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Clinical Characteristics, Patient-Reported Outcomes, and Previous Therapeutic Management of Patients with Uncontrolled Neuropathic Pain Referred to Pain Clinics

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Clinical Characteristics, Patient-Reported Outcomes, and Previous Therapeutic Management of Patients with Uncontrolled Neuropathic Pain Referred to Pain Clinics

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dc.contributor.author De Andrés Ibáñez, José es_ES
dc.contributor.author de la Calle, José-Luis es_ES
dc.contributor.author Pérez, María es_ES
dc.contributor.author López, Vanessa es_ES
dc.date.accessioned 2015-06-10T09:48:28Z
dc.date.available 2015-06-10T09:48:28Z
dc.date.issued 2014 es_ES
dc.identifier.citation Pain Research and Treatment Vol. 2014 es_ES
dc.identifier.uri http://hdl.handle.net/10550/44292
dc.description.abstract Background. The aim of this report was to evaluate the clinical profile and previous management of patients with uncontrolled neuropathic pain who were referred to pain clinics. Methods. We included adult patients with uncontrolled pain who had a score of ≥4 in the DN4 questionnaire. In addition to sociodemographic and clinical data, we evaluated pain levels using a visual analog scale as well as anxiety, depression, sleep, disability, and treatment satisfaction employing validated tools. Results. A total of 755 patients were included in the study. The patients were predominantly referred to pain clinics by traumatologists (34.3%) and primary care physicians (16.7%). The most common diagnoses were radiculopathy (43%) and pain of oncological origin (14.3%). The major cause for uncontrolled pain was suboptimal treatment (88%). Fifty-three percent of the patients were depressed, 43% had clinical anxiety, 50% rated their overall health as bad or very bad, and 45% noted that their disease was severely or extremely interfering with their daily activities. Conclusions. Our results showed that uncontrolled neuropathic pain is a common phenomenon among the specialties that address these clinical entities and, regardless of its etiology, uncontrolled pain is associated with a dramatic impact on patient well-being. es_ES
dc.title Clinical Characteristics, Patient-Reported Outcomes, and Previous Therapeutic Management of Patients with Uncontrolled Neuropathic Pain Referred to Pain Clinics es_ES
dc.type journal article es_ES
dc.identifier.doi 10.1155/2014/518716 es_ES
dc.identifier.idgrec 100690 es_ES

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