Papers

2014

Establishment of a Liaison Clinic at Okayama University Hospital for Patients with Intractable Chronic Pain

The Journal of the Chugoku-Shikoku Orthopaedic Association
  • Tetsunaga Tomoko
  • Miyawaki Takuya
  • Outa Haruyuki
  • Tanaka Masato
  • Ozaki Toshifumi
  • Nisie Hiroyuki
  • Ishikawa Shinichi
  • Mizobuchi Satoshi
  • Inoue Shinichirou
  • Oda Kouzi
  • Ryuou Yuta
  • Display all

Volume
26
Number
1
First page
23
Last page
29
Language
Japanese
Publishing type
DOI
10.11360/jcsoa.26.23
Publisher
The Chugoku-Shikoku Orthopaedic Association

Background : A multidisciplinary approach has been shown to be effective for treatment of intractable pain. However, few hospitals in Japan have established liaison clinics for such patients. We investigated the short-term results of a liaison clinic for patients with intractable chronic pain.<br>Methods : This study included 32 outpatients (11 males, 21 females) with intractable chronic pain who visited to our hospital between April 2012 and June 2012. At the baseline, patients completed a self-reported questionnaire and provided demographic and clinical information. Experts in various fields (anesthesia, orthopaedic surgery, psychiatry, physical therapy, and nursing) examined the patients and attended the conference once a week. At the conference we discussed the physical, psychological, and social problem of the patients and decided on courses of treatment. The degree of catastrophizing was measured using the Pain Catastrophizing Scale (PCS). Psychological co-morbidity was evaluated using the Hospital Anxiety Depression Scale (HADS) , and functional disability was measured using both the Pain Disability Assessment Scale (PDAS) and the Oswestry Disability Index (ODI). Clinical severity was assessed using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).<br>Results : After a follow-up period of three months, there was no significant change in the scores for the PDAS, HADS for depression, ODI or JOACMEQ. Both PCS and HADS for anxiety were significantly decreased after three months of treatment. Lumbar function assessed by the JOABPEQ was significantly improved after three months of treatment.<br>Conclusions : This liaison clinic for patients with intractable chronic pain was able to improve the patients' lumbar function and anxiety.

Link information
DOI
https://doi.org/10.11360/jcsoa.26.23
CiNii Articles
http://ci.nii.ac.jp/naid/130005137693
URL
http://search.jamas.or.jp/link/ui/2014365457
ID information
  • DOI : 10.11360/jcsoa.26.23
  • ISSN : 0915-2695
  • CiNii Articles ID : 130005137693

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