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A novel inpatient complex pain team: protocol for a mixed-methods evaluation of a single-centre pilot study.
BMJ Open ; 8(3): e019058, 2018 03 22.
Artigo em Inglês | MEDLINE | ID: mdl-29567843


Complex pain is a debilitating condition that is responsible for low quality of life and significant economic impacts. Although best practice in the treatment of complex pain employs a multidisciplinary team, many patients do not have access to this care, leading to poor outcomes. METHODS AND


This study evaluates a novel inpatient complex pain team at a large London teaching hospital. A multidisciplinary pain team comprising specialist doctors, nurses, psychologists and physiotherapists was instituted for inpatients with complex pain who will undergo an intense and bespoke evidence-based programme which will then be integrated into the community. A mixed-methods evaluation will take place and patients will be recruited over the course of 1 year. A qualitative arm will interview 15 staff and 15 patients on recruitment and again 6 months later looking to compare and contrast the new pain team with past experiences of pain management. A quantitative arm will assess clinical outcomes using validated scoring tools. An economic evaluation will seek to evaluate the relative cost of the service by comparing healthcare costs before and after the intervention. ETHICS AND DISSEMINATION The study was categorised as a service evaluation, so formal ethical approval was not considered necessary. Participant recruitment began in January 2016 and the 1-year follow-up will end in November 2017. The results of this study will be published in 2018.





Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Projetos de Pesquisa / Custos de Cuidados de Saúde / Manejo da Dor Tipo de estudo: Avaliação econômica em saúde Aspecto clínico: Prognóstico Limite: Humanos País/Região como assunto: Europa Idioma: Inglês Revista: BMJ Open Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Reino Unido