Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic
We reviewed the referral pattern of children with chronic pain to a specialized pediatric pain clinic. Data were obtained from referring physicians and medical records and during an interview with patients and their parents by physicians and a psychologist. We analyzed the following: referral diagno...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/8769402 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549801202286592 |
|---|---|
| author | Giovanni Cucchiaro Jennifer Schwartz Alec Hutchason Beatriz Ornelas |
| author_facet | Giovanni Cucchiaro Jennifer Schwartz Alec Hutchason Beatriz Ornelas |
| author_sort | Giovanni Cucchiaro |
| collection | DOAJ |
| description | We reviewed the referral pattern of children with chronic pain to a specialized pediatric pain clinic. Data were obtained from referring physicians and medical records and during an interview with patients and their parents by physicians and a psychologist. We analyzed the following: referral diagnosis, demographics, duration of symptoms, number of physicians previously consulted, school attendance, sports activities, presence of psychological disorders, final team diagnosis, and outcomes. Children had been experiencing pain for 34±55 months. Patients had consulted on average 3 physicians in addition to their pediatrician. 32% of the patients had missed at least 10 days of school in a calendar year, and 47% had stopped playing sports. 15% had an operation because of pain that had been unsuccessful. The most common missed diagnosis was anxiety (25%) and depression (13%). 69% of the patients were back to school and/or playing sports within 4 months from our initial consultation. 32% of the patients did not make any progress during the follow-up period. The most common reasons for failure to improve were no compliance with the recommended treatments and poorly controlled major mood disorder. The time to refer children with chronic pain for specialized care could be extremely long causing significant social and psychological consequence. |
| format | Article |
| id | doaj-art-7023731a730d4718bc00094fcfd1b548 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-7023731a730d4718bc00094fcfd1b5482025-02-03T06:08:33ZengWileyInternational Journal of Pediatrics1687-97401687-97592017-01-01201710.1155/2017/87694028769402Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain ClinicGiovanni Cucchiaro0Jennifer Schwartz1Alec Hutchason2Beatriz Ornelas3Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, CA, USAMental Health Center of Denver, Denver, CO, USADepartment of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, CA, USADepartment of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, CA, USAWe reviewed the referral pattern of children with chronic pain to a specialized pediatric pain clinic. Data were obtained from referring physicians and medical records and during an interview with patients and their parents by physicians and a psychologist. We analyzed the following: referral diagnosis, demographics, duration of symptoms, number of physicians previously consulted, school attendance, sports activities, presence of psychological disorders, final team diagnosis, and outcomes. Children had been experiencing pain for 34±55 months. Patients had consulted on average 3 physicians in addition to their pediatrician. 32% of the patients had missed at least 10 days of school in a calendar year, and 47% had stopped playing sports. 15% had an operation because of pain that had been unsuccessful. The most common missed diagnosis was anxiety (25%) and depression (13%). 69% of the patients were back to school and/or playing sports within 4 months from our initial consultation. 32% of the patients did not make any progress during the follow-up period. The most common reasons for failure to improve were no compliance with the recommended treatments and poorly controlled major mood disorder. The time to refer children with chronic pain for specialized care could be extremely long causing significant social and psychological consequence.http://dx.doi.org/10.1155/2017/8769402 |
| spellingShingle | Giovanni Cucchiaro Jennifer Schwartz Alec Hutchason Beatriz Ornelas Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic International Journal of Pediatrics |
| title | Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic |
| title_full | Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic |
| title_fullStr | Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic |
| title_full_unstemmed | Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic |
| title_short | Chronic Pain in Children: A Look at the Referral Process to a Pediatric Pain Clinic |
| title_sort | chronic pain in children a look at the referral process to a pediatric pain clinic |
| url | http://dx.doi.org/10.1155/2017/8769402 |
| work_keys_str_mv | AT giovannicucchiaro chronicpaininchildrenalookatthereferralprocesstoapediatricpainclinic AT jenniferschwartz chronicpaininchildrenalookatthereferralprocesstoapediatricpainclinic AT alechutchason chronicpaininchildrenalookatthereferralprocesstoapediatricpainclinic AT beatrizornelas chronicpaininchildrenalookatthereferralprocesstoapediatricpainclinic |