Influence of parental occupation on access to specialised treatment for paediatric chronic pain

Wager, Julia; Ruhe, Ann‐Kristin; Hirschfeld, Gerrit; Wamsler, C.; Dobe, Michael; Hechler, Tanja; Zernikow, Boris

doi:10.1007/s00482-013-1320-3

Cited by 20 publications

(28 citation statements)

References 19 publications

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“…Less use of secondary care despite higher clinical need and use of primary care in groups of low SES have been documented in other health contexts 3–5. A study from a children's pain centre in Germany reported similar findings 23. Interestingly, they used a different measure of SES (individual-level parental occupational skill) finding that children whose parents had higher occupational skill levels were more likely to have travelled from outside the centre's 80% catchment area, and that the 80% catchment area increased with increasing parental skill level.…”

Section: Discussionmentioning

confidence: 63%

“…We used distance to the study centre rather than travel time. Although it has been shown that distance and travel time are highly correlated (r=0.98),23 for patients living in some areas, distance and travel time will not always correspond. Finally, the IMD does not provide data on deprived individuals, but deprived areas; individual-level socioeconomic data would be needed to construct more revealing statistical models.…”

Section: Discussionmentioning

confidence: 98%

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Inequalities in access to a tertiary children's chronic pain service: a cross-sectional study

Jay

Howard

2016

Arch Dis Child

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 98%

Inequalities in access to a tertiary children's chronic pain service: a cross-sectional study

Jay

Howard

2016

Arch Dis Child

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“…Before presenting to specialized pediatric pain treatment centers, patients undergo a substantial number of medical visits and pain-related hospital stays [2,11,17,18]. Furthermore, other barriers to accessing specialized pain care exist, such as availability of care [19,20,21] and socioeconomic status [19,20]. A lack of understanding in society and among friends, family or even primary care physicians due to the invisible nature of pain may also present a barrier to specialized care [22].…”

Section: Introductionmentioning

confidence: 99%

Specialized Rehabilitation Programs for Children and Adolescents with Severe Disabling Chronic Pain: Indications, Treatment and Outcomes

2016

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Children and adolescents with highly disabling chronic pain of high intensity and frequency are admitted to specialized pain rehabilitation programs. Some barriers to obtaining this specialized care include a lack of availability of treatment centers, a perceived social stigma and individual barriers such as socioeconomic status. Specialized rehabilitation programs for severe disabling chronic pain worldwide have similarities regarding admission criteria, structure and therapeutic orientation. They differ, however, regarding their exclusion criteria and program descriptions. The short- and long-term effectiveness of some rehabilitation programs is well documented. All countries should promote the establishment of future pediatric pain centers to improve the health care of children and adolescents suffering from severe chronic pain. Standardized reporting guidelines should be developed to describe treatments and outcomes to enable comparability across treatment centers.

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“…We found no evidence for attending a physician for pain-treatment depending on SES. In contrast to this access to specialized treatments seems to depend on parental SES (Wager et al, 2013b). In studies with adult chronic pain patients, results concerning the association between health care utilization due to chronic pain and socioeconomic status are conflicting.…”

Section: Preprintsmentioning

confidence: 90%

“…Over the last ten years a number of studies aimed to describe those children who not only have recurrent pain but also visit physicians or specialized treatment centers (Peng et al, 2007;Wager et al, 2013b). Factors associated with physician visits due to recurrent pain may be relevant to better understand children seeking professional help, and shape the health care system.…”

Section: Introductionmentioning

confidence: 99%

Predictors of health care utilization in young children with recurrent pain – a population-based study

Hirschfeld

Wager²,

Zernikow

2014

Preprint

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Background: Recurrent pain is a common experience in childhood, but only few children with recurrent pain attend a physician. Previous small-scale studies yielded conflicting findings with regard to predictors of health care utilization in children with recurrent pain. Methods:The present study analyzes a subset of the data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) study. Specifically, our sample comprised n= 2,149 young children (3-10 years old) with recurrent pain to find robust predictors. We used multiple logistic regressions to investigate age, gender, SES, migration background, pain intensity, pain frequency, pain-related disability, somatic symptoms, HRQL, as predictors for visiting a doctor due to pain. Additionally we investigated the variability of the predictors to assess the sample size needed to make reliable claims about predictors of health-care utilization. Results: Overall, 1144 (53%) children consulted a physician due to recurrent pain. Young girls with high pain-related disability, -intensity, -frequency, and migration background were more likely to attend a physician. Pain-related disability had the largest impact. Socioeconomic status, healthrelated quality of life and somatic symptoms were not systematically related to health careutilization. An analysis of the variability of these results indicated that several hundred participants are needed until the results stabilize. Conclusions: Our findings highlight the importance of pain-related disability and frequency in assessing the severity of recurrent pain. Generic predictors and demographic variables are of lesser relevance to children with recurrent pain. On a methodological level our results show that large-scale populationbased studies are need to reliably identify predictors of health care utilization.PeerJ PrePrints | http://dx.doi.org/10.7287/peerj.preprints.618v1 | CC-BY 4.0 Open Access |

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Influence of parental occupation on access to specialised treatment for paediatric chronic pain

Cited by 20 publications

References 19 publications

Inequalities in access to a tertiary children's chronic pain service: a cross-sectional study

Inequalities in access to a tertiary children's chronic pain service: a cross-sectional study

Specialized Rehabilitation Programs for Children and Adolescents with Severe Disabling Chronic Pain: Indications, Treatment and Outcomes

Predictors of health care utilization in young children with recurrent pain – a population-based study

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