SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits | The Skeptics Guide to Emergency Medicine

This podcast examines the correlation between chronic abdominal pain and emergency department (ED) utilization, featuring Dr. Michael Ray, a pain researcher and chiropractor, as the guest. The discussion centers on a study analyzing data from the 2023 U.S. National Health Interview Survey, revealing that individuals with chronic abdominal pain reported significantly more ED visits compared to those without, alongside higher rates of anxiety, depression, and socioeconomic challenges. Dr. Ray explains the methodology behind the survey, addressing potential recall bias and confounding factors. The hosts and guest emphasize the importance of a biopsychosocial approach to managing chronic pain, advocating for empathetic patient care and integrated mental health support.

Outlines

Part 1: Introduction, Clinical Context

Part 2: Study Design, Methodology

Part 3: Deep Dive, Technical Analysis

Part 4: Conclusions, Clinical Application

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SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits

The Skeptics Guide to Emergency Medicine

Part 1: Introduction, Clinical Context

Introduction to Chronic Abdominal Pain and Guest Skeptic Dr. Kirsty Challen

The Challenge of Chronic Abdominal Pain in Emergency Medicine

Managing Chronic Abdominal Pain and the Clinical Question

Part 2: Study Design, Methodology

Defining the PCOT: Population, Exposure, Comparison, and Outcomes

Interview with Dr. Michael Ray: Chiropractic, Chronic Pain, and Research

Author's Conclusions and Quality Checklist for Observational Studies

Assessing Cohort Recruitment, Exposure Measurement, and Confounding Factors

Applicability, Evidence Consistency, and Study Funding

Part 3: Deep Dive, Technical Analysis

Nerdy Point 1: Addressing Recall Bias in the National Health Interview Survey

Nerdy Point 2: Confounding Factors and Lifestyle Considerations

Cannabis Use, Hyperemesis Syndrome, and Outcome Measures

Nerdy Point 4: Multiple Comparisons and Hypothesis Generation

Nerdy Point 5: Bi-Directional Confounding and Implications for Patient Care

Part 4: Conclusions, Clinical Application

Author's Study Details and SGEM's Conclusions

Resolving the Case and Applying the Research Clinically

Validating Patient Experience, Keener Contest, and Podcast Closing

SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits

The Skeptics Guide to Emergency Medicine

Part 1: Introduction, Clinical Context

00:11Introduction to Chronic Abdominal Pain and Guest Skeptic Dr. Kirsty Challen

Introduction to Chronic Abdominal Pain and Guest Skeptic Dr. Kirsty Challen

01:09The Challenge of Chronic Abdominal Pain in Emergency Medicine

The Challenge of Chronic Abdominal Pain in Emergency Medicine

04:04Managing Chronic Abdominal Pain and the Clinical Question

Managing Chronic Abdominal Pain and the Clinical Question

Part 2: Study Design, Methodology

05:37Defining the PCOT: Population, Exposure, Comparison, and Outcomes

Defining the PCOT: Population, Exposure, Comparison, and Outcomes

07:41Interview with Dr. Michael Ray: Chiropractic, Chronic Pain, and Research

Interview with Dr. Michael Ray: Chiropractic, Chronic Pain, and Research

10:58Author's Conclusions and Quality Checklist for Observational Studies

Author's Conclusions and Quality Checklist for Observational Studies

12:23Assessing Cohort Recruitment, Exposure Measurement, and Confounding Factors

Assessing Cohort Recruitment, Exposure Measurement, and Confounding Factors

14:32Applicability, Evidence Consistency, and Study Funding

Applicability, Evidence Consistency, and Study Funding

Part 3: Deep Dive, Technical Analysis

17:24Nerdy Point 1: Addressing Recall Bias in the National Health Interview Survey

Nerdy Point 1: Addressing Recall Bias in the National Health Interview Survey

21:11Nerdy Point 2: Confounding Factors and Lifestyle Considerations

Nerdy Point 2: Confounding Factors and Lifestyle Considerations

23:42Cannabis Use, Hyperemesis Syndrome, and Outcome Measures

Cannabis Use, Hyperemesis Syndrome, and Outcome Measures

27:35Nerdy Point 4: Multiple Comparisons and Hypothesis Generation

Nerdy Point 4: Multiple Comparisons and Hypothesis Generation

29:51Nerdy Point 5: Bi-Directional Confounding and Implications for Patient Care

Nerdy Point 5: Bi-Directional Confounding and Implications for Patient Care

Part 4: Conclusions, Clinical Application

33:57Author's Study Details and SGEM's Conclusions

Author's Study Details and SGEM's Conclusions

35:36Resolving the Case and Applying the Research Clinically

Resolving the Case and Applying the Research Clinically

38:09Validating Patient Experience, Keener Contest, and Podcast Closing

Validating Patient Experience, Keener Contest, and Podcast Closing