Evidence map›Paper›PMID 31019694›Full record

ArticleBritish journal of pain2019

'The Doctor doesn't need to see you now': reduction in general practice appointments following group pain management.

Ajay Clare, Sarah MacNeil, Tamzin Bunton, Stephanie Jarrett

Abstract read
In one paragraph

Article in British journal of pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ajay ClareRoyal Derby Hospital, Derby, UK.ORCID https://orcid.org/0000-0002-4487-2869
Sarah MacNeilCentre for Active Lifestyle Management (CALM), Lewisham and Greenwich NHS Trust, London, UK.
Tamzin BuntonCentre for Active Lifestyle Management (CALM), Lewisham and Greenwich NHS Trust, London, UK.
Stephanie JarrettCentre for Active Lifestyle Management (CALM), Lewisham and Greenwich NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients living with chronic, non-malignant, musculoskeletal pain are frequent visitors to general practice (GP) services, placing a large burden on resources. Pain management programmes (PMPs) are recommended for chronic pain patients and aim to teach self-management techniques. While there is evidence for their clinical effectiveness, few studies have explored whether there is a reduction in primary care healthcare use after attending a PMP.

aimThis study sought to address this by gathering data on pain-related primary care appointments before and after attending a PMP. DESIGN AND

settingMedical records of 50 patients attending a group outpatient PMP were obtained to determine whether the number of pain-related GP appointments differed 1 year after attending the programme compared with the year beforehand. Robust data were obtained from GP appointment systems and a retrospective observational design was utilised.

resultsThe results indicated a 43.9% decrease in the number of GP appointments in the year following a PMP, a change that was statistically significant.

conclusionThe findings of the study show that there are fewer pain-related appointments in primary care in the year following a group outpatient PMP compared with the preceding year. It is possible that the self-management techniques taught on the programme lead to a reduction in patient's need to consult their GP as frequently about their pain. However, limitations in the current research mean that the reduction in appointments cannot be definitively attributed to PMP attendance and suggestions for future research are discussed.

Indexed as

Chronic paincost of illnessgeneral practicemultidisciplinarypain management

Identifiers

PMID31019694
PMCPMC6463353

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.