title: Research Priorities in the Field of Posttraumatic Pain and Disability: Results of a Transdisciplinary Consensus-Generating Workshop.
abstract: Background. Chronic or persistent pain and disability following noncatastrophic "musculoskeletal" (MSK) trauma is a pervasive public health problem. Recent intervention trials have provided little evidence of benefit from several specific treatments for preventing chronic problems. Such findings may appear to argue against formal targeted intervention for MSK traumas. However, these negative findings may reflect a lack of understanding of the causal mechanisms underlying the transition from acute to chronic pain, rendering informed and objective treatment decisions difficult. The Canadian Institutes of Health Research (CIHR) Institute of Musculoskeletal Health and Arthritis (IMHA) has recently identified better understanding of causal mechanisms as one of three priority foci of their most recent strategic plan. Objectives. A 2-day invitation-only active participation workshop was held in March 2015 that included 30 academics, clinicians, and consumers with the purpose of identifying consensus research priorities in the field of trauma-related MSK pain and disability, prediction, and prevention. Methods. Conversations were recorded, explored thematically, and member-checked for accuracy. Results. From the discussions, 13 themes were generated that ranged from a focus on identifying causal mechanisms and models to challenges with funding and patient engagement. Discussion. Novel priorities included the inclusion of consumer groups in research from the early conceptualization and design stages and interdisciplinary longitudinal studies that include evaluation of integrated phenotypes and mechanisms.
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: David M
authors.identifier: 0000-0001-9155-3337
authors.initials: DM
authors.lastname: Walton
authors.affiliation: Northwestern University, Chicago, IL 60611, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Elliott
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Joshua
authors.initials: J
authors.lastname: Lee
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Eldon
authors.initials: E
authors.lastname: Loh
authors.affiliation: Western University, London, ON, Canada N6G 1H1; McMaster University, Hamilton, ON, Canada L8S 4K1.
authors.forename: Joy C
authors.identifier: 0000-0001-9311-7379
authors.initials: JC
authors.lastname: MacDermid
authors.affiliation: University of Western Sydney, Campbelltown, NSW 2753, Australia.
authors.forename: Siobhan
authors.initials: S
authors.lastname: Schabrun
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Walter L
authors.initials: WL
authors.lastname: Siqueira
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Brian D
authors.initials: BD
authors.lastname: Corneil
authors.affiliation: University of Washington, Seattle, WA 98195, USA.
authors.forename: Bill
authors.initials: B
authors.lastname: Aal
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Trevor
authors.initials: T
authors.lastname: Birmingham
authors.affiliation: Canadian Chiropractic Association, Toronto, ON, Canada M5T 3B2.
authors.forename: Amy
authors.initials: A
authors.lastname: Brown
authors.affiliation: Canadian Pain Coalition, Oshawa, ON, Canada L1J 8P7.
authors.forename: Lynn K
authors.identifier: 0000-0002-8306-0468
authors.initials: LK
authors.lastname: Cooper
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: James P
authors.initials: JP
authors.lastname: Dickey
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: S Jeffrey
authors.initials: SJ
authors.lastname: Dixon
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Douglas D
authors.initials: DD
authors.lastname: Fraser
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Gati
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Gregory B
authors.initials: GB
authors.lastname: Gloor
authors.affiliation: Good Law Office, London, ON, Canada N6A 5J7.
authors.forename: Gordon
authors.initials: G
authors.lastname: Good
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: David
authors.initials: D
authors.lastname: Holdsworth
authors.affiliation: University of North Carolina, Chapel Hill, NC 27599, USA.
authors.forename: Samuel A
authors.initials: SA
authors.lastname: McLean
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Wanda
authors.initials: W
authors.lastname: Millard
authors.affiliation: McMaster University, Hamilton, ON, Canada L8S 4K1.
authors.forename: Jordan
authors.initials: J
authors.lastname: Miller
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Jackie
authors.initials: J
authors.lastname: Sadi
authors.affiliation: University of Maryland, College Park, MD 21201, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Seminowicz
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: J Kevin
authors.initials: JK
authors.lastname: Shoemaker
authors.affiliation: University of British Columbia, Vancouver, BC, Canada V7A 4S5.
authors.forename: Gunter P
authors.initials: GP
authors.lastname: Siegmund
authors.affiliation: Western University, London, ON, Canada N6G 1H1.
authors.forename: Theodore
authors.initials: T
authors.lastname: Vertseegh
authors.affiliation: McGill University, Montreal, QC, Canada H3G 1Y5.
authors.forename: Timothy H
authors.initials: TH
authors.lastname: Wideman
mesh_terms: D035843:Biomedical Research / Q000379:methods* / Q000592:standards*; D002170:Canada; D059350:Chronic Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D014947:Wounds and Injuries / Q000150:complications*