Acute Pain Service Utilization as a Lens on Inequities in Trauma and Inpatient Management

Maxwell B Baker, Rachel Achu-Lopes, Haley Mullins, Dhanesh D Binda, Erin Dienes, Rose Joachim, Nicole Z Spence, Ciara M Hughes · 2025

Read Acute Pain Service Utilization as a Lens on Inequities in Trauma and Inpatient Management by Maxwell B Baker, Rachel Achu-Lopes, Haley Mullins, Dhanesh D Binda, Erin Dienes, Rose Joachim, Nicole Z Spence, Ciara M Hughes (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12691915.txt.

Description

Hospital acute pain services guide pain control after injury and surgery, but who gets referred to them may not be even. Maxwell Baker and co-authors use pain service use as a lens on inequities at an urban safety-net hospital. They study all patients who received a pain consultation over nearly three years, plus a subgroup with three or more broken ribs.

The consultation group drew heavily from vulnerable patients: many had public insurance, and a third had a substance use disorder. Methadone use strongly predicted discharge somewhere other than home. Referral rules were not standardized during the study, so patterns reflect everyday practice. The authors argue the data expose where pain care reaches patients unevenly.

Catalog record

CREATORMaxwell B Baker, Rachel Achu-Lopes, Haley Mullins, Dhanesh D Binda, Erin Dienes, Rose Joachim, Nicole Z Spence, Ciara M Hughes
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE29 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12691915

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