Perspectives

CME Article: Chronic and Noncrisis Pain in Sickle Cell Disease

Authors: Christopher Patrick Carroll, MD

Abstract

Hospital care for pain crises has been the most studied phenomenon in sickle cell disease (SCD) and is exceptionally costly to the healthcare system.1–4 Hospitalizations likely represent a small subset of the total burden of SCD pain, however. Close investigation of the pain experience of adults with SCD has revealed that most crisis pain is managed at home; hence, much of the literature citing crisis frequency as synonymous with hospitalization represents a significant undercounting of these events.5

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