scholarly journals The Cost of Chronic Pain: An Analysis of a Regional Pain Management Service in Ireland

Pain Medicine ◽  
2013 ◽  
Vol 14 (10) ◽  
pp. 1518-1528 ◽  
Author(s):  
Brenda Gannon ◽  
David P. Finn ◽  
David O'Gorman ◽  
Nancy Ruane ◽  
Brian E. McGuire
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Management Service ◽  
The Cost

Interdisciplinary management for chronic pain in central neurological disorders: a retrospective study

2020 ◽  
Vol 27 (1) ◽  
pp. 1-7
Author(s):  
Jamie Young ◽  
Steven Mantopoulos ◽  
Megan Blanchard ◽  
Hilarie Tardif ◽  
Malcolm Hogg ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Pain Management ◽  
Outcome Measures ◽  
Neurological Disorders ◽  
Neurological Disorder ◽  
Persistent Pain ◽  
Interdisciplinary Management ◽  
Management Service ◽  
Pain Outcomes

Background/aims Chronic pain in central neurological disorders is common and the current management of chronic pain is through an interdisciplinary approach. The aim of this study was to compare outpatient interdisciplinary-based treatment for chronic pain in patients with central neurological disorders to those without central neurological disorders. Methods This was a retrospective study and pain-related outcome measures were collected from a clinical outcomes registry (electronic Persistent Pain Outcomes Collaboration). This registry contained data on people who attended a pain management service who, for the purpose of this study, were categorised into those with a central neurological disorder and those without a central neurological disorder. The two sample t-test was used to determine the significance of the difference between the groups and statistical significance was defined as P<0.05. Outcome measures compared included the Brief Pain Inventory, Depression, Anxiety and Stress Scale 21, Patient Self-efficacy Questionnaire and Patient Catastrophisation Scale. Results There was a total of 1924 participants with a central neurological disorder. The electronic Persistent Pain Outcomes Collaboration registry shows that after engagement with an interdisciplinary pain management service, there was a reduction in pain severity scores, interference, mean depression, anxiety and stress in both groups at end of an episode of care compared to referral. There was a significant difference in mean changes for pain catastrophising between those with a central neurological disorder (−10.3) and those without (−7.8). Conclusions This study shows that people with central neurological disorders can also benefit from interdisciplinary management and have similar results to those without these conditions.

scholarly journals Evolution of pain management services in Nepal

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Anil Shrestha ◽  
Roshana Amatya ◽  
Ninadini Shrestha
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Management Service ◽  
Essential Service ◽  
Management Services

Pain is one of the most common symptoms of patients visiting the hospital. The prevalence of chronic pain is estimated to be around 30%. Pain management service is a separate service provided by healthcare institutions to manage such chronic pain and has become essential service in most of the countries. Nepal has also started to provide services for patients with chronic pain through pain management clinics.

scholarly journals Brief cognitive analytic therapy for adults with chronic pain: a preliminary evaluation of treatment outcome

2019 ◽  
Vol 14 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Roupen Baronian ◽  
Sarah JE Leggett
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Self Efficacy ◽  
Healthcare Utilisation ◽  
Persistent Pain ◽  
Individual Therapy ◽  
Preliminary Evaluation ◽  
Management Service ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

Background: Cognitive analytic therapy (CAT) has diversified in its application to a broad range of presenting difficulties and formats and there has been growing interest in its use in clinical health settings including Pain Management Services. Despite its growing popularity, to date, no studies have examined the application of CAT for chronic pain. Aims: The purpose of this study was to examine the effectiveness of time-limited, individual CAT for adults with chronic pain as delivered in a publicly funded Community Pain Management Service. Methods: This was an observational service evaluation of treatment practice within a routine clinical setting. Participants were 53 adults with chronic pain who completed eight sessions of individual therapy. Individual and group-level outcomes on self-reported distress, pain-related self-efficacy, as well as changes in healthcare utilisation pre- and post-intervention were examined. Results: Large pre–post effects on wellbeing ( d = 1.50) and self-efficacy ( d = 1.13) were observed, while effects on healthcare utilisation were medium to large ( d = 0.67). Moreover, reliable change and clinical significance analyses demonstrated that results were clinically meaningful. The majority of clients (67.9%) showed reliable improvement following the CAT intervention and 28% achieved both reliable and clinically significant improvements in psychological distress. Approximately 4 of 10 clients (43.5%) showed reliably higher perceived self-efficacy at the end of therapy. Conclusion: The results of this evaluation suggest that brief CAT is an encouraging intervention for adults with persistent pain. While preliminary, our findings provide support for a brief approach to persistent pain that focuses not on controlling or eliminating pain but on elucidating and revising unhelpful relational patterns that may impinge upon one’s pain management. Directions for future research are suggested.

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