Evidence map›Paper›PMID 36131335›Full record

ArticleBMC musculoskeletal disorders2022

"It feels like an endless fight": a qualitative study exploring healthcare utilization of persons with rheumatic conditions waiting for pain clinic admission.

Nathan Blanchard, Simon Deslauriers, Jonathan Gervais-Hupé, Anne Hudon, Jean-Sébastien Roy, Sasha Bernatsky, Debbie E Feldman, Anne Marie Pinard, Mary-Ann Fitzcharles, François Desmeules and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 6 institutions in 1 country.

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, boul. Wilfrid-Hamel, Quebec, G1M 2S8, QC, Canada.
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, boul. Wilfrid-Hamel, Quebec, G1M 2S8, QC, Canada.
Jonathan Gervais-HupéÉcole de Réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.
Anne HudonÉcole de Réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.
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, boul. Wilfrid-Hamel, Quebec, G1M 2S8, QC, Canada.
Sasha BernatskyMcGill University Health Centre (MUHC), 1650 Cedar Ave, Montreal, H3G 1A4, QC, Canada.
Debbie E FeldmanÉcole de Réadaptation, Faculté de Médecine, 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, boul. Wilfrid-Hamel, Quebec, G1M 2S8, QC, Canada.
Mary-Ann FitzcharlesMcGill University Health Centre (MUHC), 1650 Cedar Ave, Montreal, H3G 1A4, QC, Canada.
François DesmeulesÉcole de Réadaptation, Faculté de Médecine, 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, boul. Wilfrid-Hamel, Quebec, G1M 2S8, QC, Canada. kadija.perreault@fmed.ulaval.ca.
Université de Montréal · CACentre for Interdisciplinary Research in Rehabilitation · CACentre intégré universitaire de santé et de services sociaux de la Capitale-NationaleMcGill University Health Centre · CAHôpital Maisonneuve-Rosemont · CAUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals living with a rheumatic pain condition can face delays in accessing pain clinics, which prevents them from receiving timely treatment. Little is known regarding their specific healthcare utilization in order to alleviate pain while waiting to obtain services in pain clinics. Hence, the aim of this study was to explore the perceptions and experiences of persons living with rheumatic conditions regarding healthcare utilization while waiting to access a pain clinic.

methodsIn this qualitative descriptive study, semi-structured interviews were conducted with adults living with a painful rheumatic condition that reported either being waiting for admission in a pain clinic, having been referred but then denied pain clinic services, or having received services during the previous six months, in the province of Quebec, Canada. The interviews were transcribed verbatim, and an inductive thematic analysis was performed.

resultsTwenty-six individuals were interviewed (22 women and 4 men; mean age 54 ± 10 years). Three themes were identified: 1) lacking guidance in identifying solutions to their complex and multidimensional needs, 2) struggling to obtain and maintain services due to systemic access barriers, and 3) displaying resilience through a search for accessible and sustainable self-management strategies.

conclusionsThe current approaches and structures of health services fail to adequately answer the service needs of individuals experiencing painful rheumatic conditions. Important shifts are required in pain education, in increasing access to multidisciplinary approaches at the primary care level and in breaking down barriers individuals with chronic pain face to receive appropriate and timely care.

Indexed as

Chronic PainPain ClinicsAdultFemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient Acceptance of Health CareQualitative ResearchAccessHealth services utilizationPainRheumatic diseasesWait time

Identifiers

PMID36131335
PMCPMC9492464
OpenAlexW4296793906

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.