AB088. SOH21AS047. Pain sources in patients attending a chronic pain clinic: retrospective study
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AB088. SOH21AS047. Pain sources in patients attending a chronic pain clinic: retrospective study

Alena-Mihaela Boros, Dominic Harmon

Department of Anaesthesia and Intensive Care, University Hospital Limerick, Limerick, Ireland

Background: The identification of the source and mechanism of pain is fundamental for the treatment of chronic pain. Chronic pain patients may have multiple sources of pain with an impact on treatment outcomes. These coexisting conditions are more common in women than men. We designed a retrospective study to assess this in patients referred to a chronic pain clinic.

Methods: A total of 100 adult patient charts from one pain management practice in Limerick, Ireland were randomly selected (November 2020). Patient demographics were recorded, the sources of pain were determined, as well as injuries if the source of pain (e.g., road traffic accident, work injury or surgical interventions).

Results: From 100 adult patients between 18 to 92 years of age (57.05±17 years), 55% were women and 45% men. Our study showed that 63% of patients had more than one source of pain. This was more common in women (69%) than in men (30%). The most common source of pain was joint pain (46%), followed by back pain (39%), back and leg pain (35%), neck pain (22%) and widespread pain (15%). With injuries, 19% were in a road traffic accident, 6% had work injury related pain and 12% were post-surgical.

Conclusions: A significant proportion of chronic pain patients were diagnosed with multiple sources of pain. This illustrates the importance of a pain management service in the diagnosis of chronic pain in patients by finding the sources and mechanisms of pain. This study demonstrates the need for the pain management service to refine diagnostic skills and techniques.

Keywords: Pain; multiple chronic pain conditions; pain management service; diagnosis; diagnostic


Funding: None.


Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-21-ab088
Cite this abstract as: Boros AM, Harmon D. SOH21AS047. Pain sources in patients attending a chronic pain clinic: retrospective study. Mesentery Peritoneum 2021;5:AB088.

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