We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Interventional procedures in children and adolescents with chronic non‐cancer pain as part of a multidisciplinary pain treatment program.
- Authors
Vega, Eduardo; Rivera, Gonzalo; Echevarria, Ghislaine C.; Prylutskyy, Zakhar; Perez, Jordi; Ingelmo, Pablo
- Abstract
Summary: Background: Interventional procedures are part of multidisciplinary pain treatment programs to treat chronic non‐cancer pain conditions in children and adolescents. However, the real benefit of these interventions remains unclear. Aims: The aim of this study was to analyze the potential benefits of the interventional procedures in children and adolescents with chronic non‐cancer pain in the setting of a multidisciplinary pain treatment program. Methods: We retrospectively reviewed the charts of 98 children and adolescents receiving 314 diagnostic or therapeutic interventional procedures. We applied the following definitions of efficacy Short‐term positive therapeutic effect: block that produced a minimum of 50% reduction in pain intensity for at least 4 weeks.Long‐term positive therapeutic effect: a patient with a minimum of 50% reduction in pain intensity for at least 6 monthsFull recovery: a patient free of pain, not taking analgesics with normal physical and role functioning 6 months after the last procedure. Results: Seventy‐six of 112 diagnostic blocks (68%) were associated with a 50% reduction in pain intensity for at least 4 weeks after the procedure. One hundred and sixty‐six of 202 therapeutics blocks (82%) were associated with a short‐term benefit. Seventy‐two of 98 patients (73%) referred a 50% reduction in their pain intensity (17%) or had full recovery 6 months after the procedures (56%) and a MPTP. Psychiatric comorbidity and more advanced age were factors associated with failure to respond to interventional procedures. Conclusion: The use of interventional procedures may represent a valid therapeutic option, associated with positive clinical outcomes within a multidisciplinary program.
- Subjects
PAIN management; CHRONIC pain; CHILD patients; ANALGESICS; COMORBIDITY
- Publication
Pediatric Anesthesia, 2018, Vol 28, Issue 11, p999
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/pan.13494