Healthcare Use for Pain in Women Waiting for Gynaecological Surgery

Overview

Journal Pain Res Manag

Date 2016 Jul 23

PMID 27445595

Citations 5

Authors

Sarah Walker

Wilma M Hopman

Meg E Carley

Elizabeth G Mann

Elizabeth G VanDenKerkhof

Affiliations

Soon will be listed here.

Abstract

Background. Pain while waiting for surgery may increase healthcare utilization (HCU) preoperatively. Objective. Examine the association between preoperative pain and HCU in the year prior to gynecological surgery. Methods. 590 women waiting for surgery in a Canadian tertiary care centre were asked to report on HCU in the year before surgery. Pain was assessed using the Brief Pain Inventory. Results. 33% reported moderate to severe pain intensity and interference in the week before surgery. Sixty-one percent (n = 360) reported a total of 2026 healthcare visits, with 21% (n = 126) reporting six or more visits in the year before surgery. After controlling for covariates, women with moderate to severe (>3/10) pain intensity/interference reported higher odds of overall HCU (≥3 pain-related visits to family doctor or specialist in the past year or ≥1 to emergency/walk-in clinic) compared to women with no or mild pain. Lower body mass index (BMI < 30 versus ≥30) and anxiety and/or depression were associated with emergency department or walk-in visits but not visits to family doctors or specialists. Conclusions. There is a high burden of pain in women awaiting gynecological surgery. Decisions about resource allocation should consider the impact of pain on individuals and the healthcare system.

Citing Articles

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References

Patel A, Rendu A, Moran P, Leese M, Mann A, Knapp M . A comparison of two methods of collecting economic data in primary care. Fam Pract. 2005; 22(3):323-7. DOI: 10.1093/fampra/cmi027. View

Baldaro B, Gentile G, Codispoti M, Mazzetti M, Trombini E, Flamigni C . Psychological distress of conservative and nonconservative uterine surgery: a prospective study. J Psychosom Res. 2003; 54(4):357-60. DOI: 10.1016/s0022-3999(02)00394-x. View

Gore M, Sadosky A, Stacey B, Tai K, Leslie D . The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2011; 37(11):E668-77. DOI: 10.1097/BRS.0b013e318241e5de. View

Geisser M, Roth R, Robinson M . Assessing depression among persons with chronic pain using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: a comparative analysis. Clin J Pain. 1997; 13(2):163-70. DOI: 10.1097/00002508-199706000-00011. View

Donoghue A, Jackson H, Pagano R . Understanding pre- and post-hysterectomy levels of negative affect: a stress moderation model approach. J Psychosom Obstet Gynaecol. 2003; 24(2):99-109. DOI: 10.3109/01674820309042807. View

Waddell J . Improving waiting times for surgery. Can J Surg. 2008; 51(5):333-5. PMC: 2556530. View

Jordan K, Jinks C, Croft P . Health care utilization: measurement using primary care records and patient recall both showed bias. J Clin Epidemiol. 2006; 59(8):791-797. DOI: 10.1016/j.jclinepi.2005.12.008. View

Triffaux J, Wauthy J, Bertrand J, Limet R, Albert A, Ansseau M . Psychological evolution and assessment in patients undergoing orthotopic heart transplantation. Eur Psychiatry. 2001; 16(3):180-5. DOI: 10.1016/s0924-9338(01)00561-2. View

Derrett S, Paul C, Morris J . Waiting for elective surgery: effects on health-related quality of life. Int J Qual Health Care. 1999; 11(1):47-57. DOI: 10.1093/intqhc/11.1.47. View

10.

Daut R, Cleeland C, Flanery R . Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain. 1983; 17(2):197-210. DOI: 10.1016/0304-3959(83)90143-4. View

11.

Lim K, Jacobs P, Klarenbach S . A population-based analysis of healthcare utilization of persons with back disorders: results from the Canadian Community Health Survey 2000-2001. Spine (Phila Pa 1976). 2006; 31(2):212-8. DOI: 10.1097/01.brs.0000194773.10461.9f. View

12.

Lenz E, Pugh L, Milligan R, Gift A, Suppe F . The middle-range theory of unpleasant symptoms: an update. ANS Adv Nurs Sci. 1997; 19(3):14-27. DOI: 10.1097/00012272-199703000-00003. View

13.

Barsky A, Orav E, Bates D . Distinctive patterns of medical care utilization in patients who somatize. Med Care. 2006; 44(9):803-11. DOI: 10.1097/01.mlr.0000228028.07069.59. View

14.

Beekman A, Deeg D, van Limbeek J, Braam A, De Vries M, van Tilburg W . Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): results from a community-based sample of older subjects in The Netherlands. Psychol Med. 1997; 27(1):231-5. DOI: 10.1017/s0033291796003510. View

15.

McClish D, Levenson J, Penberthy L, Roseff S, Bovbjerg V, Roberts J . Gender differences in pain and healthcare utilization for adult sickle cell patients: The PiSCES Project. J Womens Health (Larchmt). 2006; 15(2):146-54. DOI: 10.1089/jwh.2006.15.146. View

16.

Mantyselka P, Kumpusalo E, Ahonen R, Kumpusalo A, Kauhanen J, Viinamaki H . Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain. 2001; 89(2-3):175-80. DOI: 10.1016/s0304-3959(00)00361-4. View

17.

Jensen M, Karoly P, Braver S . The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986; 27(1):117-126. DOI: 10.1016/0304-3959(86)90228-9. View

18.

Smarr K, Keefer A . Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health.... Arthritis Care Res (Hoboken). 2012; 63 Suppl 11:S454-66. DOI: 10.1002/acr.20556. View

19.

Persson P, Wijma K, Hammar M, Kjolhede P . Psychological wellbeing after laparoscopic and abdominal hysterectomy--a randomised controlled multicentre study. BJOG. 2006; 113(9):1023-30. DOI: 10.1111/j.1471-0528.2006.01025.x. View

20.

McAteer A, Elliott A, Hannaford P . Ascertaining the size of the symptom iceberg in a UK-wide community-based survey. Br J Gen Pract. 2011; 61(582):e1-11. PMC: 3020067. DOI: 10.3399/bjgp11X548910. View