Referrals to a facial pain service

Lang, Michelle; Selvadurai, T.; Zakrzewska, Joanna M

doi:10.1038/sj.bdj.2016.262

Cited by 5 publications

(9 citation statements)

References 19 publications

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“…This oversight can pose a high risk to patient safety, especially if the patient has been triaged into the wrong setting based on the information provided. A medical history including past and present medications helps prevent polypharmacy and encourages safer prescribing, in addition to assisting the specialist in creating a treatment plan without additional ‘time‐wasting’ correspondence with the referring practitioner. One study found that only 58% of referral letters gave an accurate list of medications and drug doses used by their patients.…”

Section: Discussionmentioning

confidence: 99%

Patient awareness and quality of oral surgery referrals to specialist practice

Jadun

Syed²,

T³

et al. 2020

Oral Surgery

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Introduction: Recent years have shown an increase in the number of patients referred from primary care to a secondary care setting for oral surgery treatment. Due to the high volume of referrals to specialist Oral Surgery services, it is paramount that the referrals from dentist to specialists be appropriate and of a high standard. Materials and methods: The first part of this study assessed patients referred to two primary care settings for oral surgery procedures in Manchester, UK, and the second part examined the quality of the referrals undertaken.

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Section: Discussionmentioning

confidence: 99%

Patient awareness and quality of oral surgery referrals to specialist practice

Jadun

Syed²,

T³

et al. 2020

Oral Surgery

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“… 16 Sufficient information is mandatory for allowing appropriate triage and for the assessment of clinical need and urgency. 2 , 18 Busy general practitioners prioritize chair time over administration, and there has to be benefits to both the referrer and the receiving specialist if a new referral system is to be successful. By raising the bar on submissions, the patients’ and society’s resources can be better allocated and utilized.…”

Section: Discussionmentioning

confidence: 99%

“…However, several published audits and studies have shown that the standards of oral surgery referrals are universally poor. 2 – 6 In this study, we performed a retrospective analysis of all routine oral surgery referrals received at two different oral surgery departments in Sweden.…”

Section: Introductionmentioning

confidence: 99%

Quality of oral surgery referrals and how to improve them

Bjorkeborn

Nilsson

Anderud

2017

CCIDE

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AimTo assess the quality of routine oral surgery referrals received at Halmstad Hospital and Växjö Hospital and to emphasize areas for improvement.MethodA retrospective study was performed on all routine oral surgery referrals received between 2014 and 2015 at both Halmstad Hospital and Växjö Hospital. A total of 1,891 referral letters were assessed for their quality against a predetermined checklist of basic requirements of a satisfactory referral. The referrals were also categorized according to if it was sent by a male, female, private dental service, or the Swedish Public Dental Health service.ResultsA diagnosis was missing in 30% of all referrals. Radiographs and information about previous radiographic examinations were not included in 10% of the referrals. Of those referrals that included radiographs, only around half were deemed adequate for diagnostic purposes. The presenting complaint was missing in 40% of all referrals. Current medical history was absent in 40% and current medication was omitted in 60% of the referrals. Information about tobacco use was only included in 10% of all referrals. Overall, female referrers performed better than male colleagues. Private referrals more regularly included information about diagnosis, previous treatment, and current medication. On the other hand, referrals from the public dental health service more frequently included radiographs, tobacco use, and current medical history.ConclusionThere is plenty of room for improving the standards of oral surgery referrals. We suggest that future electronic referral systems should only allow for submission once all of the essential information has been considered.

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“…Mixed pain syndromes may also exist, where, rather than a binary distinction, pain may exist on a continuum of ‘more or less neuropathic’ [2, 3]. Due to a limited understanding of the pathophysiology of these processes, and the possibility of multiple OFP diagnoses occurring within the same patient, misdiagnosis and inappropriate referral of these patients is common, particularly for non-specialist clinicians [4, 5]. The management of musculoskeletal compared to neuropathic origin varies.…”

Section: Introductionmentioning

confidence: 99%

“…Testing the PD-Q across a broad range of facial pain diagnoses is required to determine whether this tool would have utility as a screening tool for neuropathic pain in OFP. Our centre receives a heterogeneous group of patients with OFP [5], providing an opportunity to assess the PD-Q in a secondary care setting. The aim of this study was to determine the utility of the PD-Q to detect neuropathic pain in a hospital-based cohort of patients with OFP.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of the painDETECT screening questionnaire for detection of neuropathic components in hospital-based patients with orofacial pain: a prospective cohort study

Jafree

Zakrzewska²,

Bhatia³

et al. 2018

J Headache Pain

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BackgroundBetter tools are required for the earlier identification and management of orofacial pain with different aetiologies. The painDETECT questionnaire is a patient-completed screening tool with utility for identification of neuropathic pain in a range of contexts. 254 patients, referred from primary care for management of orofacial pain and attending a secondary care centre, were prospectively recruited, and completed the painDETECT prior to consultation. The aim of this study was to determine the accuracy of the painDETECT to detect neuropathic components of orofacial pain, when compared to a reference standard of clinical diagnosis by experienced physicians, in a cohort of hospital-based patients.ResultsFor the 251 patients included in the analysis, the painDETECT had a modest ability to detect neuropathic components of orofacial pain (AUROC, 0.63; 95% CI, 0.58–0.70; p = 0.001). Patients with orofacial pain diagnoses associated with neuropathic components had higher painDETECT scores than those with non-neuropathic components. However, the painDETECT was weaker at distinguishing patients with mixed pain types, and multiple diagnoses were associated with poor accuracy of the painDETECT.ConclusionIn secondary care settings, the painDETECT performed modestly at identifying neuropathic components, and underestimates the complexity of orofacial pain in its mixed presentations and with multiple diagnoses. Prior to clinical applications or research use, the painDETECT and other generic screening tools must be adapted and revalidated for orofacial pain patients, and separately in primary care, where orofacial pain is considerably less common.Electronic supplementary materialThe online version of this article (10.1186/s10194-018-0932-5) contains supplementary material, which is available to authorized users.

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Referrals to a facial pain service

Cited by 5 publications

References 19 publications

Patient awareness and quality of oral surgery referrals to specialist practice

Patient awareness and quality of oral surgery referrals to specialist practice

Quality of oral surgery referrals and how to improve them

Accuracy of the painDETECT screening questionnaire for detection of neuropathic components in hospital-based patients with orofacial pain: a prospective cohort study

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