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Interventional Pain Management in Multidisciplinary Chronic Pain Clinics: A Prospective Multicenter Cohort Study with One-Year Follow-Up

dc.contributor.authorGouvinhas, C.
dc.contributor.authorVeiga, D.
dc.contributor.authorMendonça, L.
dc.contributor.authorSampaio, R.
dc.contributor.authorAzevedo, L.
dc.contributor.authorCastro-Lopes, J.
dc.date.accessioned2018-10-25T14:26:37Z
dc.date.available2018-10-25T14:26:37Z
dc.date.issued2017
dc.description.abstractBackground: Interventional Pain Management (IPM) is performed in multidisciplinary chronic pain clinics (MCPC), including a range of invasive techniques to diagnose and treat chronic pain (CP) conditions. Current patterns of use of those techniques in MCPC have not yet been reported. Objective: We aimed to describe quantitatively and qualitatively the use of IPM and other therapeutic procedures performed on-site at four Portuguese MCPC. Methods: A prospective cohort study with one-year follow-up was performed in adult patients. A structured case report form was systematically completed at baseline and six and 12 months. Results: Among 808 patients referred to the MCPC, 17.2% had been prescribed IPM. Patients with IPM were on average younger and had longer CP duration and lower levels of maximum pain and pain interference/disability. The three main diagnoses were low back pain (n = 28), postoperative CP, and knee pain (n = 16 each). From 195 IPM prescribed, nerve blocks (n = 108), radiofrequency (n = 31), and viscosupplementation (n = 22) were the most prevalent. Some IPM techniques were only available in few MCPC. One MCPC did not provide IPM. Conclusions: IPM are seldom prescribed in Portuguese MCPC. Further studies on IPM safety and effectiveness are necessary for clear understanding the role of these techniques in CP management.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPain Res Treat. 2017;2017:8402413pt_PT
dc.identifier.doi10.1155/2017/8402413pt_PT
dc.identifier.issn2090-1542
dc.identifier.issn2090-1550
dc.identifier.urihttp://hdl.handle.net/10400.16/2234
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawi Publishing Corporationpt_PT
dc.relation.publisherversionhttps://www.hindawi.com/journals/prt/2017/8402413/pt_PT
dc.titleInterventional Pain Management in Multidisciplinary Chronic Pain Clinics: A Prospective Multicenter Cohort Study with One-Year Follow-Uppt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.startPage8402413pt_PT
oaire.citation.titlePain Research and Treatmentpt_PT
oaire.citation.volume2017pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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