).Sixty-four 30 RA completed Coping Strategies Questionnaire (CSQ), Beck Depression Inventory II (BDI-II), McGill Pain...
Objective While psychosocial factors have been associated with poorer outcomes after knee and hip arthroplasty, we hypothesized that augmented pain perception, as occurs in conditions such fibromyalgia, may account for decreased responsiveness to primary arthroplasty. Methods A prospective, observational cohort study was conducted. Preoperative phenotyping conducted using validated questionnaires assess pain, function, depression, anxiety, catastrophizing. Participants also completed the...
We determined rates and predictors of future development fibromyalgia in patients with rheumatoid arthritis (RA). After excluding those high levels symptoms (fibromyalgianess score>10) at baseline, we studied 9739 RA during 42,591 patient-years follow-up. defined using a modification the ACR 2010 criteria. used Cox regression to predict fibromyalgia, examined accuracy predictions Harrell's C concordance coefficient. At last observation, 7.4% satisfied criteria, although 19.8% criteria some...
Objective. To describe the diagnosis status and outcome of patients diagnosed with fibromyalgia (FM) by US rheumatologists. Methods. We assessed 1555 FM detailed questionnaires during 11,006 semiannual observations for up to 11 years. At entry, all satisfied American College Rheumatology preliminary 2010 criteria modified survey research. determined status, rates improvement, responder subgroups, standardized mean differences (effect sizes) between start study completion scores global...
We developed the Michigan Body Map (MBM) as a self-report measure to assess body areas where chronic pain is experienced and specifically quantify degree of widespread when assessing for centralized features (eg, fibromyalgia-like presentation). A total 402 patients completed in 5 distinct studies support validation original revised version MBM. Administration rapid 39 44 seconds, errors MBM were detected only 7.2% possible areas. Most underestimated number painful or represented confusion...
This pilot study investigated the use of virtual reality (VR) in laboring women. Twenty-seven women were observed for equivalent time during unmedicated contractions first stage labor both with and without VR (order balanced randomized). Numeric rating scale scores collected after conditions. Significant decreases sensory pain -1.5 (95% CI, -0.8 to -2.2), affective -2.5 -1.6 -3.3), cognitive -3.1 -2.4 -3.8), anxiety -2.3) VR. Results suggest that is a potentially effective technique improving labor.
Abstract Objective To determine if mortality is increased among patients diagnosed as having fibromyalgia. Methods We studied 8,186 fibromyalgia seen between 1974 and 2009 in 3 settings: all a clinical practice, participating the US National Data Bank for Rheumatic Diseases (NDB), invited to participate NDB who refused participation. Internal controls included 10,087 with osteoarthritis. Deaths were determined by multiple source communication, also screened Death Index (NDI). calculated...
Juvenile arthritis comprises a variety of chronic inflammatory diseases causing erosive in children, often progressing to disability. These children experience functional impairment due joint and back pain, heel swelling joints morning stiffness, contractures, anterior uveitis leading blindness. As who have juvenile reach adulthood, they face possible continuing disease activity, medication-associated morbidity, life-long disability risk for emotional social dysfunction. In this article we...
Chronic overlapping pain conditions (COPCs) are characterized by aberrant central nervous system processing of pain. This "centralized pain" phenotype has been described using a large and diverse set symptom domains, including the spatial distribution pain, intensity, fatigue, mood imbalances, cognitive dysfunction, altered somatic sensations, hypersensitivity to external stimuli. Here, we used 3 cohorts, patients with urologic chronic pelvic syndrome, mixed cohort other COPCs, healthy...
Objective: The aim of this study was to determine preoperative patient characteristics associated with postoperative outpatient opioid use and assess the frequency overprescribing. Summary Background Data: Although inpatient have been described, data regarding factors after discharge are lacking. This hampers development individualized approaches prescribing. Methods: We included opioid-naïve patients undergoing hysterectomy, thoracic surgery, total knee hip arthroplasty in a single-center...
Elective surgery can have long-term psychological sequelae, especially for patients who experience intraoperative awareness. However, risk factors, other than awareness, symptoms of posttraumatic stress disorder (PTSD) after are poorly defined, and practical screening methods not been applied to a broad population surgical patients.The Psychological Sequelae Surgery study was prospective cohort previously enrolled in the United States Canada 3 trials prevention The 68 experienced definite or...