E-News Archive Index

APS E-News
March 2006

Allen Lebovits, PhD, Editor

25th Annual Scientific Meeting: Register Online Today!

In This Issue:

APS 25th Annual Scientific Meeting

Calling NIH-Funded Researchers to Join the APS Small Grants Committee

APS Accepting Nominations for Foley Journalist Award

Call for New APS SIG: Pain in the Geriatric Population

Pain Rehabilitation, Newest APS SIG

Member in the News
Russ Portenoy Interviewed on 60 Minutes

President Bush's 2007 Budget

National Election Update

News Highlights from The Journal of Pain

IASP Call for Applications

Forward APS E-News to a Colleague!


Acknowledgment:
APS E-News is made possible through an unrestricted educational grant from Purdue Pharma, L.P.

American Pain Society
4700 W. Lake Avenue
Glenview, IL 60025-1485
Phone: 847/375-4715
Fax: 877/734-8758
E-mail: info@ampainsoc.org

 

 

 

 

 

 

 

 

 

 

 

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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.