scholarly journals Multidisciplinary Pain Treatment Center

2020 ◽  
Author(s):  
Keyword(s):  
Pain Treatment ◽  
Treatment Center ◽  
Multidisciplinary Pain Treatment

scholarly journals Predictors of Long‐Term Opioid Effectiveness in Patients With Chronic Non‐Cancer Pain Attending Multidisciplinary Pain Treatment Clinics: A Quebec Pain Registry Study

Pain Practice ◽  
2020 ◽  
Vol 20 (6) ◽  
pp. 588-599
Author(s):  
Jean‐Luc Kaboré ◽  
Hichem Saïdi ◽  
Lise Dassieu ◽  
Manon Choinière ◽  
M. Gabrielle Pagé
Keyword(s):  
Cancer Pain ◽  
Pain Treatment ◽  
Registry Study ◽  
Multidisciplinary Pain Treatment

An exploration of the utility of hypnosis in pain management among rural pain patients

2007 ◽  
Vol 5 (2) ◽  
pp. 147-152 ◽  
Author(s):  
THOMAS THORNBERRY ◽  
JENNIFER SCHAEFFER ◽  
PETER D. WRIGHT ◽  
MINDI C. HALEY ◽  
KENNETH L. KIRSH
Keyword(s):  
Pain Management ◽  
Beck Depression Inventory ◽  
Pain Treatment ◽  
Treatment Center ◽  
Poor Responders ◽  
Chart Audit ◽  
Symptom Scale ◽  
Noninvasive Treatment ◽  
Perceived Disability ◽  
Pain Patients

Objective: Hypnosis is an adjunctive, noninvasive treatment with few side effects that can be useful in the management of chronic pain. However, it has fallen into disfavor in recent years and is often perceived by physicians as simple charlatanism. We evaluated the efficacy of this treatment as used clinically in a large, mostly rural, pain management center.Methods: We conducted a chart review of 300 pain patients from the Pain Treatment Center of the Bluegrass who had undergone hypnosis for their pain concerns. A chart audit tool was developed consisting of basic demographics, pre- and posthypnosis pain ratings, a rating of relaxation achieved posthypnosis, and scores on the Beck Depression Inventory, Perceived Disability Scale, and the Pain Anxiety Symptom Scale.Results: The sample consisted of 79 men (26.3%) and 221 women (73.7%) with a mean age of 46.3 years (SD = 9.9, range = 19–78). Pain levels recorded pre- and posthypnosis revealed significant improvement as a result of the intervention (mean difference = 2.5, t(1,298) = 25.9, p < .001). Patients reported an average of 49.8% improvement in relaxation level posthypnosis (SD = 24.2%) and had a mean score of 19.0 on the Beck Depression Inventory (SD = 9.9), indicating moderate levels of depression. Also, patients saw themselves as severely disabled regarding their ability to engage in physical (8.3/10) or job-related (7.7/10) activities. Attempts to identify predictors of hypnosis success were not fruitful with one exception. “Poor” responders to hypnosis reported greater levels of perceived dysfunction in their sexual functioning compared to the “good” responders, F(1,187) = 7.2, p < .01.Significance of results: Hypnosis appears to be a viable adjunct for pain management patients, including those from rural and relatively disadvantaged backgrounds. Prospective trials are needed to examine the utility of this modality in end-of-life and palliative care patients.

scholarly journals Accessing care in multidisciplinary pain treatment facilities continues to be a challenge in Canada

2020 ◽  
Vol 45 (12) ◽  
pp. 943-948
Author(s):  
Manon Choinière ◽  
Philip Peng ◽  
Ian Gilron ◽  
Norman Buckley ◽  
Owen Williamson ◽  
...  
Keyword(s):  
Prince Edward Island ◽  
Pain Treatment ◽  
Wait Time ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Optimal Care ◽  
Cross Sectional ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

BackgroundMultidisciplinary pain treatment facilities (MPTFs) are considered the optimal settings for the management of chronic pain (CP). This study aimed (1) to determine the distribution of MPTFs across Canada, (2) to document time to access and types of services, and (3) to compare the results to those obtained in 2005–2006.MethodsThis cross-sectional study used the same MPTF definition as in 2005–2006—that is, a clinic staffed with professionals from a minimum of three different disciplines (including at least one medical specialty) and whose services were integrated within the facility. A comprehensive search strategy was used to identify existing MPTFs across Canada. Administrative leads at each MPTF were invited to complete an online questionnaire regarding their facilities.ResultsQuestionnaires were completed by 104 MPTFs (response rate 79.4%). Few changes were observed in the distribution of MPTFs across Canada compared with 12 years ago. Most (91.3%) are concentrated in large urban cities. Prince Edward Island and the Territories still lack MPTFs. The number of pediatric-only MPTFs has nearly doubled but remains small (n=9). The median wait time for a first appointment in publicly funded MPTFs is about the same as 12 years ago (5.5 vs 6 months). Small but positive changes were also observed.ConclusionAccessibility to public MPTFs continues to be limited in Canada, resulting in lengthy wait times for a first appointment. Community-based MPTFs and virtual care initiatives to distribute pain services into regional and remote communities are needed to provide patients with CP with optimal care.

Factors Associated With Missed Appointments at an Academic Pain Treatment Center

2017 ◽  
Vol 125 (2) ◽  
pp. 562-570 ◽  
Author(s):  
Charles A. Odonkor ◽  
Sandy Christiansen ◽  
Yian Chen ◽  
Asmitha Sathiyakumar ◽  
Hira Chaudhry ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Center ◽  
Missed Appointments ◽  
Factors Associated

scholarly journals Challenges in accessing multidisciplinary pain treatment facilities in Canada

2007 ◽  
Vol 54 (12) ◽  
pp. 977-984 ◽  
Author(s):  
Philip Peng ◽  
Manon Choiniere ◽  
Dominique Dion ◽  
Howard Intrater ◽  
Sandra LeFort ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

Application of a pick's multi-task in order to control the patients in our pain treatment center

Pain ◽  
1990 ◽  
Vol 41 ◽  
pp. S347
Author(s):  
M. Mir ◽  
J.J. Galard ◽  
L.A. Moreno ◽  
R. Espona ◽  
S. Badaoui ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Center

scholarly journals Pain Catastrophizing Moderates Relationships between Pain Intensity and Opioid Prescription

2017 ◽  
Vol 127 (1) ◽  
pp. 136-146 ◽  
Author(s):  
Yasamin Sharifzadeh ◽  
Ming-Chih Kao ◽  
John A. Sturgeon ◽  
Thomas J. Rico ◽  
Sean Mackey ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Pain Treatment ◽  
Pain Catastrophizing ◽  
Tertiary Care ◽  
Treatment Center ◽  
Women Patients ◽  
Opioid Prescription ◽  
Men And Women ◽  
The Relationship

Abstract Background Pain catastrophizing is a maladaptive response to pain that amplifies chronic pain intensity and distress. Few studies have examined how pain catastrophizing relates to opioid prescription in outpatients with chronic pain. Methods The authors conducted a retrospective observational study of the relationships between opioid prescription, pain intensity, and pain catastrophizing in 1,794 adults (1,129 women; 63%) presenting for new evaluation at a large tertiary care pain treatment center. Data were sourced primarily from an open-source, learning health system and pain registry and secondarily from manual review of electronic medical records. A binary opioid prescription variable (yes/no) constituted the dependent variable; independent variables were age, sex, pain intensity, pain catastrophizing, depression, and anxiety. Results Most patients were prescribed at least one opioid medication (57%; n = 1,020). A significant interaction and main effects of pain intensity and pain catastrophizing on opioid prescription were noted (P &lt; 0.04). Additive modeling revealed sex differences in the relationship between pain catastrophizing, pain intensity, and opioid prescription, such that opioid prescription became more common at lower levels of pain catastrophizing for women than for men. Conclusions Results supported the conclusion that pain catastrophizing and sex moderate the relationship between pain intensity and opioid prescription. Although men and women patients had similar Pain Catastrophizing Scale scores, historically “subthreshold” levels of pain catastrophizing were significantly associated with opioid prescription only for women patients. These findings suggest that pain intensity and catastrophizing contribute to different patterns of opioid prescription for men and women patients, highlighting a potential need for examination and intervention in future studies.

scholarly journals Ethnic Group Differences in the Outcomes of Multidisciplinary Pain Treatment

2010 ◽  
Vol 19 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Brian Merry ◽  
Robert R. Edwards ◽  
Luis F. Buenaver ◽  
Lynanne McGuire ◽  
Jennifer A. Haythornthwaite ◽  
...  
Keyword(s):  
Ethnic Group ◽  
Pain Treatment ◽  
Group Differences ◽  
Ethnic Group Differences ◽  
Multidisciplinary Pain Treatment
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