Search results for "pain clinic"

showing 10 items of 14 documents

Clinical features, disease progression and use of healthcare resources in a large sample of 866 patients from 24 headache centers: A real-life perspe…

2021

Objective: To develop a dedicated Italian chronic migraine (CM) database (IRON project) to overcome disease misconceptions, improve clinical administration, reduce patients' burden, and rationalize economic resource allotment.Background: Proper CM management requires a comprehensive appraisal of its full clinical, social, and economic complexity.Methods: In this cross-sectional study, CM patients were screened in 24 certified headache centers with face-to-face interviews. Information on sociodemographic factors, medical history, characteristics of CM, and of prior episodic migraine (EM), and healthcare resource use was gathered using a semistructured web-based questionnaire.Results: A total…

AdultMalePediatricsmedicine.medical_specialtyDatabases FactualMigraine DisordersDiseaseregistryState Medicine03 medical and health sciences0302 clinical medicineChronic MigraineSurveys and QuestionnairesHealth caremedicineHumansMass ScreeningMedical history030212 general & internal medicinedatabaseEconomic complexitybusiness.industryDisease progressionhealthcareMiddle AgedPatient Acceptance of Health CareLarge sampleCross-Sectional StudiesNeurologyItalySocioeconomic Factorseconomic burdenDisease ProgressionResource usePain ClinicsFemaleSettore MED/26 - NeurologiaNeurology (clinical)chronic migrainebusiness030217 neurology & neurosurgery
researchProduct

Phantom Limb Pain in Daily Practice—Still a Lot of Work to Do!

2012

Objectives. Effective treatment of phantom limb pain (PLP, pain felt in the part of the body of an amputated limb) is still difficult to achieve, and improved treatment is needed. It is therefore of paramount interest to understand the current practice of PLP therapy outside pain centers. Design. As a part of a nationwide survey, 537 amputees were asked 11 questions related to their treatment experiences and the pain relief. Furthermore, the patients' opinion about the quality of medical care was also asked. Results. Five hundred thirty-seven out of 1088 amputees returned the questionnaire (49.4%). Four hundred (74.5%) suffered from PLP. The patients rated their caregivers' knowledge about …

AdultMaleReoperationHealth Knowledge Attitudes Practicemedicine.medical_specialtymedicine.medical_treatmentPhantom limbchemical and pharmacologic phenomenaRelaxation TherapyPhantom limb painAmputeesimmune system diseasesGermanySurveys and QuestionnairesDaily practicemedicineHumansPain ManagementEffective treatmentQuality of Health Carebusiness.industryAmputation StumpsGeneral MedicineMiddle Agedmedicine.diseaseNeuromanervous system diseasesAnalgesics OpioidTreatment OutcomeAnesthesiology and Pain MedicinePain ClinicsPhantom LimbAmputationOpioidPatient SatisfactionTranscutaneous Electric Nerve StimulationPhysical therapyAnticonvulsantsFemalelipids (amino acids peptides and proteins)Clinical CompetenceNeurology (clinical)businessmedicine.drugPain Medicine
researchProduct

Impact of Empathy in the Patient-Doctor Relationship on Chronic Pain Relief and Quality of Life: A Prospective Study in Spanish Pain Clinics.

2017

Objective To assess the impact of the empathy of physicians, perceived by patients with chronic pain, regarding pain relief and health-related quality of life (HR-QoL). Methods A prospective noninterventional study was conducted in 2,898 patients with moderate to severe chronic pain who were referred to pain clinics. The same physician visited each patient at baseline and after one and three months. Study questionnaires included the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), the Life Orientation Test-Revised (LOT-R), the Pain Coping Questionnaire (CAD-R), the Brief Pain Inventory Short Form (BPI-SF), and the EuroQol-5D (EQ-5D). Regression analyses were used to eva…

AdultMalemedicine.medical_specialtymedia_common.quotation_subjectEmpathyBrief Pain Inventory Short FormCohort Studies03 medical and health sciences0302 clinical medicineQuality of lifemedicineHumansPain Management030212 general & internal medicineProspective StudiesProspective cohort studymedia_commonAgedPhysician-Patient Relationsbusiness.industryChronic painGeneral MedicineMiddle Agedmedicine.diseaseAnesthesiology and Pain MedicinePain ClinicsSpainPhysical therapyQuality of LifePain ClinicsPain catastrophizingFemaleNeurology (clinical)Chronic PainEmpathybusiness030217 neurology & neurosurgeryCohort studyFollow-Up Studies
researchProduct

Quality of life and disability of chronic non-cancer pain in adults patients attending pain clinics: A prospective, multicenter, observational study

2020

What do we already know about this subject? • Chronic pain can have negative effects on quality of life. It is associated with a reduced ability to work, quality of life and disability, conditions that should be treated in specialized pain management clinics. In Italy very little information on clinical outcomes after chronic pain treatments is provided. What does our study add to the already existing information • This study is the first to provide clinical data about the impact of chronic pain in terms of quality of life and disability on patients who attended pain management clinics in Italy. • Chronic pain has a negative impact on quality of life and disability and causes presenteeism. …

Adultmedicine.medical_specialtybusiness.industryNon cancerMEDLINESettore MED/45 - Scienze Infermieristiche Generali Cliniche E PediatricheAnalgesics OpioidQuality of life (healthcare)Pain ClinicsnursingdisabilityQuality of LifePhysical therapyHumansPain ClinicsMedicineObservational studyProspective StudiesChronic PainbusinessGeneral NursingApplied Nursing Research
researchProduct

Chronic Non-cancer Pain Management in a Tertiary Pain Clinic Network: a Retrospective Study

2022

Introduction: Chronic pain is a distressing condition that should be treated in specialized pain clinics. Pain clinics offer a holistic, evidence-based approach, including pharmacological, complementary, and invasive treatments. This study aimed to provide preliminary information regarding chronic pain treatments and identify reasons for accessing an important hub-spoke pain clinic network. Methods: A retrospective multicenter cross-sectional study was carried out. A total of 1606 patients’ records were included. Patients were selected from the 26 pain clinics of a single region in Italy. Univariate and multivariate logistic regression models were used. Results: Multivariate models showed t…

Anesthesiology and Pain MedicinePain clinicPharmacologicalChronic pain managementSpokeHubNetworkNursingPublic HealthNeurology (clinical)Non-pharmacologicalSettore MED/45 - Scienze Infermieristiche Generali Cliniche E PediatrichePain and Therapy
researchProduct

Complex regional pain syndrome–up-to-date

2017

The pathophysiology of complex regional pain syndromes includes inflammation and central reorganisation. The treatment should be adjusted to the prevailing pathophysiology including possible psychosocial factors.

Central reorganisationmedicine.medical_specialtyMovement disorderslcsh:RD78.3-87.303 medical and health sciences0302 clinical medicinemedicineKetamine030212 general & internal medicineIntensive care medicinebusiness.industryChronic painPAIN Clinical Updates14Sensory lossmedicine.diseaseComplex regional pain syndrome3. Good healthTreatmentAnesthesiology and Pain MedicineNociceptionComplex regional pain syndromePosttraumatic inflammationlcsh:AnesthesiologyHyperalgesiaNeuroplasticitymedicine.symptombusinessPsychosocial030217 neurology & neurosurgerymedicine.drugPAIN Reports
researchProduct

Epidemiology of Chronic Pain in the Latium Region, Italy. a Cross-sectional Study on the Clinical Characteristics of Patients Attending Pain Clinics

2019

In Italy, chronic pain affects more than a quarter of the population, whereas the average European prevalence is 21%. This high prevalence might be due to the high percentage of Italian people who do not receive treatment, even after the passing of law 38/2010 (the right to access pain management in Italy), which created a regional network for the diagnosis and treatment of noncancer chronic pain. Italian epidemiologic studies on chronic pain are scanty, and this observational, multicenter, cross-sectional study is the first to investigate the clinical characteristics of patients who attended the pain management clinics in the Latium Region, Italy, for the management of their noncancer chro…

MaleCross-sectional studyIMPACTEpidemiology chronic pain pain clinicschronic non-malignant pain0302 clinical medicinenursingRisk FactorsEpidemiologyPrevalence030212 general & internal medicineeducation.field_of_studyHigh prevalence030504 nursingChronic painMiddle AgedSettore MED/45 - Scienze Infermieristiche Generali Cliniche E PediatricheAREItalygender differencesFemaleepidemiologyHEALTH0305 other medical scienceBURDENPRESENTEEISMchronic painpain management; chronic pain; gender differences; chronic non-malignant pain; epidemiologyAdultmedicine.medical_specialtyPopulation03 medical and health sciencesPREVALENCE IMPACT BURDENARE DISABILITY MANAGEMENT HEALTH PRESENTEEISM SEVERITY ADULTSInternal medicinemedicineMANAGEMENTHumanseducationAgedAdvanced and Specialized Nursingbusiness.industryDISABILITYADULTSPain managementmedicine.diseasePain ClinicsSEVERITYCross-Sectional Studiespain managementPain ClinicsObservational studybusiness
researchProduct

No changes in mood with the seasons: observations in 3000 chronic pain patients.

1999

Objective Seasonal affective disorder (SAD) and the theory of the effect of light on depression have gained some popularity in recent years. Research on epidemiology is largely based on retrospective measures asking explicitly for the experience of seasonal variations. Those measures have a low positive predictive value and do not enable us to distinguish between experience and belief. Method A consecutive sample of chronic pain patients filled out a depression questionnaire (CES-D) routinely as part of the diagnostic interview on becoming in-patients at a Pain Clinic in Mainz during a 5-year period. Results No support for seasonality or light effects was found. Conclusion The effect of lig…

Malemedicine.medical_specialtyLightCross-sectional studyPainCONSECUTIVE SAMPLESurveys and QuestionnairesEpidemiologymedicineHumansPsychiatryDepression (differential diagnoses)Pain MeasurementRetrospective StudiesPsychiatric Status Rating ScalesChronic painSeasonal Affective DisorderMiddle Agedmedicine.diseasePredictive valuehumanitiesPsychiatry and Mental healthAffectMoodPain ClinicsChronic DiseaseFemaleSeasonsPsychologyActa psychiatrica Scandinavica
researchProduct

"The Headache Week": a useful tool to highlight "invisible" migraineurs

2005

Malemedicine.medical_specialtyNeurologyHeadache DisordersMigraine DisordersPain medicineClinical NeurologyMigraine DisordersPatient Education as TopicSpecialization (functional)HumansMedicinePsychiatryLetter to the EditorReferral and ConsultationPhysician-Patient Relationsbusiness.industryGeneral MedicinePatient Acceptance of Health Carenon specificateAnesthesiology and Pain MedicinePain ClinicsPhysical therapyPain ClinicsFemaleNeurology (clinical)Headache DisordersbusinessSpecializationThe Journal of Headache and Pain
researchProduct

Chronic pain management in non-oncologic patients: multicentric study on adult patients referring to the centers for pain management in the Lazio Reg…

2013

Introduction Chronic pain is a complex phenomenon usually associated with psychological stress, which implies falling back on the National Health Service and reducing work capacities, indeed affecting Activities of Daily Living. Studies based on efficacy have identified the multidisciplinary approach as the most effective means to obtain therapeutic results. These programs can be provided by the Centers for Pain Management (CPMs), where multidisciplinary teams are likely to provide the necessary expertise to outline the best treatments for the diagnosis and management of chronic pain. To date, very little information is available on the kind of assistance and support these centers can provi…

Public health issueItalianprevalenceEpidemiology researchManagementnon-oncologicNursing ScienceItalynetworkCharacteristic of adult patients referring to the italian pain clinicsPublic HealthChronic PainNurse researchchronic painPain ClinicManagement of Chronic non-cancer pain in Italypain management clinicEpidemiology.
researchProduct