Evidence map›Paper›PMID 31875185›Full record

ArticlePain reports

Prioritizing a sequence of short-duration groups as the standardized pathway for chronic noncancer pain at an Australian tertiary multidisciplinary pain service: preliminary outcomes.

Hema Rajappa, Michelle Wilson, Ruth White, Megan Blanchard, Hilarie Tardif, Chris Hayes

Abstract read
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Article in Pain reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hema RajappaHunter Integrated Pain Service, Hunter New England Health, Newcastle, New South Wales, Australia.
Michelle WilsonHunter Integrated Pain Service, Hunter New England Health, Newcastle, New South Wales, Australia.
Ruth WhiteHunter Integrated Pain Service, Hunter New England Health, Newcastle, New South Wales, Australia.
Megan BlanchardElectronic Persistent Pain Outcomes Collaboration (ePPOC), Australian Health Services Research Institute (AHSRI), University of Wollongong, Wollongong, New South Wales, Australia.
Hilarie TardifElectronic Persistent Pain Outcomes Collaboration (ePPOC), Australian Health Services Research Institute (AHSRI), University of Wollongong, Wollongong, New South Wales, Australia.
Chris HayesHunter Integrated Pain Service, Hunter New England Health, Newcastle, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe implementation and report preliminary outcomes of a resource-efficient, standardized group pathway for chronic noncancer pain.

designDescriptive cross-sectional study of a group-based pain management pathway in comparison with an Australasian benchmarking data set.

settingAn Australian tertiary multidisciplinary pain service. SUBJECTS: Patients with chronic noncancer pain actively participating in the group pathway in 2016.

methodsReferred patients were prioritized to a short-duration group-based standardized pain management pathway linking education, assessment, and treatment groups. Measures of pain, mood, self-efficacy, and catastrophizing and reduction in daily opioid use were collated from the Australasian data set.

resultsIn 2016, 928 patients were actively engaged with the pain service. More patients were prioritized to receive treatment in a group format in comparison with other Australasian services (68.4% vs 22%). A greater percentage of patients attended their first clinical contact within 3 months of referral (81.4%) compared with the Australasian average (68.6%). Comparable improvements in average pain intensity, pain interference, depression, anxiety, stress, pain catastrophizing, and self-efficacy were observed. There was significantly greater reduction in opioid use, including for those taking more than 40 mg of oral morphine equivalent daily dose.

conclusionImplementation of a sequence of short-duration groups as the default clinical pathway resulted in shorter waiting times and noninferior outcomes in key areas for patients completing the program, compared with Australasian averages. Given the resource efficiencies of the group process, this finding has implications for service design.

Indexed as

Group processModel of carePain managementPersistent pain

Identifiers

PMID31875185
PMCPMC6882570

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