Evidence map›Paper›PMID 33602224›Full record

ArticleBMC health services research2021

The burden of waiting to access pain clinic services: perceptions and experiences of patients with rheumatic conditions.

Simon Deslauriers, Jean-Sébastien Roy, Sasha Bernatsky, Nathan Blanchard, Debbie E Feldman, Anne Marie Pinard, Mary-Ann Fitzcharles, François Desmeules, Kadija Perreault

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Beyond the Queue: Exploring Waiting Practices in the Stories of Patients With Breast Cancer.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 4 institutions in 1 country.

Simon DeslauriersCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire De Santé Et De Services Sociaux De La Capitale-Nationale, 525, boulevard W.-Hamel, Quebec (QC), G1M 2S8, Canada. simon.deslauriers.1@ulaval.ca.
Jean-Sébastien RoyCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire De Santé Et De Services Sociaux De La Capitale-Nationale, 525, boulevard W.-Hamel, Quebec (QC), G1M 2S8, Canada.
Sasha BernatskyMcGill University Health Centre (MUHC), Montreal, Canada.
Nathan BlanchardCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire De Santé Et De Services Sociaux De La Capitale-Nationale, 525, boulevard W.-Hamel, Quebec (QC), G1M 2S8, Canada.
Debbie E FeldmanFaculty of medicine, Université de Montréal, Montreal, Canada.
Anne Marie PinardCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire De Santé Et De Services Sociaux De La Capitale-Nationale, 525, boulevard W.-Hamel, Quebec (QC), G1M 2S8, Canada.
Mary-Ann FitzcharlesMcGill University Health Centre (MUHC), Montreal, Canada.
François DesmeulesFaculty of medicine, Université de Montréal, Montreal, Canada.
Kadija PerreaultCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre Intégré Universitaire De Santé Et De Services Sociaux De La Capitale-Nationale, 525, boulevard W.-Hamel, Quebec (QC), G1M 2S8, Canada. kadija.perreault@fmed.ulaval.ca.ORCID http://orcid.org/0000-0002-8608-9661
Centre for Interdisciplinary Research in Rehabilitation · CAMcGill University Health Centre · CACentre hospitalier universitaire de Québec · CAHôpital Maisonneuve-Rosemont · CA

Funding

Canadian Rheumatology Association Canadian Initiative for Outcomes in Rheumatology Care (CIORA)
6 · The paper itself

Abstract

backgroundExtensive waiting times before receiving services is a major barrier to adequate pain management. Waiting times may have a detrimental impact on patients' conditions and quality of life. However, there remains a lack of knowledge on the actual experiences of patients waiting to receive services, especially for those with rheumatic conditions. The present study aimed to gain an in-depth understanding of perceptions and experiences of patients with rheumatic conditions regarding access to pain clinic services. The secondary objective was to identify possible solutions to improve this access according to patients' perspectives.

methodsThis qualitative study based on semi-structured interviews was conducted with adults with rheumatic conditions waiting to access pain clinics in the province of Quebec, Canada. Interviews were transcribed verbatim and analyzed using thematic content analysis.

resultsTwenty-six participants were interviewed (22 women and 4 men; mean age 54 ± 10 years). Four main themes were identified: 1) the perception that waiting time is unacceptably long; 2) how the lack of information affects patients' experiences of waiting; 3) patients' various expectations towards the pain clinic, from high hopes to disillusionment and 4) carrying an emotional, physical and financial burden resulting from the wait. Participants reported several solutions to improve the experience of waiting, including providing information to patients, increasing resources, improving prioritization processes and care coordination, and providing alternative interventions to patients during the wait.

conclusionsFor patients with rheumatic conditions, access to pain clinic services is challenging due to extensive waiting times. The burden it imposes on them adds to the existing challenge of living with a chronic rheumatic condition. The solutions identified by participants could serve as building blocks to develop and implement measures to improve patients' experience of accessing pain-related services.

Indexed as

Pain ClinicsQuality of LifeAdultCanadaFemaleHealth Services AccessibilityHumansMaleMiddle AgedPerceptionQualitative ResearchQuebecWaiting ListsAccessChronic painPain clinicsRheumatic conditionsWaiting time

Identifiers

PMID33602224
PMCPMC7891805
OpenAlexW3130998365

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.