Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Tony GIN (麻醉及深切治疗学系) |
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Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/9Scopus source URL
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摘要Objective. To examine the profile and referral pattern of patients attending an out-patient pain management service in Hong Kong. Design. Prospective cross-sectional survey. Setting. Regional public hospitals, Hong Kong. Patients. All patients attending out-patient pain management clinics in the New Territories East public hospitals between 1 September and 31 December 2002. Main outcome measures. Demographic profiles, referring specialty, pain diagnosis, pain sites, duration and severity of pain, treatment modality, litigation, compensation, and social welfare status. Data were collected using a standardised questionnaire. Results. Two hundred and forty-eight patients were interviewed. Most patients (70%) were middle-aged, with 21% over 60 years. Seventy-nine percent of patients were referred to the clinics either from orthopaedic surgeons (64.1%), general and other surgeons (14.http://aims.cuhk.edu.hk/converis/portal/Publication/9%), or general practitioners (3.6%). The median (range) duration of pain was 2.3 (0.08-26.7) years. The most common pain diagnoses were musculoskeletal back pain (46.4%) and neuropathic pain (27.8%). A total of 11.3% of the patients had two pain diagnoses, while 40.7% complained of pain in more than one location. Pain in the limbs was the most frequent complaint followed by the head, neck, and back. Approximately 38% of patients had tried four or more treatment modalities. Oral medication was the most common method (86.7%) of pain-relief treatment. More than half of the patients had also tried physiotherapy and traditional Chinese medicine. Approximately 37% of the patients were unemployed, while 31% were receiving social security subsidy. Eighty-six patients had pain associated with a work-related injury, and of these patients, 80% were involved in compensation claims. Conclusions. The profile of patients referred to the pain management clinics was complex. Patients were mainly referred from specialists. The economic implication in this group of patients is likely to be significant as many patients utilised multiple treatment modalities, were unemployed and on social welfare benefits, and were involved in compensation and litigation proceedings.
着者Chen P.P., Chen J., Gin T., Ma M., Fung K.C., Woo K.H., Wong P.Y.
期刊名称Hong Kong Medical Journal
出版年份2004
月份6
日期1
卷号10
期次3
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
页次150 - 155
国际标準期刊号1024-2708
电子国际标準期刊号2226-8707
语言英式英语
关键词Health care surveys, Pain, Pain clinics
