Healthcare Use for Pain in Women Waiting for Gynaecological Surgery
Background. Pain while waiting for surgery may increase healthcare utilization (HCU) preoperatively. Objective. Examine the association between preoperative pain and HCU in the year prior to gynecological surgery. Methods. 590 women waiting for surgery in a Canadian tertiary care centre were asked t...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2016/1343568 |
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| _version_ | 1832555978523934720 |
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| author | Sarah Walker Wilma M. Hopman Meg E. Carley Elizabeth G. Mann Elizabeth G. VanDenKerkhof |
| author_facet | Sarah Walker Wilma M. Hopman Meg E. Carley Elizabeth G. Mann Elizabeth G. VanDenKerkhof |
| author_sort | Sarah Walker |
| collection | DOAJ |
| description | Background. Pain while waiting for surgery may increase healthcare utilization (HCU) preoperatively. Objective. Examine the association between preoperative pain and HCU in the year prior to gynecological surgery. Methods. 590 women waiting for surgery in a Canadian tertiary care centre were asked to report on HCU in the year before surgery. Pain was assessed using the Brief Pain Inventory. Results. 33% reported moderate to severe pain intensity and interference in the week before surgery. Sixty-one percent (n=360) reported a total of 2026 healthcare visits, with 21% (n=126) reporting six or more visits in the year before surgery. After controlling for covariates, women with moderate to severe (>3/10) pain intensity/interference reported higher odds of overall HCU (≥3 pain-related visits to family doctor or specialist in the past year or ≥1 to emergency/walk-in clinic) compared to women with no or mild pain. Lower body mass index (BMI < 30 versus ≥30) and anxiety and/or depression were associated with emergency department or walk-in visits but not visits to family doctors or specialists. Conclusions. There is a high burden of pain in women awaiting gynecological surgery. Decisions about resource allocation should consider the impact of pain on individuals and the healthcare system. |
| format | Article |
| id | doaj-art-32f45a55d0d943a39d85e2f6de16c224 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-32f45a55d0d943a39d85e2f6de16c2242025-02-03T05:46:35ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/13435681343568Healthcare Use for Pain in Women Waiting for Gynaecological SurgerySarah Walker0Wilma M. Hopman1Meg E. Carley2Elizabeth G. Mann3Elizabeth G. VanDenKerkhof4School of Nursing and Department of Anesthesiology and Perioperative Medicine, Queen’s University, Kingston, ON, K7L 3N6, CanadaClinical Research Centre, Kingston General Hospital, Kingston, ON, K7L 2V7, CanadaSchool of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaSchool of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaSally Smith Chair in Nursing, School of Nursing and Department of Anesthesiology and Perioperative Medicine, Queen’s University, Kingston, ON, K7L 3N6, CanadaBackground. Pain while waiting for surgery may increase healthcare utilization (HCU) preoperatively. Objective. Examine the association between preoperative pain and HCU in the year prior to gynecological surgery. Methods. 590 women waiting for surgery in a Canadian tertiary care centre were asked to report on HCU in the year before surgery. Pain was assessed using the Brief Pain Inventory. Results. 33% reported moderate to severe pain intensity and interference in the week before surgery. Sixty-one percent (n=360) reported a total of 2026 healthcare visits, with 21% (n=126) reporting six or more visits in the year before surgery. After controlling for covariates, women with moderate to severe (>3/10) pain intensity/interference reported higher odds of overall HCU (≥3 pain-related visits to family doctor or specialist in the past year or ≥1 to emergency/walk-in clinic) compared to women with no or mild pain. Lower body mass index (BMI < 30 versus ≥30) and anxiety and/or depression were associated with emergency department or walk-in visits but not visits to family doctors or specialists. Conclusions. There is a high burden of pain in women awaiting gynecological surgery. Decisions about resource allocation should consider the impact of pain on individuals and the healthcare system.http://dx.doi.org/10.1155/2016/1343568 |
| spellingShingle | Sarah Walker Wilma M. Hopman Meg E. Carley Elizabeth G. Mann Elizabeth G. VanDenKerkhof Healthcare Use for Pain in Women Waiting for Gynaecological Surgery Pain Research and Management |
| title | Healthcare Use for Pain in Women Waiting for Gynaecological Surgery |
| title_full | Healthcare Use for Pain in Women Waiting for Gynaecological Surgery |
| title_fullStr | Healthcare Use for Pain in Women Waiting for Gynaecological Surgery |
| title_full_unstemmed | Healthcare Use for Pain in Women Waiting for Gynaecological Surgery |
| title_short | Healthcare Use for Pain in Women Waiting for Gynaecological Surgery |
| title_sort | healthcare use for pain in women waiting for gynaecological surgery |
| url | http://dx.doi.org/10.1155/2016/1343568 |
| work_keys_str_mv | AT sarahwalker healthcareuseforpaininwomenwaitingforgynaecologicalsurgery AT wilmamhopman healthcareuseforpaininwomenwaitingforgynaecologicalsurgery AT megecarley healthcareuseforpaininwomenwaitingforgynaecologicalsurgery AT elizabethgmann healthcareuseforpaininwomenwaitingforgynaecologicalsurgery AT elizabethgvandenkerkhof healthcareuseforpaininwomenwaitingforgynaecologicalsurgery |