Dedicated multidisciplinary pain management centres for children in Canada: the current status

Peng, Philip; Stinson, Jennifer; Choinière, Manon; Dion, Dominique; Intrater, Howard; LeFort, Sandra; Lynch, Mary; Ong, May; Rashiq, Saifee; Tkachuk, Gregg A.; Veillette, Yves

doi:10.1007/bf03016632

Cited by 88 publications

(104 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A concurrent study utilizing similar methodology, published in this issue of the Journal examines access to pediatric pain treatment centres found that only five dedicated pediatric MPTFs exist across Canada. 6 Wait times varied from four weeks to nine months, with headache and neuropathic pain being the most commonly treated conditions.…”

mentioning

confidence: 99%

“…Before governments can address the problems, their nature and scope must be accurately defined. Peng et al 4,6 have recognized the need for this information on a national scale and their studies fill an important gap in our knowledge. While providing us with an invaluable snapshot of currently available MPTF resources, the studies do have several limitations.…”

mentioning

confidence: 99%

“…While providing us with an invaluable snapshot of currently available MPTF resources, the studies do have several limitations. Perhaps most importantly, Peng et al 4,6 may have underestimated the number of physicians offering some form of pain treatment, since data collection was limited to those physicians who practice with at least two other disciplines. In Southwestern Ontario, for example, this definition would have excluded at least three anesthesiologists, two from other disciplines and several family physicians who devote the majority of their practice to full-time chronic non-malignant pain.…”

mentioning

confidence: 99%

“…Another limitation of these surveys 4,6 relates to their self-report methodology. Neither survey used formal interviewing for data verification on fields such as wait-times and patient volumes.…”

mentioning

confidence: 99%

“…Yet, more pain clinics, much as they are needed, will not alone solve the problem, as a brief examination of patient numbers will show. Current capacity in the entire country was measured by Peng et al 4,6 to be 46,000 new patient consults per year, or 54,000 if extrapolated to 100% of the identified facilities. Setting aside geographical access problems, and averaging the availability of clinics over the entire population, they calculated that one MPTF serves 258,000 Canadians.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Morley‐Forster

2007

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Morley‐Forster

2007

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2014

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

124

View full text Add to dashboard Cite

Background Chronic pain is common during childhood and adolescence and is associated with negative outcomes such as increased severity of pain, reduced function (e.g. missing school), and low mood (e.g. high levels of depression and anxiety). Psychological therapies, traditionally delivered face-to-face with a therapist, are efficacious at reducing pain intensity and disability. However, new and innovative technology is being used to deliver these psychological therapies remotely, meaning barriers to access to treatment such as distance and cost can be removed or reduced. Therapies delivered with technological devices, such as the Internet, computer-based programmes, smartphone applications, or via the telephone, can be used to deliver treatment to children and adolescents with chronic pain. Objectives To determine the efficacy of psychological therapies delivered remotely compared to waiting-list, treatment-as-usual, or active control treatments, for the management of chronic pain in children and adolescents. Search methods We searched four databases (CENTRAL, MEDLINE, EMBASE, and PsycINFO) from inception to June 2014 for randomised controlled trials of remotely delivered psychological interventions for children and adolescents (0 to 18 years of age) with chronic pain. We searched for chronic pain conditions including, but not exclusive to, headache, recurrent abdominal pain, musculoskeletal pain, and neuropathic pain. We also searched online trial registries for potential trials. A citation and reference search for all included studies was conducted. Selection criteria All included studies were randomised controlled trials that investigated the efficacy of a psychological therapy delivered remotely via the Internet, smartphone device, computer-based programme, audiotapes, or over the phone in comparison to an active, treatment-as-usual, or waiting-list control. We considered blended treatments, which used a combination of technology and face-to-face interaction. We excluded interventions solely delivered face-to-face between therapist and patient from this review. Children and adolescents (0 to 18 years of age) with a primary chronic pain condition were the target of the interventions. Each comparator arm, at each extraction point had to include 10 or more participants. Data collection and analysis For the analyses, we combined all psychological therapies. We split pain conditions into headache and mixed (non-headache) pain and analysed them separately. Pain, disability, depression, anxiety, and adverse events were extracted as primary outcomes. We also extracted satisfaction with treatment as a secondary outcome. We considered outcomes at two time points: first immediately following the end of treatment (known as ’post-treatment’), and second, any follow-up time point post-treatment between 3 and 12 months (known as ’follow-up’). We assessed all included studies for risk of bias. Main results Eight studies (N = 371) that delivered treatment remotely were identified from our search; five studies inv...

show abstract

Dedicated multidisciplinary pain management centres for children in Canada: the current status

Abstract: There are very few pediatric MPTFs in Canada. These facilities exist in five of ten provinces, each within large urban centres. Limited accessibility leads to variable and prolonged wait times for pediatric patients suffering from chronic pain.

Cited by 88 publications

References 24 publications

Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Contact Info

Product

Resources

About