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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1994-10-13
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pubmed:abstractText |
Chronic abdominal wall pain (CAWP) is common and frequently mistaken for visceral pain. We determined the stability of this diagnosis with Main Outcome Measures of: (a) change of pain intensity after local anesthetic-corticosteroid injection, (b) pain relief after three or more months follow-up, and (c) costs of diagnostic procedures for visceral causes of abdominal pain in patients with confirmed CAWP. Seventy-nine patients fulfilled tentative criteria for CAWP; 72 (91%) experienced > or = 50% pain relief with anesthetic injection and were followed for at least three months (mean = 13.8 months). Abdominal pain in four patients was later diagnosed as caused by visceral disease. CAWP was confirmed in 56 of remaining 68 patients; 12 of 19 patients with recurrent pain were unavailable for re-injection of anesthetic. Thirty patients with confirmed CAWP had had diagnostic procedures to exclude visceral disease costing almost $700 per patient. CAWP is usually easily identified and treated; greater awareness should minimize misdiagnosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0163-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1935-41
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8082500-Abdominal Muscles,
pubmed-meshheading:8082500-Abdominal Pain,
pubmed-meshheading:8082500-Adolescent,
pubmed-meshheading:8082500-Adult,
pubmed-meshheading:8082500-Aged,
pubmed-meshheading:8082500-Aged, 80 and over,
pubmed-meshheading:8082500-Chronic Disease,
pubmed-meshheading:8082500-Costs and Cost Analysis,
pubmed-meshheading:8082500-Diagnosis, Differential,
pubmed-meshheading:8082500-Female,
pubmed-meshheading:8082500-Follow-Up Studies,
pubmed-meshheading:8082500-Humans,
pubmed-meshheading:8082500-Male,
pubmed-meshheading:8082500-Middle Aged,
pubmed-meshheading:8082500-Muscular Diseases,
pubmed-meshheading:8082500-Pain Measurement
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pubmed:year |
1994
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pubmed:articleTitle |
Chronic abdominal wall pain. Diagnostic validity and costs.
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pubmed:affiliation |
Michigan State University, Department of Medicine, East Lansing 48824-1315.
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pubmed:publicationType |
Journal Article
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