Related Experiment Video

Updated: Aug 8, 2025

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

12.8K

Clinical differences in a multidisciplinary pediatric pain unit between primary and secondary chronic pain

M Alonso-Prieto1, D Pujol2, M Angustias Salmerón3

  • 1Unidad de Dolor Infantil-->, Servicio de Anestesiología-Reanimación Infantil, Hospital Universitario La Paz-->, Madrid, Spain.

Revista Espanola De Anestesiologia Y Reanimacion
|February 26, 2023
PubMed

Insights

Pediatric chronic pain patients, whether primary or secondary, show similar clinical profiles. However, primary chronic pain patients received fewer analgesics, highlighting the need for accurate diagnosis to guide treatment.

Area of Science:

  • Pediatrics
  • Pain Management
  • Clinical Research

Background:

  • Chronic pain impacts a significant pediatric population.
  • Primary chronic pain (PCP) has unknown causes, while secondary chronic pain (SCP) has defined medical origins.
  • Limited data exists on clinical differences between PCP and SCP in Spanish pediatric multidisciplinary units.

Purpose of the Study:

  • To compare the clinical characteristics of pediatric patients with primary chronic pain (PCP) and secondary chronic pain (SCP).
  • To identify differences in treatment, particularly analgesic use, between PCP and SCP in a pediatric pain unit.

Main Methods:

  • Retrospective analysis of clinical records from a Children's Chronic Pain Unit.
  • Inclusion of 92 pediatric patients (ages 3-19) treated in 2018.
  • Comparison between patients with PCP (n=31) and SCP (n=61).

Main Results:

  • Both PCP and SCP groups reported intense pain (mean 5.9/10) with similar duration and functional impact.
  • PCP was less associated with neuropathic descriptors (p=0.040) and more extensive (p<0.001) than SCP.
  • PCP patients received significantly less analgesic medication (gabapentinoids, opioids) than SCP patients (p=0.011).

Conclusions:

  • Pediatric patients with PCP and SCP exhibit largely similar clinical profiles in multidisciplinary units.
  • Differences in analgesic medication use underscore the importance of etiological diagnosis for optimal pharmacological management.
  • Multidisciplinary care is crucial for managing both primary and secondary chronic pain in children.
Abstract

Keywords:
Analgésicos opiáceosChildhood chronic painDolor crónico infantilDolor crónico primarioGabapentinoidesGabapentinoidsMultidisciplinary pain management unitOpioid analgesicsPrimary chronic painUnidad multidisciplinar de tratamiento del dolor

More Related Videos

Author Spotlight: Quantifying Pain Experience &#8211; An Illustrative Approach Using the Pain Body Diagram09:00

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Published on: July 7, 2023

3.6K
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

8.9K

Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
705
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
122
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
612
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
16