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Interventional procedures in children and adolescents with chronic non‐cancer pain as part of a multidisciplinary pain treatment program
Author(s) -
Vega Eduardo,
Rivera Gonzalo,
Echevarria Ghislaine C.,
Prylutskyy Zakhar,
Perez Jordi,
Ingelmo Pablo
Publication year - 2018
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13494
Subject(s) - medicine , chronic pain , multidisciplinary approach , psychological intervention , physical therapy , cancer pain , cancer , psychiatry , social science , sociology
Summary Background Interventional procedures are part of multidisciplinary pain treatment programs to treat chronic non‐cancer pain conditions in children and adolescents. However, the real benefit of these interventions remains unclear. Aims The aim of this study was to analyze the potential benefits of the interventional procedures in children and adolescents with chronic non‐cancer pain in the setting of a multidisciplinary pain treatment program. Methods We retrospectively reviewed the charts of 98 children and adolescents receiving 314 diagnostic or therapeutic interventional procedures. We applied the following definitions of efficacy Short‐term positive therapeutic effect: block that produced a minimum of 50% reduction in pain intensity for at least 4 weeks. Long‐term positive therapeutic effect: a patient with a minimum of 50% reduction in pain intensity for at least 6 months Full recovery: a patient free of pain, not taking analgesics with normal physical and role functioning 6 months after the last procedure.Results Seventy‐six of 112 diagnostic blocks (68%) were associated with a 50% reduction in pain intensity for at least 4 weeks after the procedure. One hundred and sixty‐six of 202 therapeutics blocks (82%) were associated with a short‐term benefit. Seventy‐two of 98 patients (73%) referred a 50% reduction in their pain intensity (17%) or had full recovery 6 months after the procedures (56%) and a MPTP. Psychiatric comorbidity and more advanced age were factors associated with failure to respond to interventional procedures. Conclusion The use of interventional procedures may represent a valid therapeutic option, associated with positive clinical outcomes within a multidisciplinary program.