Patient Satisfaction With Chronic Pain Management: Patient Perspectives of Improvement

Li, Yuelin Cindy; Hapidou, Eleni G.

doi:10.1177/23743735211007834

Cited by 9 publications

(6 citation statements)

References 37 publications

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“…30,31 Improvement in these affective and functional domains has been associated with greater levels of satisfaction with treatment. 32 This evidence further highlights the importance of pain management which focuses beyond merely the reduction of pain severity to equipping chronic pain patients with the tools to help them participate in meaningful life roles and to reduce pain interfering with function. The one area that participants were less satisfied with in their pain management related to the amount of information received.…”

Section: Discussionmentioning

confidence: 95%

Patient satisfaction at the Chronic Pain Management Clinic at Groote Schuur Hospital

Majangara

Limakatso

Parker

2021

Southern African Journal of Anaesthesia and Analgesia

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An association between patient satisfaction and the comprehensive assessment and management of pain has been shown in recent years. 11 Patient satisfaction is defined as the extent to which patients are happy with the healthcare service they are receiving. This evidence-based outcome is dependent on many variables, including improvement in pain outcomes, attitude of medical staff, clear communication and patient's expectations being met or exceeded. 12 Moreover, improved patient satisfaction has been shown to positively affect clinical outcomes, patient trust levels, adherence to treatment, patient-carer relations and the quality of healthcare delivery. 13 To date, there are no official data informing us about patient satisfaction with the Chronic Pain Management Clinic at Groote Schuur Hospital (GSH). The Commission on Patient Safety and Background: Chronic pain is a costly and debilitating ailment with an estimated global prevalence of 20%. The evaluation of patients' satisfaction with pain management is crucial both to ensure that care provided remains fit for purpose and to identify opportunities for improvement. Groote Schuur Hospital (GSH) has one of the few functional interdisciplinary pain clinics in South Africa with more than 900 patients seen per year. To date, there had been no data informing us about patient satisfaction at the clinic. The aim of our study was to survey patients who are being treated at the Chronic Pain Management Clinic to determine their level of satisfaction with the service.Methods: A descriptive cross-sectional study was conducted with a sample of 67 patients who had been attending the Chronic Pain Management Clinic for more than three months. Data were collected telephonically using the patient demographics form and the internationally validated pain treatment satisfaction scale (PTSS). The data were then analysed using descriptive statistics. Results:The mean age of the 67 participants was 56.5 years (SD 12.9; age range: 18-83). In this sample, 81% of the participants are female while 70% of the participants had not completed 12 years of schooling. Most of the participants were referrals from orthopaedics (48%), followed by referrals from day clinics (13.5%). The median pain severity score was 7.5 (IQR 7-9) a week prior to data collection. The majority of participants (70%) reported that they could ask the staff questions and were provided with adequate support and care. Results indicate that six in every ten patients are satisfied with their pain management at the GSH Chronic Pain Management Clinic. One aspect of care which was less than satisfactory related to patients receiving information about their condition and the treatment thereof. In general, participants would have appreciated more information about their illness or injury (51%), causes and treatments of the pain, as well as side effects of the pain medication (60%). Conclusion:Most participants were either somewhat satisfied or very satisfied with all aspects of care they were asked about. It is clear that patient ...

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Section: Discussionmentioning

confidence: 95%

Patient satisfaction at the Chronic Pain Management Clinic at Groote Schuur Hospital

Majangara

Limakatso

Parker

2021

Southern African Journal of Anaesthesia and Analgesia

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“…Previous data analysis demonstrated highly significant changes between admission and discharge ( p < 0.001) on the variables administered in the program such as pain intensity, depression, catastrophizing, anxiety, stages of change and pain acceptance ( 27 ).…”

Section: Methodsmentioning

confidence: 98%

“…Data were collected as described in Li and Hapidou ( 27 ). In short, participants were adults attending a four-week chronic pain management program from 2007 to 2017.…”

Section: Methodsmentioning

confidence: 99%

Multidimensional visualization and analysis of chronic pain variables of patients who attended a chronic pain program

Li,

Hapidou

2023

Front. Pain Res.

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Psychologically-based chronic pain variables measure multiple domains of the pain experience such as anxiety, depression, catastrophizing, acceptance and stages of change. These variables measure specific areas such as emotional and cognitive states towards chronic pain and its management, acceptance towards the chronic pain condition, and an individual’s readiness to move towards self-management methods. Conceptually, these variables appear to be interrelated to each other, and also form groupings of similar underlying themes. Groupings that have been previously discussed for these variables include positive and negative affect, and improved and poor adjustment. Psychological experience of chronic pain as a whole is mostly understood through conceptually consolidating individual scores across different measures covering multiple domains. A map of these variables in relation to each other can offer an overview for further understanding and exploration. We hereby visualize highlights of relationships among 11 psychosocial chronic pain variables including measures examining physical and somatic aspects, using three-dimensional biplots. Variables roughly form two groupings, with one grouping consisting of items of negative affect, cognition, and physical state ratings, and the other grouping consisting of items of acceptance and the later three stages of change (contemplation, action, maintenance). Also, we follow up with canonical correlation as a complement to further identify key relationships between bimodal groupings. Key variables linking bimodal relationships consist of catastrophizing, depression and anxiety in one grouping and activity engagement in the other. Results are discussed in the context of existing literature.

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“…One study examined patient satisfaction in an interdisciplinary pain management program and found that integrating satisfaction measures with pain-related variables highlighted global change and improvement from the patients' perspective [97]. Another study focused on chronic intractable pain and found that treatments like physical therapy, interventional pain procedures, and spinal cord stimulation (SCS) resulted in acceptable patient outcomes [98]. A retrospective observational study evaluated the clinical results of endoscopic lesser trochanter resection in patients with ischiofemoral impingement and found that the procedure provided satisfactory outcomes with symptom relief and good functional results [99].…”

Section: Clinical and Functional Outcomesmentioning

confidence: 99%

Orthopedic Joint Preservation: A Comprehensive Review

Obeid

2024

ASS

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This comprehensive review article delves into the intricate realm of orthopedic joint preservation with a focus on surgical techniques, innovative treatments, rehabilitation protocols, and long-term outcomes. Within the orthopedic landscape, joint preservation plays a crucial role in enhancing patient quality of life and functional outcomes. The article delivers a detailed exploration of various surgical techniques utilized for joint preservation, encompassing arthroscopy, cartilage repair, osteotomy, and ligament reconstruction. By scrutinizing the indications, outcomes, and potential complications associated with these procedures, the article aids in providing a comprehensive understanding for practitioners. Moreover, it delves into the realm of cutting-edge treatments such as regenerative medicine, stem cell therapy, and biologic agents, shedding light on their significant role in promoting joint preservation and fostering tissue healing. Rehabilitation protocols for joint preservation are also thoroughly evaluated, underlining the pivotal role of early mobilization, tailored physical therapy regimens, and patient education in fostering optimal outcomes while averting potential complications. Through an assessment of long-term outcomes post joint preservation interventions including functional improvements, pain management, and patient contentment, the article endeavors to gauge the efficacy and longevity of these interventions. By offering a nuanced overview of the current state of joint preservation in orthopedics, the article extends valuable insights to orthopedic surgeons, researchers, and healthcare professionals actively engaged in managing joint disorders.

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Patient Satisfaction With Chronic Pain Management: Patient Perspectives of Improvement

Cited by 9 publications

References 37 publications

Patient satisfaction at the Chronic Pain Management Clinic at Groote Schuur Hospital

Patient satisfaction at the Chronic Pain Management Clinic at Groote Schuur Hospital

Multidimensional visualization and analysis of chronic pain variables of patients who attended a chronic pain program

Orthopedic Joint Preservation: A Comprehensive Review

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