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APS
25th Annual Scientific Meeting
May 3-6, 2006
Register
online by March 20, for
early bird rates!
Distinguished
Faculty
The
APS Scientific Planning Committee, led by Chair Greg Terman, has
taken great care to put together a program in 2006 that appeals
to all disciplines. There are more than 130 distinguished faculty
who will share their expertise and research findings.
Special
Keynote Session
APS—2006
and Beyond
APS was founded over a quarter century ago. During this time there
have been astronomical advances in knowledge and understanding of
pain and approaches to treatment. For the past 2 years the APS Board
of Directors has been intensively re-evaluating and reconstructing
our society's vision, mission, and strategic priorities to align
them with current realities and to forge into the future.
Join
APS President Dennis Turk in this year's special keynote session
on May 3: "I will present a forward-looking agenda that builds
on our past accomplishments and that is integrated with a newly
crafted mission and vision for APS. Glimpse into the future of your
organization and plan to join us at my keynote presentation in San
Antonio."
Four-Hour
Forums
Wednesday,
May 3, 1–5 pm
New to this year's APS Annual Scientific Meeting are two interactive
pain forums, which precede the scientific meeting and require special
registration. These forums will feature video presentations, demonstrations,
and break-out sessions.
(001)
Evaluation of Fibromyalgia Pain: From Bench to Bedside
Like many chronic pain syndromes, fibromyalgia syndrome (FM) is
poorly characterized. The FM Criteria, as defined by the American
College of Rheumatology, only require the presence of chronic pain
and widespread mechanical allodynia (tender points). However, most
FM patients also show signs of hyperalgesia to heat, cold, pressure,
electrical current and noxious chemicals. The purpose of this workshop
is to provide the audience with relevant information about FM pain
mechanisms and will focus on evaluation techniques, particularly
psychophysical testing, that can help better characterize abnormal
FM pain mechanisms in the clinic as well as the research setting.
Temporal summation of heat/mechanical pain and nociceptive flexion
reflex testing (RIII-reflex) are useful methods for clinical and
research applications. The importance of these and other methods
for the evaluation of relevant FM pain mechanisms will be discussed.
Detailed assessments of such pain mechanisms will likely be of increasing
importance for the evaluation and treatment of patients with chronic
pain, including FM.
(002)
Spinal Cord Stimulation: New Horizons for Chronic Pain Management
Recent technological advances in spinal cord stimulation have led
to broader indications and increased utilization of this technique
for the treatment of chronic pain. Spinal cord stimulation is an
expensive and invasive therapeutic intervention that requires a
multidisciplinary approach to maximize success. This workshop will
target the multidisciplinary team involved in the management of
the patient undergoing spinal cord stimulator implant. It will include
an update on spinal cord stimulation theory followed by presentations
on available technologies. Break-out sessions will cover psychological
screening and rehabilitation issues.
Corporate
Satellite Symposia
Eight
corporate satellite symposia will be offered during breakfast, lunch,
and dinner hours during the APS Annual Scientific Meeting. These
independently sponsored events are supported by APS Corporate Members
and are open to registrants of the APS 25th Annual Scientific Meeting.
These programs are offered free of charge to all meeting registrants;
however, preregistration is required. Seating will be available
on a first-come, first-served basis. Visit the APS
Web site for program descriptions and registration information.
Thursday,
May 4
12:15–1:45
pm Corporate Satellite Lunch Symposia
- Evolution
of Fibromyalgia Management: Promising New Evidence and the Potential
to Overcome Therapeutic Obstacles
- Risk/Benefit
of COX-2 Selective Inhibitors: Presenting the Whole Story
Friday,
May 5
7–8:30
am Corporate Satellite Breakfast Symposia
- Update
on Opioid Analgesics: Receptors, Research, Regulations, and Real
Patients
- Exploring
the Mechanism-Based Classification of Neuropathic Pain Syndromes
12:30–2
pm Corporate Satellite Lunch Symposia
- Chronic
Pain Management: The Impact of Antidepressant Therapy
- Current
Advances in the Management of Opioid-Related GI Toxicities
6:30–8:30
pm Corporate Satellite Dinner Symposia
- Challenges
in Chronic Pain Management: An Update on Long-Acting Opioids
- Practical
Issues in Prescribing Opioids: Maximizing Pain Relief and Minimizing
Risk
Calling
NIH-Funded Researchers to Join the APS Small Grants Committee
This
spring APS will invite grant applications for its second round of
Future Leaders in Pain Small Grants. The number of grants available
in 2006 is being increased thanks to a larger pool of donated funds.
In
2005, there were 35 eligible grant applications, each of which was
reviewed by three reviewers. In anticipation of the growth in applications
and grant awards, the Small Grants Committee is seeking additional
members to participate in reviewing grants and providing guidance
to the grants program. The committee will meet in San Antonio during
the APS Annual Scientific Meeting, where the 2005 grant recipients
will present preliminary progress reports on their research. Grant
applications will be reviewed in July.
If
you are an APS member and an NIH-funded researcher who would like
to volunteer for this committee, please submit a brief letter of
interest and an NIH biosketch to Cynthia Porter at the APS national
office (cporter@connect2amc.com).
Applications to join the committee are due by April 1, and decisions
will be made by April 17.
This
committee is chaired by Sandra Ward, PhD RN, University of Wisconsin.
Committee members include Misha-Miroslav Backonja, MD; C. Richard
Chapman, PhD; James C. Eisenach, MD; Roger B. Fillingim, PhD; Gerald
F. Gebhart, PhD; Keela Herr, PhD RN; and Mitchell Max, MD.
APS
Accepting Nominations for Foley Journalist Award
APS
members are encouraged to submit nominations for the 2006 Kathleen
Foley Journalist Award, to be presented at the APS Annual Scientific
Meeting, May 3-6. Please consider sending applications for print
and broadcast stories that you believe deserve special recognition
for furthering public awareness of pain and pain management.
The
Kathleen Foley Journalist Award recognizes excellence in reporting
pain-related topics. The award honors the work of journalists whose
coverage of events, scientific discoveries, and patient-care issues
and policies contributes to furthering public awareness and understanding
of pain and pain-related issues. Previous winners were Arthritis
Today magazine in 2005, Newsweek magazine in 2004,
and AARP The Magazine in 2003.
Eligibility
and Rules
1. General eligibility: Submissions are limited to works
published or broadcast from Jan. 1, 2005 through Feb. 28, 2006.
Competition is open to professional journalists who receive at least
50% of their income from journalistic activity, either as an employee
of an independent media outlet or as a freelancer. Print, radio,
television, and on-line entries are eligible for this competition.
Entries published in brochures, in-house newsletters, advertorials,
and publications sponsored by special interest groups or government
agencies will not be considered.
2.
Entries: Nominees may submit a single article or broadcast
piece or a series of stories or columns related to specific pain
and pain management topics related to science, patient care, and
public policy. Submissions from APS members should include a brief
letter describing the story and why the journalist should be considered
for the Foley Award.
3.
Deadline: Applications must be submitted by March 15, 2006.
Mail entries to American Pain Society Journalist Awards, c/o Weber
& Associates, 648 Balmoral Lane, Inverness, IL 60067.
4.
Judging: Entries will be judged by a panel selected by APS.
The winner(s) will be chosen solely at the discretion of the judges
and will be notified by April 1, 2006. The award will be presented
during the American Pain Society Annual meeting in San Antonio,
May 3-6.
5.
For further information: Contact Chuck Weber at 847/705-1802
or cpweber@weberpr.com.
Call
for New APS SIG: Pain in the Geriatric Population
A group
of interested APS members is organizing a special interest group
(SIG) to focus on the unique aspects of the basic science, diagnosis,
and clinical aspects of pain in an elderly population. William Schwab,
MD PhD, Chief of Geriatrics for Ohio Permanente Medical Group will
chair the SIG. If you would like to participate in this SIG, please
e-mail your interest to William.S.Schwab@kp.org.
Pain
Rehabilitation, Newest APS SIG
APS
is pleased to announce the formation of a multidisciplinary SIG
on pain rehabilitation. The SIG was highly endorsed by APS members
and will be chaired by Drs. Edward Covington and Judith Scheman.
If you are interested in joining this SIG, please email Dr. Covington
(covinge@ccf.org) or Dr. Scheman
(schemaj@ccf.org). You must
be an APS member to join.
Member
in the News
Russ Portenoy Interviewed on "60 Minutes"
Former
APS President Russell Portenoy, chair of the Department of Pain
Medicine at New York's Beth Israel Medical Center, appeared on the
January 29th edition of "60 Minutes" in a story about
pain patient Richard Peay, who is imprisoned in Florida after being
convicted for trafficking pain medications. Peay's appeal was heard
on February 6, but no ruling has been made yet.
In
the "60 Minutes" story, correspondent Morley Safer asked
Portenoy if it was possible for Peay, as he has maintained, to consume
seemingly huge doses of prescription pain medications Percocet and
Vicodin. "People are literally able to take industrial-strength
doses without sustaining any problem at all," said Portenoy.
"Look, I take care of two grandmothers, each one requiring
grams a day of morphine—absolutely extraordinary doses. Now,
obviously, if these high doses were given before they had a chance
to acclimate to the drug, they would have been lethal."
Safer
then asked if law enforcement authorities have been overzealous
in going after doctors and patients for abusing pain medications.
Portenoy responded, "There's a very deep concern on the part
of the medical profession that the authorities don't know anything
about pain medicine, and are so afraid of prescription drug abuse
that they tend to investigate or go after prescribers on the basis
of very weak evidence."
The
full transcript of the "60 Minutes" story can be accessed
at www.cbsnews.com.
President
Bush's 2007 Budget
The
National Institutes of Health (NIH) recently released its summary
of President Bush's fiscal year 2007
budget.
According
to APS Counsel, Bob Saner, items of note in the President's 2007
budget include the following:
-
Proposed Medicare savings for several provider groups (hospitals,
home health, SNF, DME). This is not a cut but a reduced rate of
growth for hospital reimbursement. There are no new proposals
for the physician fee schedule.
- Zero
increases for NIH. This would put 2007 levels below 2005 in nominal
dollars and represent at least a 7% cut in inflation-adjusted
dollars over 2 years.
-
Flat funding for the Agency for Healthcare Research and Quality
and decreases for the Health Resources and Services Administration.
-
Major new proposed tax expenditures for health savings accounts
and similar "market-driven" options for financing personal
health care and supplementing public and private health insurance
coverage.
The
Department of Health and Human Services budget overview is available
online at www.hhs.gov/budget/07budget/overview.html.
National
Election Update
Very
soon voting members will receive a ballot for the 2006 national
election. Electronic invitations will be e-mailed to members with
an active e-mail address. Printed letter invitations were mailed
to those without e-mail and should arrive soon.
Thanks
to your nominations and the hard work of the APS Nominating Committee,
voting members should have little trouble making a good choice in
this election—all candidates are outstanding and dedicated
APS members. The 2006 election candidates are:
Secretary
Timothy
Brennan, MD PhD
Lonnie Zeltzer, MD
Directors
at Large
(3 open positions)
Robert
(Bob) Jamison, PhD
David Williams, PhD
Srinivasa
Raja, MD
Sean Mackey, MD PhD
George
Wilcox, PhD
Michael Gold, PhD
Nominating
Committee—Past Presidents
(3 open positions)
Ron
Dubner, DDS PhD
William Willis, Jr., MD PhD
Charles
Cleeland, PhD
Peter Vicente, PhD
Christine
Miaskowski, PhD RN FAAN
James Campbell, MD
Nominating
Committee—Members at Large
(4 open positions)
Elie
Al-Chaer, PhD JD MS
Laura Stone, PhD
Knox
Todd, MD MPH
Misha-Miroslav Backonja, MD
Paul
Arnstein, PhD RN
Marion Good, PhD RN FAAN
Michael
Clark, PhD
Beverly Thorn, PhD
The
deadline to vote is April 7, 2006. Results will be announced in
the May APS E-News. Thank you in advance for doing your
part to make this a record-breaking election year!
News
Highlights from The Journal of Pain
The
following highlights summarize selected articles from the February
2006 issue (volume 7, number 2) of The Journal of Pain.
Partner
Responses to Pain Behaviors Are Associated with Depression and Activity
Interference among Persons with Chronic Pain and Spinal Cord Injury
Michael W. Stroud, Judith A. Turner, Mark P. Jensen, and Diana
D. Cardenas, University of Washington, Seattle
This
study examined how partner responses to pain behaviors are associated
with decreased pain behaviors, such as depression severity. Seventy
adults with chronic pain from spinal cord injuries (SCI) were surveyed
with standard pain inventory and depression questionnaires. Previous
studies have shown that social support is associated positively
with improved pain behaviors, possibly because individuals who are
satisfied with their support are receiving more positive reinforcement
from the social environment.
The
authors determined that negative partner responses were significantly
associated with depressive symptom severity in SCI patients. They
concluded that although it is possible partner responses may contribute
to depressive symptom severity, some depressed patients are more
likely to perceive their responses as negative. From a clinical
perspective, it was noted that decreasing negative partner responses
to pain behaviors might be a potentially important clinical intervention.
A
Pain Management Program for Chronic Cancer-Treatment-Related Pain:
A Preliminary Study
Karen A. Robb, John E. Williams, Valerie Duvivier, and D.J.
Newham, Kings College, London, England
Chronic
cancer-treatment-related pain is becoming increasingly recognized
as a complex clinical problem, as survivorship and improved quality
of life have become more prevalent. Many studies have investigated
pain problems in breast cancer patients treated with surgery or
radiation therapy. The aim of this British study was to evaluate
cognitive-behavioral pain management for cancer patients with chronic
treatment-related pain. Thirteen patients were studied. Nine had
a history of breast cancer and received extensive treatments, including
surgery.
The
patients were exposed to several nonpharmacological interventions,
such as education, relaxation, exercise training, and goal setting.
The authors found that all had positive outcomes, and their improvements
in daily activities and overall fitness allowed many to participate
in domestic and work-related activities. The authors noted that
the favorable outcomes could not be attributed to medical improvement
since all patients had experienced pain for several years. They
also reported that as cognitive-behavior interventions were successful
in improving self efficacy, some patients may have utilized other
coping strategies independent from the trial. Based on these findings,
the authors recommended that non-pharmacologic therapies be considered
for cancer patients with treatment-related pain.
Recalled
Pain Ratings: A Complex and Poorly Defined Task
Joan E. Broderick, Arthur A. Stone, Pamela Calvanese, Joseph
Schwartz, Stony Brook University, New York, and Dennis C. Turk,
University of Washington, Seattle
Patients'
self-reports are the standard for assessing pain severity. The purpose
of this study was to determine how patients arrive at self ratings
and whether or not they accurately represent actual pain experiences.
Researchers conducted 106 interviews with rheumatology patients
and asked how they arrived at their pain severity ratings.
Response
evaluations concluded that patients were unable to coherently state
how they determined their pain ratings. This casts doubt on the
validity of retrospective recall. The authors recommended that improved
measurements of recalled pain should be explored to address several
concerns, such as avoiding use of single methods to measure pain,
determining the length of time patients are best able to recall
pain, and limiting recall periods accordingly.
IASP
Call for Applications
International
Association for the Study of Pain (IASP) is pleased to announce
a call for applications for the IASP Research Grants funded by the
Scan/Design by Inger and Jens Bruun Foundation, which were awarded
for the first time in 2005. Two grants will be awarded—one
for clinical research and one for basic research. These will be
small, collaborative grant awards with a maximum of U.S. $10,000
each, subject to conditions. Deadline for receipt of applications
by IASP is April 30, 2006. Awards will be announced by June 30,
2006. For more information or an application, please contact IASP
at kathyh@iasp-pain.org,
206/283-0311, or visit www.iasp-pain.org. |