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Related Experiment Videos

Chronic pain: which patients may a pain-management program help?

Toshihiko Maruta1, David W Swanson, Wendell M Swenson

  • 1Mayo Clinic and Mayo Foundation, Rochester, Minn. 55901 U.S.A.

Pain
|December 1, 1979
PubMed
Summary

Identifying chronic pain patients who will benefit from pain management is possible before treatment. A new scale, based on pain duration, work loss, operations, pain level, and drug dependency, helps predict success.

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Area of Science:

  • Pain Management
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Effective patient selection is crucial for optimizing outcomes in pain management programs.
  • Identifying individuals likely to benefit from intensive pain management can improve resource allocation and patient satisfaction.

Purpose of the Study:

  • To determine if patients who will benefit from a pain management program can be identified pre-treatment.
  • To explore pre-treatment differences between successful and unsuccessful pain management program participants.

Main Methods:

  • A retrospective study comparing patients who succeeded (n=34) versus failed (n=35) in a pain management program at 1-year follow-up.
  • Analysis of baseline variables including pain duration, work time lost, number of operations, subjective pain level, drug dependency, and MMPI deviations.

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  • Development and validation of a 7-item rating scale to differentiate between favorable and unfavorable patient groups.

    • Main Results:

    • Significant baseline differences (P<0.01) were found between successful and failed groups in pain duration, work time lost, number of operations, subjective pain level, and drug dependency.
    • While MMPI deviations were greater in the failure group, these differences were not statistically significant.
    • The developed 7-item rating scale successfully differentiated a favorable group (71% of successes) from an unfavorable group (86% of failures).

    Conclusions:

    • Pre-treatment characteristics can effectively identify chronic pain patients likely to benefit from pain management programs.
    • The developed 7-item rating scale shows promise for improving patient selection for pain management interventions.
    • Further validation of the rating scale is recommended to confirm its utility in clinical practice.