scholarly journals Health‐related quality of life change in patients treated at a multidisciplinary pain clinic

2019 ◽  
Author(s):  
Pekka Vartiainen ◽  
Tarja Heiskanen ◽  
Harri Sintonen ◽  
Risto P. Roine ◽  
Eija Kalso
Keyword(s):  
Quality Of Life ◽  
Pain Clinic ◽  
Life Change ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Assessment and treatment at a pain clinic: A one-year follow-up of patients with chronic pain

2017 ◽  
Vol 17 (1) ◽  
pp. 233-242 ◽  
Author(s):  
Andrea Hållstam ◽  
Monika Löfgren ◽  
Lina Benson ◽  
Christer Svensén ◽  
Britt-Marie Stålnacke
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Clinic ◽  
Health Related Quality ◽  
Pain Clinics ◽  
Related Quality ◽  
Health Related ◽  
One Year

AbstractBackground and aimsPain is one of the most common reasons for patients to seek primary health care. Pain relief is likely to be achieved for patients suffering from acute pain, but for individuals with chronic pain it is more likely that the condition will persist. These patients have the option of being referred to specialised pain clinics. However, the complexity surrounding chronic pain patients is not well studied in these settings. This study aimed to describe patients with chronic pain referred to a pain clinic by using the information submitted during their first visit and one year later and also to identify associations between baseline characteristics and improvements in health-related quality of life in the follow-up.MethodsThis was a longitudinal observational study of a sample consisting of 318 patients referred to a pain clinic. One group of patients containing 271 individuals (median age 48, 64% females) was assessed and received conventional pain treatment (CPT group) and a second group of 47 patients (median age 53, 64% females) was assessed by a pain specialist and referred back to their physician with a treatment recommendation (assessment only, AO group). Patient-reported outcome measures in health-related quality of life (EQ-5D), pain intensity (VAS), mental health (HADS), insomnia (ISI), pain-related disability (PDI), kinesiophobia (TSK) and sense of coherence (SOC) were collected at the first visit and one year later.ResultsAt baseline, the CPT group reported a low EQ-5D Index (median (md) 0.157) and EQVAS (md 40) as well as considerable high, current pain intensity VAS (md 58), HADS anxiety (md 8), ISI (md 17), PDI (md 36) and TSK (md 39). The AO group showed similar problems (no significant differences compared to the CPT group), except for ISI, where the AO group reported less severe problems. At the one-year follow-up, the CPT group had a statistically significant improvement in EQ-5D, VAS, ISI, PDI and TSK. In the AO group no significant changes were observed. In the CPT group there was an association between a high ISI level at baseline and an improved EQ-5D Index in the follow-up.ConclusionsThe study describes rarely explored groups of patients with chronic pain at a pain clinic. Severe pain problems were present in both groups at their first visit. A statistically significant improvement could be seen in the group that was conventionally treated while this was not the case among those subjects who were assessed and referred. The results imply, that relatively limited treatment strategies were helpful for the patients’ health-related quality of life. Despite these improvements, the patients were not fully recovered, pointing to the chronicity of pain conditions and the need of support for many patients.ImplicationsIncreased knowledge about assessment, selection and treatment at pain clinics is important to improve the quality of the work performed at these clinics. Despite limited resources, further efforts should be made to collect comparable, valid data on a regular base from pain clinics in order to develop recommendation models.

scholarly journals The Pain Frequency-Severity-Duration Scale as a Measure of Pain: Preliminary Validation in a Pediatric Chronic Pain Sample

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Katherine S. Salamon ◽  
W. Hobart Davies ◽  
Melissa R. Fuentes ◽  
Steven J. Weisman ◽  
Keri R. Hainsworth
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Intensity ◽  
Functional Limitations ◽  
Pain Clinic ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Pain Frequency

Typically, pain is measured by intensity and sensory characteristics. Although intensity is one of the most common dimensions of pain assessment, it has been suggested that measuring pain intensity in isolation is only capturing part of the pain experience and may not lead to an accurate measurement of how pain impacts a child’s daily functioning. The current study aimed to develop a measure that would capture pain intensity along with frequency and duration in a clinical sample of youth diagnosed with chronic pain. The pain-frequency-severity-duration (PFSD) scale was developed and data were collected from a multidisciplinary pain clinic at a large, midwestern children’s hospital. Validated measures of functional limitations and health related quality of life were also collected. Significant correlations were found between the PFSD composite score, functional limitations, and health related quality of life. Future research should continue to evaluate this questionnaire utilizing other validated pain measures and other areas potentially impacted by chronic pain and with more diverse samples. This initial finding suggests that the PFSD is a convenient self-reported measure and is strongly related to health related quality of life and functional disability.

Health-related Quality Of Life Change in Cancer Survivors Participating a 12-week YMCA Exercise Program

2014 ◽  
Vol 46 ◽  
pp. 543-544
Author(s):  
Nicklaus Redenius ◽  
Sarah Hilgers-Greterman ◽  
John Schuna ◽  
Gary Liguori ◽  
Wonwoo Byun
Keyword(s):  
Quality Of Life ◽  
Cancer Survivors ◽  
Exercise Program ◽  
Life Change ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Evaluating the Statistical Significance of Health-Related Quality-Of-Life Change in Individual Patients

2005 ◽  
Vol 28 (2) ◽  
pp. 160-171 ◽  
Author(s):  
Ron D. Hays ◽  
Marc Brodsky ◽  
M. Francis Johnston ◽  
Karen L. Spritzer ◽  
Ka-Kit Hui
Keyword(s):  
Quality Of Life ◽  
Statistical Significance ◽  
Life Change ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Interpreting important health‐related quality of life change using the Haem‐A‐QoL

Haemophilia ◽  
2015 ◽  
Vol 21 (5) ◽  
pp. 578-584 ◽  
Author(s):  
K. W. Wyrwich ◽  
S. Krishnan ◽  
J. L. Poon ◽  
P. Auguste ◽  
R. Maltzahn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Life Change ◽  
Health Related Quality ◽  
Related Quality ◽  
Important Health ◽  
Health Related

scholarly journals Predictors of Health-related Quality-of-life Change after Total Hip Arthroplasty

2009 ◽  
Vol 467 (11) ◽  
pp. 2886-2894 ◽  
Author(s):  
José M. Quintana ◽  
Antonio Escobar ◽  
Urko Aguirre ◽  
Iratxe Lafuente ◽  
Juan C. Arenaza
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Life Change ◽  
Health Related Quality ◽  
Total Hip ◽  
Related Quality ◽  
Health Related
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