Eficacia del tratamiento multidisciplinario del dolor crónico incapacitante del aparato locomotor

Cruz, Antonio Collado; Torres, Xavier; Gassol, Anna Arias i; Gabaroi, Dacia Cerdà; Vilarrasa, Raquel Torrent; Miyar, Manuel Valdés; Múñoz-Gómez, J

doi:10.1016/s0025-7753(01)72129-x

Cited by 32 publications

(10 citation statements)

References 22 publications

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“…Although it did not reach the desired target of 2.2, the mean change (3.4) greatly exceeded the minimal important change, which, by consensus, is 1.5 in patients with low back pain [ 60 ]. A previous study conducted with Spanish chronic pain patients suffering motor disability and subjected to an intensive multidisciplinary treatment of 4 weeks in duration showed a similar significant improvement in pain intensity VAS points, from 7.4 to 3.2 ( p < 0.01) [ 61 ].…”

Section: Discussionmentioning

confidence: 72%

Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

García

Hernández-Puiggròs

Nieto

et al. 2016

Pain Research and Treatment

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Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1–10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p < 0.001, and health status (VAS) from 40.6 to 61.9, p < 0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.

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Section: Discussionmentioning

confidence: 72%

Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

García

Hernández-Puiggròs

Nieto

et al. 2016

Pain Research and Treatment

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“…Uncontrolled trials have demonstrated the benefits of MTs for FM, as have a number of controlled and/or randomized trials [22][23][24][25][37][38][39][40]. A large meta-analysis of effective treatments in FM showed improvements of between 20% and 50% [9].…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary treatment of fibromyalgia: Does cognitive behavior therapy increase the response to treatment?

Lera

Gelman

López

et al. 2009

Journal of Psychosomatic Research

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“…De este modo la persona podría adaptarse y tendría una expectativa adecuada de la patología crónica que padece. Se hace necesario realizar un análisis individualizado de cada paciente, valorando todo el cuadro sintomatológico que presenta mediante un abordaje multidisciplinario 26 .…”

Section: Discussionunclassified

Características clínicas y psicosociales de personas con fibromialgia: Repercusión del diagnóstico sobre sus actividades

Linares¹,

Ruiz-Pérez²,

Pérez³

et al. 2005

Rev. Esp. Salud Publica

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Eficacia del tratamiento multidisciplinario del dolor crónico incapacitante del aparato locomotor

Cited by 32 publications

References 22 publications

Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

Multidisciplinary treatment of fibromyalgia: Does cognitive behavior therapy increase the response to treatment?

Características clínicas y psicosociales de personas con fibromialgia: Repercusión del diagnóstico sobre sus actividades

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