Ethnicity & disease · 2011
Racial differences in pain reports between Black and White participants with chronic venous disorders treated with cryotherapy compared to usual care.
Сравнительное исследованиеСтатьяРандомизированное исследованиеПоддержка NIH: внешняя программаНазвание и аннотация: Перевод пока не подготовлен
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Matutina Robin E, Mueller Martina, Kelechi Teresa J
Аннотация
OBJECTIVE: To evaluate racial differences in pain and pain medication use in response to cryotherapy or usual care (UC) for leg skin inflamed by chronic venous disorders (CVDs).
DESIGN: Randomized clinical trial.
SETTING: Academic medical center in Charleston, South Carolina.
PARTICIPANTS: Sixty Black and White participants with severe CVDs randomized to receive cryotherapy or UC during the one-month study.
INTERVENTION: Cryotherapy consisted of 30-minutes of cooling the most severely affected lower leg skin with a gel wrap while receiving UC (ie, elevating the legs and wearing compression stockings during the day).
MAIN OUTCOME MEASURE: Pain measured with the Leg Pain Questionnaire-Composite Score.
RESULTS: 56 participants (n=27 cryotherapy; n=29 UC) completed the study: 52% African Americans (Blacks). Blacks in the usual care group (n=15) reported lower pain after 30 days compared to Blacks in the cryotherapy group (n=15) (P=.02). In Whites, there were no differences between cryotherapy (n=13) and usual care (n=14) (P=.78).
CONCLUSIONS: No statistically significant differences in pain were found between the cryotherapy group or UC group. Usual care in the Black group was found to reduce pain.
DESIGN: Randomized clinical trial.
SETTING: Academic medical center in Charleston, South Carolina.
PARTICIPANTS: Sixty Black and White participants with severe CVDs randomized to receive cryotherapy or UC during the one-month study.
INTERVENTION: Cryotherapy consisted of 30-minutes of cooling the most severely affected lower leg skin with a gel wrap while receiving UC (ie, elevating the legs and wearing compression stockings during the day).
MAIN OUTCOME MEASURE: Pain measured with the Leg Pain Questionnaire-Composite Score.
RESULTS: 56 participants (n=27 cryotherapy; n=29 UC) completed the study: 52% African Americans (Blacks). Blacks in the usual care group (n=15) reported lower pain after 30 days compared to Blacks in the cryotherapy group (n=15) (P=.02). In Whites, there were no differences between cryotherapy (n=13) and usual care (n=14) (P=.78).
CONCLUSIONS: No statistically significant differences in pain were found between the cryotherapy group or UC group. Usual care in the Black group was found to reduce pain.