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A. Brent Eastman, MD

Arch Surg. 2008;143(3):288.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Rivara and his colleagues are experts in the field of trauma care outcome studies. The prospective National Study on the Costs and Outcomes of Trauma database, from which this article derives, has provided key clinical studies including a sentinel article¹ recently published in The New England Journal of Medicine on mortality rates in trauma centers vs nontrauma centers. This study of chronic pain in trauma patients is particularly relevant as physicians begin to understand pain as an overlooked disability in general, exemplified by increased awareness of pain as the "fifth vital sign" and the licensing requirement in California of a mandatory 12 hours of education in pain management for all physicians.

This article provides data about prevalence and severity of pain 12 months after major injury. The tables are clear and will likely make this a frequently referenced publication and stimulate further research into management . . . [Full Text of this Article]

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