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Effectiveness of interdisciplinary interventions in paediatric chronic pain management: a systematic review and

Christina Liossi1, Lauren Johnstone2, Suzanne Lilley3

  • 1University of Southampton, School of Psychology, Southampton, UK; Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

British Journal of Anaesthesia
|March 28, 2019
PubMed

Insights

Multimodal interdisciplinary interventions significantly reduce pain intensity and improve function in children with chronic pain. Further high-quality trials are needed to confirm these benefits for pediatric chronic pain management.

Area of Science:

  • Pediatric Pain Management
  • Interdisciplinary Healthcare
  • Clinical Effectiveness Research

Background:

  • Pediatric chronic pain significantly impairs quality of life.
  • Multimodal interdisciplinary interventions are the standard treatment approach.
  • This review evaluates the effectiveness of these interventions.

Purpose of the Study:

  • To comprehensively review the effectiveness of interdisciplinary interventions for pediatric chronic pain.
  • To synthesize evidence on the impact of these treatments on various outcomes.

Main Methods:

  • Systematic literature search across nine databases.
  • Inclusion of 28 studies on interdisciplinary interventions for chronic pain in individuals aged 22 or younger.
  • Meta-analyses conducted on data from 21 studies.

Main Results:

  • Interdisciplinary interventions led to significantly lower pain intensity post-treatment compared to controls.
  • Improvements observed in pain intensity, functional disability, anxiety, depression, catastrophizing, school attendance/functioning, and pain acceptance.
  • Limited differences between inpatient and outpatient settings; significant heterogeneity noted.

Conclusions:

  • Interdisciplinary interventions demonstrate potential clinical benefits for children with chronic pain.
  • Methodologically sound randomized controlled trials with standardized measures are essential.
  • Further research is needed to guide optimal clinical care for pediatric chronic pain.
Abstract

Keywords:
chronic paininterdisciplinary pain clinicmeta-analysismultimodal analgesiapaediatricssystematic review

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