- Email: [email protected]
A survey of pain clinic patients in scotland and the North of England
S348
Poster 128 A SURVEY OF PAIN CLINIC PATIENTS IN SCOTLAND AND THE RED Th-Fri OF ENGLAND ET.0. Dad*‘, I.K. Crombi~*~,W.A. Mamae*, Exhibit Hall K.M. Rogers3 tDepartment of Community Medicine and 2Department of Anaesthetics, Ninewells Hospital & Medical School, Dundee, DDl 9SY; 3PainRelief Clinic, GartnavelGeneralHospitaI,Glasgow, G12 OYN,Scotland. Abs Ligation: The purposesof the study are as follows: (i)~~mahodsofswcyingpaticntsinPainQinics~ghoutNonhBritain; (ii) Describcthe~~scenatpainclinicsinvamsofageaodscx,painproMemandnatureofIleferral; (iii) ckuljm the varietyof patientsseen at diment Pain Clinics. METHODS: A form for recording patient details was developed and extensively tested in local Pain Clinics. The form is completedby the clinician or clinical psychologist at every patientvisit.. It rem& age, sex, address, source of referral,visit type (firs&epea4 urgemkutine), pain description (location, type of tissue, likely cause, time pattern,duration,disability,severity)a& diagnosis or symptm description. Seven Pain Clinics have been recruitedinto the study and data collection will continue over six months. To ensure a reliable flow of data from remote sites, local coordinatorswho nomally work in the Pain Clinic were appointed. RESULTS: Areview of vious patientsurveysandpreliminaryf&d trialsreveal& (i) Multkenm sweys of 45 + Clinicpatientscanbesuccessfullyrunifz the study is focused on well defined questions; the dataform used is short,can be easily and quickly completed,and has been extensively field tested, personalcontacts are made and maintainedwith all those involved in the study, and a local cmmlinator is xecruitedand motivated. (ii) Cleardifferenceswere observed both between clinics, and between consultantswithin the same clinic, in the types of patientsseen and their soutces of referral.
NORTH
?? ??
??
CONczusIoNs: Multi-centresurveysof pain patientsare possible but time consuming. They can give valuableinformationon types of patientsseen and referralpatterns,and act as a spurfor furtherresearch.
THE
LONG-TERll
WlTHlN
THE
HUGHES, & COOTE, The
NATIONAL
A.M., J.
Pain
Gartnavel
settings.
61 been
have
discharge
from at
the
follow-up follou-up
revealed at 6
follow-up. with
change other measures. conclusion it
to
units
at in
a 6
5
and
week 12
t.reatment the abill
services. pattern
The
the
6
I ts
resu
more special treatment in
ised the
months prior on admission
package)
and
on
to and return
discharge. show statistically is maintained at
over
were also reported at. uf mood and util isation
both
pr’ngram ty which
The with
operates
Service.
and in
following
improvements ,to measures
different
assessed
period),
mcJnt.hs
completing functional
care a
control
i
Scatland Health
have undergone points :
669
-
Glasguw
operating
following list
(after
in
Who
the
P.
Scotland.
National been
Abs MO
measures
of
pa i n
both 0i
complainL
improvement noticable at maintained a t. t-he 12 l”Ull L?i ‘There was a marked difference in pain report diagnostic by patients with a diagnosis of a somatof’ur-m disorder showing on this measure while improving, as the other groups, on
satisfactorily results
has
Signicant with regard
assessments and health
follow-up
unit
waiting
unit
assessments.
behaviour
at
unit
of patients improvements
medication
groups little
the
British
patients
assessed a
Poster 129 RED Th-Fri
OPERATING
WILSON,
Glasgow,
the
comparable
COnSeCUtiVe
ensure
two-thirds signif icant
this
J.P.,
Hospital
of
in
ct.0
assessment
General
framework
admission
McKANE,
Hospital,
Gartnavel
is
UNIT
Exhibit Hall L..
GREEN,
General
at
REHARILITATION
SERVICE.
M-R.,
within the of treatment that this
suggest
PAIN
OF A HEALTH
BOND,
Unit
entirely outcome
unit
OUTCOME
comparable
months
Just appears with to
but
this
under that a the setting
those
one pain
operating
was
ncrt
third rehati
had secured employment.. 1 iation program can of the National Hea I t.h Servjcr in other settings.
be
In i- i) n w 1 i-.t I
Poster 128 A SURVEY OF PAIN CLINIC PATIENTS IN SCOTLAND AND THE RED Th-Fri OF ENGLAND ET.0. Dad*‘, I.K. Crombi~*~,W.A. Mamae*, Exhibit Hall K.M. Rogers3 tDepartment of Community Medicine and 2Department of Anaesthetics, Ninewells Hospital & Medical School, Dundee, DDl 9SY; 3PainRelief Clinic, GartnavelGeneralHospitaI,Glasgow, G12 OYN,Scotland. Abs Ligation: The purposesof the study are as follows: (i)~~mahodsofswcyingpaticntsinPainQinics~ghoutNonhBritain; (ii) Describcthe~~scenatpainclinicsinvamsofageaodscx,painproMemandnatureofIleferral; (iii) ckuljm the varietyof patientsseen at diment Pain Clinics. METHODS: A form for recording patient details was developed and extensively tested in local Pain Clinics. The form is completedby the clinician or clinical psychologist at every patientvisit.. It rem& age, sex, address, source of referral,visit type (firs&epea4 urgemkutine), pain description (location, type of tissue, likely cause, time pattern,duration,disability,severity)a& diagnosis or symptm description. Seven Pain Clinics have been recruitedinto the study and data collection will continue over six months. To ensure a reliable flow of data from remote sites, local coordinatorswho nomally work in the Pain Clinic were appointed. RESULTS: Areview of vious patientsurveysandpreliminaryf&d trialsreveal& (i) Multkenm sweys of 45 + Clinicpatientscanbesuccessfullyrunifz the study is focused on well defined questions; the dataform used is short,can be easily and quickly completed,and has been extensively field tested, personalcontacts are made and maintainedwith all those involved in the study, and a local cmmlinator is xecruitedand motivated. (ii) Cleardifferenceswere observed both between clinics, and between consultantswithin the same clinic, in the types of patientsseen and their soutces of referral.
NORTH
?? ??
??
CONczusIoNs: Multi-centresurveysof pain patientsare possible but time consuming. They can give valuableinformationon types of patientsseen and referralpatterns,and act as a spurfor furtherresearch.
THE
LONG-TERll
WlTHlN
THE
HUGHES, & COOTE, The
NATIONAL
A.M., J.
Pain
Gartnavel
settings.
61 been
have
discharge
from at
the
follow-up follou-up
revealed at 6
follow-up. with
change other measures. conclusion it
to
units
at in
a 6
5
and
week 12
t.reatment the abill
services. pattern
The
the
6
I ts
resu
more special treatment in
ised the
months prior on admission
package)
and
on
to and return
discharge. show statistically is maintained at
over
were also reported at. uf mood and util isation
both
pr’ngram ty which
The with
operates
Service.
and in
following
improvements ,to measures
different
assessed
period),
mcJnt.hs
completing functional
care a
control
i
Scatland Health
have undergone points :
669
-
Glasguw
operating
following list
(after
in
Who
the
P.
Scotland.
National been
Abs MO
measures
of
pa i n
both 0i
complainL
improvement noticable at maintained a t. t-he 12 l”Ull L?i ‘There was a marked difference in pain report diagnostic by patients with a diagnosis of a somatof’ur-m disorder showing on this measure while improving, as the other groups, on
satisfactorily results
has
Signicant with regard
assessments and health
follow-up
unit
waiting
unit
assessments.
behaviour
at
unit
of patients improvements
medication
groups little
the
British
patients
assessed a
Poster 129 RED Th-Fri
OPERATING
WILSON,
Glasgow,
the
comparable
COnSeCUtiVe
ensure
two-thirds signif icant
this
J.P.,
Hospital
of
in
ct.0
assessment
General
framework
admission
McKANE,
Hospital,
Gartnavel
is
UNIT
Exhibit Hall L..
GREEN,
General
at
REHARILITATION
SERVICE.
M-R.,
within the of treatment that this
suggest
PAIN
OF A HEALTH
BOND,
Unit
entirely outcome
unit
OUTCOME
comparable
months
Just appears with to
but
this
under that a the setting
those
one pain
operating
was
ncrt
third rehati
had secured employment.. 1 iation program can of the National Hea I t.h Servjcr in other settings.
be
In i- i) n w 1 i-.t I