Does diagnosis matter? Evaluating impact of pediatric chronic pain diagnosis on pain and function.

IF 0.8 Q4 PEDIATRICS
Cara Vernacchia, Diane Amstutz, Benjamin Petrie, Kavita Gohil, Gadi Revivo
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Abstract

Purpose: This study aimed to A) evaluate changes in pain and function following an outpatient interdisciplinary pain management program (IPMP) for children with different chronic pain conditions and B) explore differences in pain and function at baseline and discharge for different diagnoses.

Methods: A retrospective chart review was performed for 488 children who participated in an outpatient IPMP. Children's pain and physical, social, and emotional functioning were assessed at initial evaluation, discharge, and one-to-two-month follow-up. Patients were stratified by diagnosis (complex regional pain syndrome [CRPS], headache, musculoskeletal pain, visceral pain, and widespread pain) to evaluate differences in pain and functioning at baseline and discharge.

Results: Children's pain and function improved from initial evaluation to discharge. Those with headache and musculoskeletal pain exhibited better baseline physical and emotional functioning than other diagnostic groups (p = 0.03; p = 0.005; p = 0.002; p = 0.04). Children with CRPS displayed the worst baseline physical functioning (p = 0.003). Those with widespread pain exhibited the worst baseline emotional functioning at both initial evaluation and discharge (p = 0.009; p = 0.007).

Conclusion: Children with CRPS, visceral pain, and widespread pain undergoing treatment in an IPMP exhibited the most impaired baseline functioning, while those with musculoskeletal pain and headache were least impaired. All exhibited improvements in pain and function following the IPMP.

诊断重要吗?评估儿科慢性疼痛诊断对疼痛和功能的影响。
目的:本研究旨在:A)评估不同慢性疼痛患儿在门诊跨学科疼痛管理计划(IPMP)后疼痛和功能的变化;B)探讨不同诊断在基线和出院时疼痛和功能的差异:对参加门诊跨学科疼痛管理计划的 488 名儿童进行了回顾性病历审查。在初次评估、出院和一到两个月的随访中,对儿童的疼痛以及身体、社交和情感功能进行了评估。根据诊断(复杂性区域疼痛综合征、头痛、肌肉骨骼疼痛、内脏疼痛和广泛性疼痛)对患者进行分层,以评估基线和出院时疼痛和功能的差异:结果:从初次评估到出院,儿童的疼痛和功能均有所改善。头痛和肌肉骨骼疼痛患儿的身体和情绪功能基线优于其他诊断组(p = 0.03;p = 0.005;p = 0.002;p = 0.04)。患有 CRPS 的儿童身体功能基线最差(p = 0.003)。患有广泛性疼痛的儿童在初次评估和出院时的情绪功能基线最差(p = 0.009;p = 0.007):结论:在 IPMP 接受治疗的 CRPS、内脏痛和广泛性疼痛患儿的基线功能受损最严重,而肌肉骨骼痛和头痛患儿的基线功能受损最轻。在接受 IPMP 治疗后,所有患儿的疼痛和功能都有所改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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