Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Morley‐Forster, Patricia

doi:10.1007/bf03016629

Cited by 11 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tertiary care structures for highly impaired children with chronic pain are scarce [1,2,17]. Children are often referred to specialized centers according to the location of pain i.e.…”

Section: Discussionmentioning

confidence: 99%

“…The discrepancy between services offered and needed [2] makes planning for services based on demand unfeasible. One obvious reality stands out with the current situation; there is a lack of specialized clinics available to meet patient demand.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic pain is a frequent problem not only in adults but also in children and adolescents [1,2]. Epidemiological studies have played an important role in outlining the prevalence and impact of pediatric chronic pain in the general population [3]‐[6] with rates of a 3-month prevalence ranging between 25% and 46% [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…More information on the characteristics of these children has the potential to inform treatment conceptualization and implementation of tertiary treatment programs [15,16]. It is also known that health care structures for specialized treatment in highly impaired children with chronic pain are scarce [1,2,17]. A study on the services offered by multidisciplinary pain treatment facilities for children and adolescents with chronic pain across Canada demonstrated the discrepancy between services offered and needed with the result being limited access for children in need of treatment [2].…”

Section: Introductionmentioning

confidence: 99%

“…It is also known that health care structures for specialized treatment in highly impaired children with chronic pain are scarce [1,2,17]. A study on the services offered by multidisciplinary pain treatment facilities for children and adolescents with chronic pain across Canada demonstrated the discrepancy between services offered and needed with the result being limited access for children in need of treatment [2]. By improving specialized treatment and access to this treatment poor developmental and functional outcomes may be prevented [15,18].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Characteristics of highly impaired children with severe chronic pain: a 5-year retrospective study on 2249 pediatric pain patients

et al. 2012

View full text Add to dashboard Cite

BackgroundPrevalence of pain as a recurrent symptom in children is known to be high, but little is known about children with high impairment from chronic pain seeking specialized treatment. The purpose of this study was the precise description of children with high impairment from chronic pain referred to the German Paediatric Pain Centre over a 5-year period.MethodsDemographic variables, pain characteristics and psychometric measures were assessed at the first evaluation. Subgroup analysis for sex, age and pain location was conducted and multivariate logistic regression applied to identify parameters associated with extremely high impairment.ResultsThe retrospective study consisted of 2249 children assessed at the first evaluation. Tension type headache (48%), migraine (43%) and functional abdominal pain (11%) were the most common diagnoses with a high rate of co-occurrence; 18% had some form of musculoskeletal pain disease. Irrespective of pain location, chronic pain disorder with somatic and psychological factors was diagnosed frequently (43%). 55% of the children suffered from more than one distinct pain diagnosis. Clinically significant depression and general anxiety scores were expressed by 24% and 19% of the patients, respectively. Girls over the age of 13 were more likely to seek tertiary treatment compared to boys. Nearly half of children suffered from daily or constant pain with a mean pain value of 6/10. Extremely high pain-related impairment, operationalized as a comprehensive measure of pain duration, frequency, intensity, pain-related school absence and disability, was associated with older age, multiple locations of pain, increased depression and prior hospital stays. 43% of the children taking analgesics had no indication for pharmacological treatment.ConclusionChildren with chronic pain are a diagnostic and therapeutic challenge as they often have two or more different pain diagnoses, are prone to misuse of analgesics and are severely impaired. They are at increased risk for developmental stagnation. Adequate treatment and referral are essential to interrupt progression of the chronic pain process into adulthood.

show abstract

“…Tertiary care structures for highly impaired children with chronic pain are scarce [1,2,17]. Children are often referred to specialized centers according to the location of pain i.e.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%