Trend in the Use of Pain Modalities in Patients with Vascular Anomalies

Objective:. To investigate and describe methods of pain management employed by patients at a vascular anomalies clinic (VAC) with the intent to add relevant information on this important topic. Methods:. Patients evaluated from 2011 to 2023 at the VAC at the University of New Mexico were invited to...

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Main Authors: Avalon Yi, Jaimie Linn, Emily Ochmanek, Anna Fabre, MingAn Yang, Aimee C. Smidt
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2025-03-01
Series:Journal of Vascular Anomalies
Online Access:http://journals.lww.com/10.1097/JOVA.0000000000000107
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author Avalon Yi
Jaimie Linn
Emily Ochmanek
Anna Fabre
MingAn Yang
Aimee C. Smidt
author_facet Avalon Yi
Jaimie Linn
Emily Ochmanek
Anna Fabre
MingAn Yang
Aimee C. Smidt
author_sort Avalon Yi
collection DOAJ
description Objective:. To investigate and describe methods of pain management employed by patients at a vascular anomalies clinic (VAC) with the intent to add relevant information on this important topic. Methods:. Patients evaluated from 2011 to 2023 at the VAC at the University of New Mexico were invited to participate. Patients/guardians completed a REDCap survey recording demographics, self-identified diagnosis/type of vascular anomaly (VA), associated pain frequency/severity, pain management tried, and perceived effect(s). Diagnoses were verified/clarified by one of the authors (A.C.S.) when possible. Data was de-identified, analyzed, and reported using descriptive statistics. Results:. In total, 95 patients were included; age range 1–81 years and mean age 22.14 years (sd = 18.43; w/Q1 = 9; Q2 = 16, Q3 = 33). Most common diagnoses were: venous malformation (n = 44) and lymphatic malformation (n = 22). Median pain rating (scale of 0–10) experienced daily was 1; 12% experienced pain daily; 5% 4–5 days a week, 13% 3–4 days a week, and 23% 1–2 days a week. Nonsteroidal anti-inflammatory drugs (32%) and acetaminophen (15%) were the most common over-the-counter medications reported. Nine percent reported using opioids; 9% reported use of cannabinoid-containing products. Of those who used opioids, 33% reported major pain relief pain. Of those who used cannabinoid-containing products, 50% reported major relief in pain. Conclusions:. Pain is common in patients with VA; more than half of participants experienced pain at least weekly, regardless of VA type. Pain management methods varied, including over-the-counter remedies, cannabinoids, and opiates. Specifically addressing pain management in the VAC setting has the potential to positively impact quality of life and safety.
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spelling doaj-art-d0a2b4e741384a23977b35c2762f1cf12025-08-20T02:46:04ZengWolters Kluwer Health/LWWJournal of Vascular Anomalies2690-27022025-03-0161e10710.1097/JOVA.0000000000000107202503000-00001Trend in the Use of Pain Modalities in Patients with Vascular AnomaliesAvalon Yi0Jaimie Linn1Emily Ochmanek2Anna Fabre3MingAn Yang4Aimee C. Smidt5a Department of Dermatology, University of New Mexico School of Medicine, Albuquerque, New Mexicob Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, Illinoisc Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexicoc Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexicoe Division of Epidemiology, Biostatistics, and Preventative Medicine, Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexicoa Department of Dermatology, University of New Mexico School of Medicine, Albuquerque, New MexicoObjective:. To investigate and describe methods of pain management employed by patients at a vascular anomalies clinic (VAC) with the intent to add relevant information on this important topic. Methods:. Patients evaluated from 2011 to 2023 at the VAC at the University of New Mexico were invited to participate. Patients/guardians completed a REDCap survey recording demographics, self-identified diagnosis/type of vascular anomaly (VA), associated pain frequency/severity, pain management tried, and perceived effect(s). Diagnoses were verified/clarified by one of the authors (A.C.S.) when possible. Data was de-identified, analyzed, and reported using descriptive statistics. Results:. In total, 95 patients were included; age range 1–81 years and mean age 22.14 years (sd = 18.43; w/Q1 = 9; Q2 = 16, Q3 = 33). Most common diagnoses were: venous malformation (n = 44) and lymphatic malformation (n = 22). Median pain rating (scale of 0–10) experienced daily was 1; 12% experienced pain daily; 5% 4–5 days a week, 13% 3–4 days a week, and 23% 1–2 days a week. Nonsteroidal anti-inflammatory drugs (32%) and acetaminophen (15%) were the most common over-the-counter medications reported. Nine percent reported using opioids; 9% reported use of cannabinoid-containing products. Of those who used opioids, 33% reported major pain relief pain. Of those who used cannabinoid-containing products, 50% reported major relief in pain. Conclusions:. Pain is common in patients with VA; more than half of participants experienced pain at least weekly, regardless of VA type. Pain management methods varied, including over-the-counter remedies, cannabinoids, and opiates. Specifically addressing pain management in the VAC setting has the potential to positively impact quality of life and safety.http://journals.lww.com/10.1097/JOVA.0000000000000107
spellingShingle Avalon Yi
Jaimie Linn
Emily Ochmanek
Anna Fabre
MingAn Yang
Aimee C. Smidt
Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
Journal of Vascular Anomalies
title Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
title_full Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
title_fullStr Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
title_full_unstemmed Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
title_short Trend in the Use of Pain Modalities in Patients with Vascular Anomalies
title_sort trend in the use of pain modalities in patients with vascular anomalies
url http://journals.lww.com/10.1097/JOVA.0000000000000107
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