ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022
Frequency and characteristics of patient exclusion criteria in Canadian multidisciplinary pain treatment facilities: a cross-sectional study.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- "You know, we're all human beings": A qualitative study on the perceived needs of people experiencing chronic pain with regard to physiotherapy services.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Integrated Approach to Chronic Pain-The Role of Psychosocial Factors and Multidisciplinary Treatment: A Narrative Review.International journal of environmental research and public health · 2024Review
- Denial of prescription pain medication among people who use drugs in Vancouver, Canada.Harm reduction journal · 2024Article
- Mission Critical, a Call to Action for Implementation of the Recommendations of the Canadian Pain Task Force.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- An examination of referrals declined for chronic pain care: There is increasing mental health complexity within care-seeking patients with chronic pain over time.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- The intersectional implications of a quantitative epistemology in pain care and research.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Physician perspectives on chronic pain management: barriers and the use of eHealth in the COVID-19 era.BMC health services research · 2023Article
- Article
Corrections and comments
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Authors and funding
17 authors at 13 institutions in 3 countries.
Funding
Abstract
purposeA multidisciplinary approach is recommended for patients with complex chronic pain (CP). Many multidisciplinary pain treatment facilities (MTPFs) use patient exclusion criteria but little is known about their characteristics. The objective of this study was to describe the frequency and characteristics of exclusion criteria in public Canadian MTPFs.
methodsWe conducted a cross-sectional study in which we defined an MPTF as a clinic staffed with professionals from three disciplines or more (including at least one medical specialty) and whose services were integrated within the facility. We disseminated a web-based questionnaire in 2017-2018 to the administrative leads of MPTFs across the country. They were invited to complete the questionnaire about the characteristics of their facilities. Data were analyzed using descriptive statistics and correlation measures.
resultsA total of 87 MTPFs were included in the analyses. Half of them (52%) reported using three exclusion criteria or more. There was no significant association between the number of exclusion criteria and wait time for a first appointment or number of new consultations in the past year. Fibromyalgia and migraine were the most frequently excluded pain syndromes (10% and 7% of MPTFs, respectively). More than one MPTF out of four excluded patients with mental health disorders (30%) and/or substance use disorders (29%), including MPTFs with specialists in their staff.
conclusionsMultidisciplinary pain treatment facility exclusion criteria are most likely to affect CP patients living with complex pain issues and psychosocial vulnerabilities. Policy efforts are needed to support Canadian MPTFs in contributing to equitable access to pain management.
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