M Dobe1, U Damschen, B Reiffer-Wiesel, C Sauer, B Zernikow. 1. Vodafone Stiftungsinstitut für Kinderschmerztherapie und pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik der Universität Witten/Herdecke, Datteln. m.dobe@vr-web.de
Abstract
OBJECTIVE: In children and adolescents we investigated the impact of a 3-week inpatient multimodal pain therapy on subjective burden of life, pain intensity, and number of days off from school 3, 6, or 12 months later. METHODS: At the beginning of therapy (inpatient setting) and 3, 6, and 12 months thereafter (outpatient setting) we collected the respective data using standardized questionnaires. For statistical analysis we used Wilcoxon's signed rank test. A p <0.05 was regarded as statistically significant. RESULTS: A total of 72 patients aged 7.5-18.2 years suffering daily pain entered the study, most of them being diagnosed with somatoform pain disease. After 3, 6, and 12 months, 65, 27, and 30 patients could be reevaluated. Mean pain intensity of the week before data acquisition was significantly less than at the beginning (2.9, 2.3, and 2.9 vs 6.3) as was the mean number of days off from school due to pain during the 4-week period before each day of data acquisition (1.8, 1.5, and 1.4 vs 9.2). Mean subjective burden of life was significantly less than at the beginning (24.5, 22.0, and 25.8 vs 37.8). CONCLUSION: Outpatient multimodal pain therapy has a sustained impact on children and adolescents suffering from chronic pain.
OBJECTIVE: In children and adolescents we investigated the impact of a 3-week inpatient multimodal pain therapy on subjective burden of life, pain intensity, and number of days off from school 3, 6, or 12 months later. METHODS: At the beginning of therapy (inpatient setting) and 3, 6, and 12 months thereafter (outpatient setting) we collected the respective data using standardized questionnaires. For statistical analysis we used Wilcoxon's signed rank test. A p <0.05 was regarded as statistically significant. RESULTS: A total of 72 patients aged 7.5-18.2 years suffering daily pain entered the study, most of them being diagnosed with somatoformpain disease. After 3, 6, and 12 months, 65, 27, and 30 patients could be reevaluated. Mean pain intensity of the week before data acquisition was significantly less than at the beginning (2.9, 2.3, and 2.9 vs 6.3) as was the mean number of days off from school due to pain during the 4-week period before each day of data acquisition (1.8, 1.5, and 1.4 vs 9.2). Mean subjective burden of life was significantly less than at the beginning (24.5, 22.0, and 25.8 vs 37.8). CONCLUSION:Outpatient multimodal pain therapy has a sustained impact on children and adolescents suffering from chronic pain.
Authors: C W Perquin; A A Hazebroek-Kampschreur; J A Hunfeld; L W van Suijlekom-Smit; J Passchier; J C van der Wouden Journal: Clin J Pain Date: 2000-09 Impact factor: 3.442
Authors: Benjamin H Lee; Lisa Scharff; Navil F Sethna; Claire F McCarthy; Jennifer Scott-Sutherland; Alice M Shea; Penny Sullivan; Petra Meier; David Zurakowski; Bruce J Masek; Charles B Berde Journal: J Pediatr Date: 2002-07 Impact factor: 4.406
Authors: T Hechler; J Kosfelder; H Denecke; M Dobe; B Hübner; A Martin; A Menke; S Schroeder; S Marbach; B Zernikow Journal: Schmerz Date: 2008-08 Impact factor: 1.107
Authors: S Reiter-Theil; T Graf-Baumann; K Kutzer; H C Müller-Busch; R Stutzki; H C Traue; A Willweber-Strumpf; M Zimmermann; M Zenz Journal: Schmerz Date: 2008-04 Impact factor: 1.107