A Survey on Clinical Characteristics of patients Visiting Pain Clinics

통증클리닉 내원환자의 임상적 특성에 관한 분석

  • 조대현 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 홍지희 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 김명희 (포천중문의과대학교 분당차병원 마취통증의학교실)
  • Received : 2005.07.20
  • Accepted : 2005.10.31
  • Published : 2005.12.10

Abstract

Background: Recently, the number of patients visiting pain clinics has been increasing with the augmented concerns of those patients about the management of their pain. We conducted this study in order to elucidate the characteristics of patients visiting pain clinics and to determine a method to further raise their awareness about pain treatment. Methods: We reviewed 1,424 new patients who visited our pain clinic from March 2003 to December 2004. We analyzed these patients according to their age and sex, treatment method before visiting the pain clinic, coexisting disease, chief complaint and pain location, resident district, route of visiting pain clinic, and degree of impairment due to pain by use of questionnaire. Results: In age distribution, the largest proportion (23.5%) was in their 50's. Most patients (64.0%) had received treatment in an oriental medicine clinic before visiting the pain clinic. The most common coexisting disease was hypertension (20.3%) and low back pain was the most common chief complaint (68.3%). Most of the patients lived in Gyeonggido (87%) and most visited our pain clinic on the recommendation of other patients who had visited our pain clinic before. Conclusions: We need to guide pain patients to undergo proper treatment much earlier using patient education or a referral system. Moreover, we should be more careful in patients with diabetes mellitus, and should have greater concern in the treatment of low back pain.

Keywords

References

  1. Jacobson L, Mariano A): General considerations of chronic pain. In: Bonica's management of pain. 3td ed. Edited by Loeser )D: Philadelphia, Lippincott Williams & Wilkins Publishers. 2001, pp 241-54.
  2. Lee HK, Kim SM, Han KR, Lee )M, Ko SS, Kim C: Stroke after procedure of lumbar facet joint block and lumbar epidural block. Korean) Pain 1997; 10: 131-3.
  3. Mann S): Systolic hypertension in the elderly. Pathophysiology and management. Arch Int Med 1992; 152: 1977-84.
  4. Kim DH, Kim DC, Lee )B, Han Y), Choe H: Epidural abscess after epidural block for pain management. Korean) Pain 2003; 16: 286-90.
  5. Ladhani S, Philips SD, Allgrove ): Low back pain at presentation in a newly diagnosed diabetic. Arch Dis Child 2002; 87: 543-4.
  6. Philips )M, Stedeford )C, Hartsilver E, Roberts C: Epidural abscess complicating inserrion of epidural catheters. Br ) Anaesth 2002; 89: 922-4.
  7. Philips )M, Stedeford )C, Hartsilver E, Roberts C: Epidural abscess complicating inserrion of epidural catheters. Br ) Anaesth 2002; 89: 922-4.
  8. Davies HTO, Crombie IK, Macrae WA, Rogers KM: Pain clinic patients in northern Britain. The Pain Clinic 1992; 5: 129-35.
  9. Lee Y), Lee SG, Kim )1, Ban )S, Min BW: 10 years survey of pain clinic. Korean) Pain 1994; 7: 283-7.
  10. Shin SH, Chung YP, Lim J), Yoon KB, Kim C: A clinical survey of patients of neuro-pain clinic. Korean) pain 1994; 7: 84-7.
  11. Oh HK: Current status and prospect of pain clinics in Korea. Korean) Pain 1992; 5: 171-6.
  12. lang YH, Lee )K, Cheun )K, Chung )K: A clinical survey of patients of pain clinic. Korean) Pain 1995; 8: 103-9.
  13. Gagliese L, Melzack R: Chronic pain in elderly people. Pain 1997; 70: 3-14.