{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:21:26Z","timestamp":1792113686705,"version":"4.4.0"},"reference-count":82,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fonds de d\u00e9veloppement acad\u00e9mique du r\u00e9seau (FODAR) des Universit\u00e9s du Qu\u00e9bec"},{"name":"Canadian Institutes of Health Research (CIHR)"},{"name":"Fonds de recherche du Queb\u00e9c\u2014Sant\u00e9 (FRQS)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The COVID-19 pandemic has brought its fair share of consequences. To control the transmission of the virus, several public health restrictions were put in place. While these restrictions had beneficial effects on transmission, they added to the pre-existing physical, psychosocial, and financial burdens associated with chronic pain, and made existing treatment gaps, challenges, and inequities worse. However, it also prompted researchers and clinicians to seek out possible solutions and expedite their implementation. This state-of-the-art review focuses on the concrete recommendations issued during the COVID-19 pandemic to improve the health and maintain the care of people living with chronic pain. The search strategy included a combination of chronic pain and pandemic-related terms. Four databases (Medline, PsycINFO, CINAHL, and PubMed) were searched, and records were assessed for eligibility. Original studies, reviews, editorials, and guidelines published in French or in English in peer-reviewed journals or by recognized pain organizations were considered for inclusion. A total of 119 articles were analyzed, and over 250 recommendations were extracted and classified into 12 subcategories: change in clinical practice, change in policy, continuity of care, research avenues to explore, group virtual care, health communications\/education, individual virtual care, infection control, lifestyle, non-pharmacological treatments, pharmacological treatments, and social considerations. Recommendations highlight the importance of involving various healthcare professionals to prevent mental health burden and emergency overload and emphasize the recognition of chronic pain. The pandemic disrupted chronic pain management in an already-fragile ecosystem, presenting a unique opportunity for understanding ongoing challenges and identifying innovative solutions. Numerous recommendations were identified that are relevant well beyond the COVID-19 crisis.<\/jats:p>","DOI":"10.3390\/jcm12237233","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T08:47:43Z","timestamp":1700642863000},"page":"7233","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Calm after the Storm: A State-of-the-Art Review about Recommendations Put Forward during the COVID-19 Pandemic to Improve Chronic Pain Management"],"prefix":"10.3390","volume":"12","author":[{"given":"Marim\u00e9e","family":"Godbout-Parent","sequence":"first","affiliation":[{"name":"D\u00e9partement des Sciences de la Sant\u00e9, Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Spilak","sequence":"additional","affiliation":[{"name":"D\u00e9partement des Sciences de la Sant\u00e9, Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada"},{"name":"Centre de Recherche, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CHUM), Montr\u00e9al, QC H2X 0A9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7742-2717","authenticated-orcid":false,"given":"M. Gabrielle","family":"Pag\u00e9","sequence":"additional","affiliation":[{"name":"Centre de Recherche, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CHUM), Montr\u00e9al, QC H2X 0A9, Canada"},{"name":"D\u00e9partement D\u2019anesth\u00e9siologie et de M\u00e9decine de la Douleur, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, QC H3T 1J4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manon","family":"Choini\u00e8re","sequence":"additional","affiliation":[{"name":"Centre de Recherche, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CHUM), Montr\u00e9al, QC H2X 0A9, Canada"},{"name":"D\u00e9partement D\u2019anesth\u00e9siologie et de M\u00e9decine de la Douleur, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, QC H3T 1J4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6311-3681","authenticated-orcid":false,"given":"Lise","family":"Dassieu","sequence":"additional","affiliation":[{"name":"Centre de Recherche, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CHUM), Montr\u00e9al, QC H2X 0A9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9719-5531","authenticated-orcid":false,"given":"Gwenaelle","family":"De Clifford-Faug\u00e8re","sequence":"additional","affiliation":[{"name":"D\u00e9partement des Sciences de la Sant\u00e9, Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3992-5145","authenticated-orcid":false,"given":"Ana\u00efs","family":"Lacasse","sequence":"additional","affiliation":[{"name":"D\u00e9partement des Sciences de la Sant\u00e9, Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT), Rouyn-Noranda, QC J9X 5E4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1097\/j.pain.0000000000001950","article-title":"Considering the potential for an increase in chronic pain after the COVID-19 pandemic","volume":"161","author":"Clauw","year":"2020","journal-title":"Pain"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"108427","DOI":"10.1016\/j.clim.2020.108427","article-title":"COVID-19 pathophysiology: A review","volume":"215","author":"Yuki","year":"2020","journal-title":"Clin. Immunol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1038\/s41579-022-00846-2","article-title":"Long COVID: Major findings, mechanisms and recommendations","volume":"21","author":"Davis","year":"2023","journal-title":"Nat. Rev. Microbiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"taaa192","DOI":"10.1093\/jtm\/taaa192","article-title":"Social consequences of mass quarantine during epidemics: A systematic review with implications for the COVID-19 response","volume":"27","author":"Chu","year":"2020","journal-title":"Travel Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"B\u00e9land, L.-P., Wright, T., and Bordeur, A. (2020). The Short-Term Economic Consequences of COVID-19: Exposure to Disease, Remote Work and Government Response, Institute of Labor Economics.","DOI":"10.2139\/ssrn.3584922"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1213\/ANE.0000000000005000","article-title":"Emergence From the COVID-19 Pandemic and the Care of Chronic Pain: Guidance for the Interventionalist","volume":"131","author":"Deer","year":"2020","journal-title":"Anesth. Analg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1136\/jech-2020-214401","article-title":"The COVID-19 pandemic and health inequalities","volume":"74","author":"Bambra","year":"2020","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e891","DOI":"10.1097\/PR9.0000000000000891","article-title":"Impact of the COVID-19 pandemic on the pharmacological, physical, and psychological treatments of pain: Findings from the Chronic Pain & COVID-19 Pan-Canadian Study","volume":"6","author":"Lacasse","year":"2021","journal-title":"Pain Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s12939-021-01496-1","article-title":"Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: Qualitative findings from the chronic pain & COVID-19 pan-Canadian study","volume":"20","author":"Dassieu","year":"2021","journal-title":"Int. J. Equity Health"},{"key":"ref_10","first-page":"141","article-title":"A cross-sectional study of pain status and psychological distress among individuals living with chronic pain: The Chronic Pain & COVID-19 Pan-Canadian Study","volume":"41","author":"Page","year":"2021","journal-title":"Health Promot. Chronic Dis. Prev. Can. Res. Policy Pract."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1185\/03007995.2015.1072088","article-title":"A holistic approach to chronic pain management that involves all stakeholders: Change is needed","volume":"31","author":"Kress","year":"2015","journal-title":"Curr. Meded. Res. Opin."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"203","DOI":"10.2147\/JPR.S78177","article-title":"Priority interventions to improve the management of chronic non-cancer pain in primary care: A participatory research of the ACCORD program","volume":"8","author":"Lalonde","year":"2015","journal-title":"Pain Res."},{"key":"ref_13","unstructured":"Campbell, F., Hudspith, M., Anderson, M., Choiniere, M., El-Gabalawy, H., Laliberte, J., Swidrovich, J., and Wilhelm, L. (2019). Chronic Pain in Canada: Laying a Fondation for Action. A Report by the Canadian Pain Task Force."},{"key":"ref_14","unstructured":"Campbell, F., Hudspith, M., Choiniere, M., El-Gabalawy, H., Laliberte, J., Sangster, M., Swidrovich, J., and Wilhelm, L. (2020). Working Together to Better Understand, Prevent, and Manage Chronic Pain: What We Heard. A Report by the Canadian Pain Task Force, Report by the Canadian Pain Task Force."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00296-016-3481-8","article-title":"An overview of treatment approaches for chronic pain management","volume":"37","author":"Duarte","year":"2017","journal-title":"Rheumatol. Int."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"21","DOI":"10.2165\/11630050-000000000-00000","article-title":"The Appropriate Treatment of Chronic Pain","volume":"32","author":"Vellucci","year":"2012","journal-title":"Clin. Drug Investig."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Becker, W.C., Dorflinger, L., Edmond, S.N., Islam, L., Heapy, A.A., and Fraenkel, L. (2017). Barriers and facilitators to use of non-pharmacological treatments in chronic pain. BMC Fam. Pract., 18.","DOI":"10.1186\/s12875-017-0608-2"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1007\/s40122-020-00190-4","article-title":"Pain Management During the COVID-19 Pandemic","volume":"9","author":"Nalamasu","year":"2020","journal-title":"Pain Ther."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1471-1842.2009.00848.x","article-title":"A typology of reviews: An analysis of 14 review types and associated methodologies","volume":"26","author":"Grant","year":"2009","journal-title":"Health Inf. Libr. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/j.pain.0000000000001384","article-title":"Chronic pain as a symptom or a disease: The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11)","volume":"160","author":"Treede","year":"2019","journal-title":"Pain"},{"key":"ref_21","unstructured":"Institut National de Sant\u00e9 Publique (INSPQ) (2022). Ligne du Temps COVID-19 au Qu\u00e9bec."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3163\/1536-5050.104.4.011","article-title":"Supplementary searches of PubMed to improve currency of MEDLINE and MEDLINE In-Process searches via Ovid","volume":"104","author":"Duffy","year":"2016","journal-title":"J. Med. Libr. Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jclinepi.2016.01.021","article-title":"PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement","volume":"75","author":"McGowan","year":"2016","journal-title":"Clin. Epidemiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1097\/j.pain.0000000000000160","article-title":"A classification of chronic pain for ICD-11","volume":"156","author":"Treede","year":"2015","journal-title":"Pain"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3163\/1536-5050.104.3.014","article-title":"De-duplication of database search results for systematic reviews in EndNote","volume":"104","author":"Bramer","year":"2016","journal-title":"Med. Libr. Assoc."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/s00296-021-04829-z","article-title":"Increased risk of mental health disorders in patients with RA during the COVID-19 pandemic: A possible surge and solutions","volume":"41","author":"Bhatia","year":"2021","journal-title":"Rheumatol. Int."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"480","DOI":"10.12968\/bjcn.2020.25.10.480","article-title":"Collaboration between a tertiary pain centre and community teams during the pandemic","volume":"25","author":"George","year":"2020","journal-title":"Br. J. Community Nurs."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s10194-020-01183-6","article-title":"Impact of coronavirus disease 2019 (COVID-19) pandemic on patients with migraine: A web-based survey study","volume":"21","author":"Ismail","year":"2020","journal-title":"J. Headache Pain"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1016\/j.mayocpiqo.2020.08.002","article-title":"Fibromyalgia and Chronic Fatigue Syndrome in the Age of COVID-19","volume":"4","author":"Mohabbat","year":"2020","journal-title":"Mayo Clin. Proc. Innov. Qual. Outcomes"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1093\/pm\/pnaa159","article-title":"Ethical Considerations for Chronic Pain Care During a Pandemic","volume":"21","author":"Driver","year":"2020","journal-title":"Pain Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"108","DOI":"10.55563\/clinexprheumatol\/rxk6s4","article-title":"Physical and mental impact of COVID-19 outbreak on fibromyalgia patients","volume":"39","author":"Aloush","year":"2021","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"S469","DOI":"10.36076\/ppj.2020\/23\/S469","article-title":"Between Scylla and Charybdis: Navigating Chronic Pain Patients Through the COVID-19 and the Opioid Pandemic","volume":"23","author":"Bara","year":"2020","journal-title":"Pain Physician"},{"key":"ref_33","first-page":"669","article-title":"Clinical Challenges and Considerations in Management of Chronic Pain Patients During a COVID-19 Pandemic","volume":"49","author":"Chan","year":"2020","journal-title":"Ann. Acad. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"624154","DOI":"10.3389\/fphys.2021.624154","article-title":"Pain in Covid Era","volume":"12","author":"Dale","year":"2021","journal-title":"Front. Physiol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Picchianti Diamanti, A., Cattaruzza, M.S., Di Rosa, R., Del Porto, F., Salemi, S., Sorgi, M.L., Martin Martin, L.S., Rai, A., Iacono, D., and Sesti, G. (2020). Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy. Microorganisms, 8.","DOI":"10.3390\/microorganisms8111818"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.1093\/pm\/pnaa449","article-title":"Evaluation of the Impact of the COVID-19 Lockdown in the Clinical Course of Migraine","volume":"22","author":"Guerrero","year":"2021","journal-title":"Pain Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s10072-020-04659-0","article-title":"Effectiveness of mindfulness by smartphone, for patients with chronic migraine and medication overuse during the COVID-19 emergency","volume":"41","author":"Grazzi","year":"2020","journal-title":"Neurol. Sci."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1515\/sjpain-2020-0112","article-title":"Pain management programmes via video conferencing: A rapid review","volume":"21","author":"Walumbe","year":"2021","journal-title":"Scand. J. Pain"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2164956120973979","DOI":"10.1177\/2164956120973979","article-title":"Group Medical Visits and Clinician Wellbeing","volume":"9","author":"Gardiner","year":"2020","journal-title":"Glob. Adv. Health Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1093\/pm\/pnaa143","article-title":"Pain Management During the COVID-19 Pandemic in China: Lessons Learned","volume":"21","author":"Song","year":"2020","journal-title":"Pain Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2229","DOI":"10.1097\/j.pain.0000000000002004","article-title":"The social threats of COVID-19 for people with chronic pain","volume":"161","author":"Karos","year":"2020","journal-title":"Pain"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.2147\/JPR.S309542","article-title":"Telemedicine Applications for the Evaluation of Patients with Non-Acute Headache: A Narrative Review","volume":"14","author":"Noutsios","year":"2021","journal-title":"Pain Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"797","DOI":"10.23736\/S0375-9393.20.14666-2","article-title":"Managing chronic pain patients at the time of COVID-19 pandemic","volume":"86","author":"Coluzzi","year":"2020","journal-title":"Minerva Anestesiol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.bpa.2020.07.001","article-title":"Impact of COVID-19 pandemic on chronic pain management: Looking for the best way to deliver care","volume":"34","author":"Puntillo","year":"2020","journal-title":"Best Pract. Res. Clin. Anaesthesiol."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Lo Bianco, G., Papa, A., Schatman, M.E., Tinnirello, A., Terranova, G., Leoni, M.L.G., Shapiro, H., and Mercadante, S. (2021). Practical Advices for Treating Chronic Pain in the Time of COVID-19: A Narrative Review Focusing on Interventional Techniques. J. Clin. Med., 10.","DOI":"10.3390\/jcm10112303"},{"key":"ref_46","first-page":"e001314","article-title":"Rheumatology practice amidst the COVID-19 pandemic: A pragmatic view","volume":"6","author":"Romao","year":"2020","journal-title":"Rheum. Musculoskelet. Dis. Open"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1002\/art.41397","article-title":"Impact of Home Confinement During the COVID-19 Pandemic on Medication Use and Disease Activity in Spondyloarthritis Patients","volume":"72","author":"Roux","year":"2020","journal-title":"Arthritis Rheumatol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"284","DOI":"10.31138\/mjr.31.3.284","article-title":"Mental Health and Psychological Wellbeing in Rheumatoid Arthritis during COVID-19\u2014Can Physical Activity Help?","volume":"31","author":"Fenton","year":"2020","journal-title":"Mediterr. J. Rheumatol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1177\/0333102420981739","article-title":"Effect of lockdown during COVID-19 on migraine: A longitudinal cohort study","volume":"41","author":"Verhagen","year":"2021","journal-title":"Cephalalgia Int. J. Headache"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1111\/bjhp.12483","article-title":"Chronic pain in the time of COVID-19: Stress aftermath and central sensitization","volume":"26","author":"Esteve","year":"2021","journal-title":"Br. J. Health Psychol."},{"key":"ref_51","first-page":"828","article-title":"Chronic Pain and COVID-19: Pathophysiological, clinical and organizational issues","volume":"87","author":"Marinangeli","year":"2020","journal-title":"Minerva Anestesiol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.pmn.2020.11.010","article-title":"Chronic Pain Management during the COVID-19 Pandemic: A Scoping Review","volume":"22","author":"Daher","year":"2021","journal-title":"Pain Manag. Nurs."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1002\/acr.24626","article-title":"Disruptions in Rheumatology Care and the Rise of Telehealth in Response to the COVID19 Pandemic in a Community Practice-Based Network","volume":"73","author":"George","year":"2021","journal-title":"Arthritis Care Res."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"rkaa079","DOI":"10.1093\/rap\/rkaa079","article-title":"Telemedicine in the management of rheumatoid arthritis: Maintaining disease control with less health-care utilization","volume":"5","author":"Muskens","year":"2021","journal-title":"Rheumatol. Adv. Pract."},{"key":"ref_55","first-page":"25","article-title":"Race, Ethnicity, and Chronic Pain","volume":"38","author":"King","year":"2021","journal-title":"Psychiatr. Times"},{"key":"ref_56","unstructured":"R\u00e9seau Qu\u00e9b\u00e9clois de Recherche Sur la Douleur (2023, August 04). Agir Pour Moi. Available online: https:\/\/www.gerermadouleur.ca\/agir-pour-moi\/."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s00296-020-04737-8","article-title":"Teleconsultation experience with the idiopathic inflammatory myopathies: A prospective observational cohort study during the COVID-19 pandemic","volume":"41","author":"Naveen","year":"2021","journal-title":"Rheumatol. Int."},{"key":"ref_58","first-page":"6603625","article-title":"Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations","volume":"2023","author":"Neumark","year":"2023","journal-title":"Pain Res. Manag."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e11330","DOI":"10.2196\/11330","article-title":"Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial","volume":"21","author":"Buvik","year":"2019","journal-title":"Med. Internet Res."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"e17298","DOI":"10.2196\/17298","article-title":"Determining if Telehealth Can Reduce Health System Costs: Scoping Review","volume":"22","author":"Snoswell","year":"2020","journal-title":"Med. Internet Res."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/24740527.2020.1783218","article-title":"COVID-19 impact and response by Canadian pain clinics: A national survey of adult pain clinics","volume":"4","author":"Lynch","year":"2020","journal-title":"Can. J. Pain"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"113577","DOI":"10.1016\/j.psychres.2020.113577","article-title":"\u2019The dual pandemic\u2019 of suicide and COVID-19: A biopsychosocial narrative of risks and prevention","volume":"295","author":"Banerjee","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"10","DOI":"10.7196\/SAMJ.2020.v111i11.15433","article-title":"Long-COVID: An evolving problem with an extensive impact","volume":"111","author":"Mendelson","year":"2021","journal-title":"S. Afr. Med. J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s12992-020-00589-w","article-title":"Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"16","author":"Salari","year":"2020","journal-title":"Glob. Health"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"113631","DOI":"10.1016\/j.psychres.2020.113631","article-title":"Associations between periods of COVID-19 quarantine and mental health in Canada","volume":"295","author":"Daly","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_66","unstructured":"International Association for the Study of Pain (IASP) (2021, November 01). Pain Treatment Services Guidelines. Available online: https:\/\/www.iasp-pain.org\/resources\/guidelines\/pain-treatment-services\/?ItemNumber=1381."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"3525","DOI":"10.2147\/JPR.S297312","article-title":"The Problem (and the Answer?) to the Limited Availability of Pain Psychologists: Can Clinical Social Workers Help?","volume":"13","author":"Schatman","year":"2020","journal-title":"J. Pain. Res."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"195","DOI":"10.12688\/wellcomeopenres.16206.1","article-title":"Longitudinal evidence for persistent anxiety in young adults through COVID-19 restrictions","volume":"5","author":"Kwong","year":"2020","journal-title":"Wellcome Open Res."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.ajem.2019.158492","article-title":"Chronic pain and frequent use of emergency department: A systematic review","volume":"38","author":"Depelteau","year":"2020","journal-title":"Am. J. Emerg. Med."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1111\/acem.12942","article-title":"Impact of a Chronic Pain Protocol on Emergency Department Utilization","volume":"23","author":"Olsen","year":"2016","journal-title":"Acad. Emerg. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.jen.2009.02.008","article-title":"The efficacy of a brief behavioral health intervention for managing high utilization of ED services by chronic pain patients","volume":"36","author":"Woodhouse","year":"2010","journal-title":"Emerg. Nurs."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Siekmans, K., Sohani, S., Boima, T., Koffa, F., Basil, L., and Laaziz, S. (2017). Community-based health care is an essential component of a resilient health system: Evidence from Ebola outbreak in Liberia. BMC Public Health, 17.","DOI":"10.1186\/s12889-016-4012-y"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.2105\/AJPH.2012.300957","article-title":"Integration of Primary Health Care and Public Health During a Public Health Emergency","volume":"102","author":"Wynn","year":"2012","journal-title":"Am. Public Health Assoc."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Choy, E., Perrot, S., Leon, T., Kaplan, J., Petersel, D., Ginivker, A., and Kramer, E. (2010). A patient survey of the impact of fibromyalgia and the journey to diagnosis. BMC Health Serv. Res., 10.","DOI":"10.1186\/1472-6963-10-102"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1057\/sth.2015.7","article-title":"Acquiring a diagnosis of fibromyalgia syndrome: The sociology of diagnosis","volume":"14","author":"Madden","year":"2016","journal-title":"Soc. Theory Health"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1177\/1049732318804509","article-title":"Nothing and Everything: Fibromyalgia as a Diagnosis of Exclusion and Inclusion","volume":"6","author":"Boulton","year":"2019","journal-title":"Qual. Health Res."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/S0277-9536(02)00479-3","article-title":"Back pain and the resolution of diagnostic uncertainty in illness narratives","volume":"57","author":"Lillrank","year":"2003","journal-title":"Soc. Sci. Med."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1016\/S0277-9536(02)00520-8","article-title":"It is hard work behaving as a credible patient: Encounters between women with chronic pain and their doctors","volume":"57","author":"Werner","year":"2003","journal-title":"Soc. Sci. Med."},{"key":"ref_79","unstructured":"International Association for the Study of Pain (IASP) (2021, November 01). Establishing Recognition for the Chronic Pain Community. Available online: https:\/\/foundation.asaecenter.org\/research\/centennial-research-initiative\/iasp-chronic-pain-case-study."},{"key":"ref_80","unstructured":"Campbell, F., Hudspith, M., Choini\u00e8re, M., El-Gabalawy, H., Lalibert\u00e9, J., Sangster, M., Swidrovich, J., and Wilhelm, L. (2021). An Action Plan for Pain in Canada, Report by the Canadian Pain Task Force."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s13643-020-01542-z","article-title":"PRISMA-S: An extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews","volume":"10","author":"Rethlefsen","year":"2021","journal-title":"Syst. Rev."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"105906","DOI":"10.1016\/j.ijsu.2021.105906","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"88","author":"Page","year":"2021","journal-title":"Int. J. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/23\/7233\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:27:09Z","timestamp":1760131629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/23\/7233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,22]]},"references-count":82,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["jcm12237233"],"URL":"https:\/\/doi.org\/10.3390\/jcm12237233","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,22]]}}}