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Associations between demographics and health-related quality of life for chronic non-malignant pain patients treated at a multidisciplinary pain centre: a cohort study.

Associations between demographics and health-related quality of life for chronic non-malignant pain patients treated at a multidisciplinary pain centre: a cohort study.

Authors :
Jensen HI
Plesner K
Kvorning N
Krogh BL
Kimper-Karl A
Source :
International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2016 Feb; Vol. 28 (1), pp. 86-91. Date of Electronic Publication: 2015 Dec 17.
Publication Year :
2016

Abstract

Objective: To describe the associations between demographics and health-related quality of life for chronic non-malignant pain patients.<br />Design: A cohort study.<br />Setting: A multidisciplinary Danish pain centre.<br />Study Participants: All patients treated at the centre between 2007 and 2013.<br />Main Outcome Measures: Levels of pain, anxiety and depression, and physical and mental status. The Hospital Anxiety and Depression Scale and the Medical Outcomes Study Short-Form Health Survey (SF-36) were used.<br />Results: A total of 1176 patients were included. The majority were women (64%), the mean age was 46.7 ± 14.4 (range 18-89), and 21% were able to work full or part time. On a Numeric Rating Scale from 0 to 10, median pain-intensity was 8 (interquartile range 7-8) and pain-discomfort 8 (interquartile range 7-9) at time of referral. More than half of the patients had symptoms of anxiety and depression. Most of the individual SF-36 domains had median scores between 0 and 40 (Scale from 0 to 100). Patients younger than 50 years of age as well as patients on sick leave/disability pension had significantly lower SF-36 scores. Level of pain, anxiety and depression decreased and SF-36-scores increased significantly after a course of treatment which in most cases consisted of both medical, physiotherapeutic and psychological treatment as well as health-oriented education. The chi-square test, Mann-Whitney U-test, the Kruskal-Wallis and Wilcoxon Signed-rank test were used for analyses.<br />Conclusions: In order to improve treatment at a multidisciplinary pain centre, it may be of value to target treatments to different patient subgroups based on, amongst other things, age and employment status.<br /> (© The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.)

Details

Language :
English
ISSN :
1464-3677
Volume :
28
Issue :
1
Database :
MEDLINE
Journal :
International journal for quality in health care : journal of the International Society for Quality in Health Care
Publication Type :
Academic Journal
Accession number :
26678805
Full Text :
https://doi.org/10.1093/intqhc/mzv108