{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:51:20Z","timestamp":1785833480444,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pain is the leading cause of disability and reduced quality of life worldwide. Despite the increasing burden for patients and healthcare systems, pain research remains underfunded and under focused. Having stakeholders identify and prioritize areas that need urgent attention in the field will help focus funding topics, reduce \u2018research waste\u2019, improve the effectiveness of pain research and therapy and promote the uptake of research evidence. In this study, the European Pain Federation (EFIC) developed a Pain Research Strategy for Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study used multiple methods, including literature searches, multidisciplinary expert debate, a survey and a final consensus meeting. The cross\u2010sectional survey was conducted among 628 European pain researchers, clinicians, educators and industry professionals to obtain the rating and hierarchy of pain research priorities.<\/jats:p><jats:p>The final consensus meeting involved a multidisciplinary expert panel including people with lived experience from 23 countries. The survey results guided discussions where top priorities were agreed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Content analysis identified nine survey themes, of which five emerged as top priorities: (i) understand the pathophysiology of pain; (ii) understand and address comorbidities; (iii) critically assess current therapies; (iv) develop new treatments; and (v) explore the biopsychosocial impacts of pain. Physical, psychological and social approaches were prioritized at the same level as pharmacological treatments. The top priorities were endorsed by a multidisciplinary expert panel. The panel emphasized the importance of also clearly communicating the concepts of prediction, prevention self\u2010management and personalized pain management in the final strategy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The content of the final top research priorities' list reflects a holistic approach to pain management. The equal importance given to physical, psychological and social aspects alongside pharmacological treatments highlights the importance of a comprehensive biopsychosocial\u2010orientated research strategy. The expert panel's endorsement of five top priorities, coupled with an emphasis on communicating the concepts of prediction, prevention, self\u2010management and personalized pain management, provides a clear direction for future basic, translational and clinical research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>EFIC has developed a Pain Research Strategy for Europe that identifies pain research areas deserving the most focus and financial support. Implementation and wide dissemination of this Strategy is vital to increase the conduct of urgent pain projects, pain research funding and the implementation of research findings into practice, to ultimately decrease the personal, societal and financial burden of pain.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.4767","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T13:20:31Z","timestamp":1733836831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A pain research strategy for Europe: A European survey and position paper of the European Pain Federation <scp>EFIC<\/scp>"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9054-9379","authenticated-orcid":false,"given":"Gis\u00e8le","family":"Pickering","sequence":"first","affiliation":[{"name":"Platform of Clinical Investigation, Inserm CIC 1405 University Hospital, CHU Clermont\u2010Ferrand  Clermont\u2010Ferrand France"},{"name":"Fundamental and Clinical Pharmacology of Pain University Clermont Auvergne  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7104-9248","authenticated-orcid":false,"given":"Mary","family":"O'Keeffe","sequence":"additional","affiliation":[{"name":"UCD School of Public Health, Physiotherapy and Sports Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-3574","authenticated-orcid":false,"given":"Kirsty","family":"Bannister","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5681-4084","authenticated-orcid":false,"given":"Susanne","family":"Becker","sequence":"additional","affiliation":[{"name":"Clinical Psychology, Department of Experimental Psychology Heinrich Heine University D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Cottom","sequence":"additional","affiliation":[{"name":"Pain Association Scotland  Perth Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3624-6593","authenticated-orcid":false,"given":"Felicia J.","family":"Cox","sequence":"additional","affiliation":[{"name":"Pain Management Service, Royal Brompton &amp; Harefield hospitals Part of Guy's &amp; St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3748-1349","authenticated-orcid":false,"given":"Elon","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Rappaport Faculty of Medicine Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6186-621X","authenticated-orcid":false,"given":"David P.","family":"Finn","sequence":"additional","affiliation":[{"name":"Pharmacology &amp; Therapeutics, School of Medicine, Galway Neuroscience Centre and Centre for Pain Research University of Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5772-8439","authenticated-orcid":false,"given":"Patrice","family":"Forget","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Sciences, Aberdeen Centre for Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition University of Aberdeen  Aberdeen UK"},{"name":"Department of Anaesthesia, NHS Grampian University of Aberdeen  Aberdeen UK"},{"name":"Pain and Opioids after Surgery (PANDOS) ESAIC Research Group European Society of Anaesthesiology and Intensive Care  Brussels Belgium"},{"name":"IMAGINE UR UM 103, Anesthesia Critical Care, Emergency and Pain Medicine Division, Nimes University Hospital Montpellier University  Nimes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7787-4860","authenticated-orcid":false,"given":"Thomas","family":"Graven\u2010Nielsen","sequence":"additional","affiliation":[{"name":"Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4899-605X","authenticated-orcid":false,"given":"Eija","family":"Kalso","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Pain Medicine Helsinki University Hospital and University of Helsinki  Helsinki Finland"},{"name":"SleepWell Research Programme, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0392-2583","authenticated-orcid":false,"given":"Magdalena","family":"Kocot\u2010Kepska","sequence":"additional","affiliation":[{"name":"Department of Pain Research and Treatment Jagiellonian University Medical College  Krakow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Leite\u2010Almeida","sequence":"additional","affiliation":[{"name":"Life and Health Sciences Research Institute (ICVS), School of Medicine University of Minho, Campus de Gualtar  Braga Portugal"},{"name":"ICVS\/3B's \u2010 PT Government Associate Laboratory  Guimar\u00e3es Portugal"},{"name":"Clinical Academic Center (2CA)  Braga Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1725-6665","authenticated-orcid":false,"given":"Jose Antonio","family":"Lopez\u2010Garcia","sequence":"additional","affiliation":[{"name":"Department of Systems Biology (Physiology) Universidad de Alcala  Alcala de Henares Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2022-5114","authenticated-orcid":false,"given":"Mira","family":"Meeus","sequence":"additional","affiliation":[{"name":"Pain in Motion International Research Consortium  Antwerp Belgium"},{"name":"MOVANT Research group, Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences University of Antwerp  Antwerpen Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1056-5980","authenticated-orcid":false,"given":"Andr\u00e9","family":"Mouraux","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience (IONS) UCLouvain  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Pereira","sequence":"additional","affiliation":[{"name":"Clinical Research and Innovation Department University Hospital Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-6061","authenticated-orcid":false,"given":"Livia","family":"Puljak","sequence":"additional","affiliation":[{"name":"Centre for Evidence\u2010Based Medicine and Health Care, Department of Nursing, School of Medicine Catholic University of Croatia  Zagreb Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-3437","authenticated-orcid":false,"given":"Michiel F.","family":"Reneman","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University Medical Center Groningen University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iben","family":"Rohde","sequence":"additional","affiliation":[{"name":"Pain Alliance Europe (PAE)  Brussels Belgium"},{"name":"FAKS \u2013 Foreningen af kroniske smerteramte og p\u00e5r\u00f8rende  Albertslund Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0115-0038","authenticated-orcid":false,"given":"Ioannis","family":"Sotiropoulos","sequence":"additional","affiliation":[{"name":"Institute of Biosciences and Applications National Centre for Scientific Research (NCSR) Demokritos  Agia Paraskevi Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7477-6720","authenticated-orcid":false,"given":"Nathan","family":"Skidmore","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4470-5531","authenticated-orcid":false,"given":"Thomas R.","family":"T\u00f6lle","sequence":"additional","affiliation":[{"name":"Department of Neurology Technische Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2908-3810","authenticated-orcid":false,"given":"Snezana Tomasevic","family":"Todorovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Novi Sad  Novi Sad Serbia"},{"name":"Medical Rehabilitation Clinic University Clinical Centre of Vojvodina  Novi Sad Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2630-7647","authenticated-orcid":false,"given":"Andrea","family":"Truini","sequence":"additional","affiliation":[{"name":"Department of Human Neuroscience University Sapienza  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4255-9067","authenticated-orcid":false,"given":"Kevin E.","family":"Vowles","sequence":"additional","affiliation":[{"name":"School of Psychology, Queen's University Belfast &amp; Belfast Centre for Pain Rehabilitation Belfast Health and Social Care NHS Trust  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0981-3940","authenticated-orcid":false,"given":"Esther","family":"Pogatzki\u2010Zahn","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Pain Medicine University Hospital Muenster  Muenster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9873-789X","authenticated-orcid":false,"given":"Luis","family":"Garcia\u2010Larrea","sequence":"additional","affiliation":[{"name":"Lyon Neurosciences Center Research Unit INSERM U1028, &amp; Claude Bernard University  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4408-2063","authenticated-orcid":false,"given":"Brona M.","family":"Fullen","sequence":"additional","affiliation":[{"name":"UCD School of Public Health, Physiotherapy and Sports Science University College Dublin  Dublin Ireland"},{"name":"UCD Centre for Translational Pain Research  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joi.2020.101102"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796016001116"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1346"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpain.2022.896276"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-018-0337-6"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16171"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62229-1"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00393-7"},{"key":"e_1_2_11_10_1","unstructured":"Deutsche Schmerzgesellschaft E. V.(2017).Forschungsagenda Perspektive Schmerzforschung Deutschland.https:\/\/www.schmerzgesellschaft.de\/fileadmin\/pdf\/Forschungsagenda_2017_final.pdf."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000004408"},{"key":"e_1_2_11_12_1","unstructured":"European Commission Research D\u2010Gf Innovation Tuyl L. Zinger N. Heide I. Kroneman M. Sankatsing V. &Hansen J.(2023).Scoping study on evidence to tackle high\u2010burden under\u2010researched medical conditions\u2014Discussion paper Publications Office of the European Union."},{"key":"e_1_2_11_13_1","unstructured":"European League Against Rheumatism (EULAR). (2019).RheumaMap A Research Roadmap to transform the lives of people with Rheumatic and Musculoskeletal Disease.https:\/\/www.eular.org\/document\/share\/181\/a8a7e114\u20103c87\u20104586\u2010ba00\u2010c18e8e857429"},{"key":"e_1_2_11_14_1","first-page":"e34","volume-title":"Improving the quality of web surveys: The checklist for reporting results of internet E\u2010surveys (CHERRIES)","author":"Eysenbach G.","year":"2004"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000200911"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab338"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1362"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-021-00318-6"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002266"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1297"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1736"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2015.1136115"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2023-0045"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1744"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.141423"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2021.1902936"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-023-00851-6"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1730"},{"key":"e_1_2_11_30_1","unstructured":"National Institutes of Health. (2022).Federal Pain Research Strategy.https:\/\/www.iprcc.nih.gov\/sites\/default\/files\/documents\/FPRS_Research_Recommendations_Final_508C.pdf"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002654"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2023.06.038"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0889-3"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001384"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.15831"},{"key":"e_1_2_11_37_1","unstructured":"Versus arthritis. (2018).A research roadmap for pain.https:\/\/versusarthritis.org\/media\/1672\/research\u2010roadmap\u2010pain.pdf"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4505-8-36"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30925-9"},{"key":"e_1_2_11_40_1","doi-asserted-by":"crossref","unstructured":"Weber R. P.(1990).Basic content analysis sage.","DOI":"10.4135\/9781412983488"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.4767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T03:52:03Z","timestamp":1748231523000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.4767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,10]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ejp.4767"],"URL":"https:\/\/doi.org\/10.1002\/ejp.4767","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,10]]},"assertion":[{"value":"2024-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e4767"}}