Interdisciplinary management for chronic pain in central neurological disorders: a retrospective study. (2nd January 2020)

• Record Type: Journal Article
• Authors: Young, Jamie; Mantopoulos, Steven; Blanchard, Megan; Tardif, Hilarie; Hogg, Malcolm; Khan, Fary; Galea, Mary P
• Is Part Of: International journal of therapy and rehabilitation. Volume 27:Number 1(2020)
• Page Start: 1
• Page End: 7
• Publication Date: 2020-01-02
• Subjects: Chronic pain -- Interdisciplinary management -- Neurology -- Rehabilitation; Therapeutics -- Periodicals; Medical rehabilitation -- Periodicals; 615.505
• DOI: 10.12968/ijtr.2018.0110
• Languages: English
• ISSNs: 1741-1645

Abstract

Abstract : Background/aims: Chronic pain in central neurological disorders is common and the current management of chronic pain is through an interdisciplinary approach. The aim of this study was to compare outpatient interdisciplinary-based treatment for chronic pain in patients with central neurological disorders to those without central neurological disorders. Methods: This was a retrospective study and pain-related outcome measures were collected from a clinical outcomes registry (electronic Persistent Pain Outcomes Collaboration). This registry contained data on people who attended a pain management service who, for the purpose of this study, were categorised into those with a central neurological disorder and those without a central neurological disorder. The two sample t -test was used to determine the significance of the difference between the groups and statistical significance was defined as P <0.05. Outcome measures compared included the Brief Pain Inventory, Depression, Anxiety and Stress Scale 21, Patient Self-efficacy Questionnaire and Patient Catastrophisation Scale. Results: There was a total of 1924 participants with a central neurological disorder. The electronic Persistent Pain Outcomes Collaboration registry shows that after engagement with an interdisciplinary pain management service, there was a reduction in pain severity scores, interference, mean depression, anxiety and stress in both groups at end of an episode of care compared to referral. There was a significant difference in mean changes for pain catastrophising between those with a central neurological disorder (−10.3) and those without (−7.8). Conclusions: This study shows that people with central neurological disorders can also benefit from interdisciplinary management and have similar results to those without these conditions.