Inpatient vs. outpatient pain management: results of a randomised controlled trial
| Autor: | J.H. Chamberlain, D.M. Justins, Michael K. Nicholas, Vicki Harding, K. L. Ridout, P.H. Richardson, Charles E. Pither, A.C.de C. Williams, I.H. Richardson, J.A. Ralphs |
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| Rok vydání: | 1996 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Physical exercise law.invention Treatment and control groups Randomized controlled trial law Anesthesiology Health care medicine Ambulatory Care Humans Cognitive Behavioral Therapy business.industry Palliative Care Chronic pain Middle Aged medicine.disease Low back pain Hospitalization Anesthesiology and Pain Medicine Neurology Cognitive therapy Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Pain. 66(1) |
| ISSN: | 0304-3959 |
| Popis: | Inpatient and outpatient cognitive behavioural pain management programmers for mixed chronic pain patients were compared. Patients were randomly allocated to the 4 week inpatient programme or to the 8 half day per week outpatient programme, or to a waiting list control group. Staff, teaching materials, and setting were the same for the two treatment groups. Patients were assessed pre-treatment, and at 1 month after discharge, and treated patients also at 6 months and 1 year after discharge, by assessors blind to treatment group; assessments included physical, functional and psychological measures, and medication use. In total, 121 mixed chronic pain patients (mean age 50 years; mean chronicity 8.1 years) were included in the study, following medical examination to ensure that no further medical treatment was appropriate. There was no change in the control group; inpatients and outpatients, comparable before treatment, both made significant improvements in physical performance and psychological function, and reduced medication use. Inpatients made greater gains, and maintained them better at 1 year; they also used less health care than outpatients. There were no outstanding predictors of improvement other than treatment group. |
| Databáze: | OpenAIRE |
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