Table 1.
Ranked ballot questions from consensus conference
| Top Questions | Weighted Vote Tallies* |
|---|---|
| 1. As a clinician how important is it for you to understand sex-specific differences in the vulnerability to opioid tolerance, side effects, or misuse? |
120 |
| 2. As a clinician, how important is it for you to understand how side effects to commonly used analgesics differ in males and females? |
115 |
| 3. As a clinician, how important is it for you understand the differential response to oral µ-opioid analgesics and non-opioid analgesics in the ED by male and female patients? |
115 |
| 4. As a clinician, how important is it for you to understand the differential response to non-pharmacologic interventions for acute pain by males and females? |
115 |
| 5. As a clinician, how important is it for you to know if there are differences in how males and females self-report pain? |
110 |
| 6. As a clinician, how important is it for you to know if there are gender -specific differences in the desire for analgesics or types of pain interventions? |
107 |
| 7. As a clinician, how important is it for you to understand whether gender influences how children experience pain and the optimal pain treatments for children? |
107 |
| 8. As a clinician, how important is it for you to understand whether gender influences how older adults experience pain and the optimal pain treatments for older adults? |
104 |
| 9. As a clinician, how important is it for you to understand sex differences in how acute psychological responses affect acute and chronic pain outcomes? |
104 |
| 10. As a clinician, how important is it for you to be aware of how the gender of physician and patient influence the type and total amount of analgesics provided. |
103 |
| 11. As a clinician, how important is it for you to understand sex-specific differences in how acute and chronic stress influence pain severity and duration after acute illness or injury? |
101 |
| 12. As a clinician, how important is it for you to understand the neurobiologic mechanisms mediating sex-specific differences in pain sensitivity in response to acute trauma/stress exposure? |
96 |
| 13. As a clinician, how important is it for you to understand how sex- specific differences in biological, psychological, and social factors interact to influence the transition from acute to chronic pain? |
92 |
| 14. As a clinician, how important is it for you to understand the epidemiology of gender-specific differences in factors that influence the development of common chronic ED pain conditions? |
84** |
| 15. As a clinician, how important is it for you to understand the biological (nociceptive pathways, physiology, perceptual sensitivity) mechanisms that influence sex differences in acute and chronic pain? |
82** |
| 16. As a clinician, how important is it for you to understand the epidemiology of gender-specific differences in factors that influence the development of common acute ED Pain conditions? |
81** |
| 17. As a clinician, how important is it for you to have access to information regarding how biological pathways differentially contribute to chronic pain development in males versus females? |
61** |
These questions were developed by the workgroup pre-conference and voted upon. Each question was based on a four-point Likert scale with 1 being rated as least important and 4 being most important.
*
Weighted vote tallies were calculated for each question by summing the product of the point on the Likert scale (1-4) and the number of votes received. Online pre-conference voting (n=20) as well as day of consensus conference voting (n=13) were included for a total 33 ballots tallied.
**
Question withdrawn by participants at the conference after discussion.