Boppana Sushmitha S, Miller Rebecca, Wrona Aubrey, Tumin Dmitry, Wrona Sharon, Smith Timothy P, Bhalla Tarun, Kim Stephani S, Tobias Joseph D
Northeast Ohio University, Rootstown, OH, USA.
Nationwide Children's Hospital, Columbus, OH, USA.
Clin Pediatr (Phila). 2020 Sep;59(9-10):859-864. doi: 10.1177/0009922820922847. Epub 2020 May 19.
Initial clinic evaluation among referred patients and factors limiting treatment initiation are not well characterized. We conducted a retrospective review of referrals to our outpatient pain clinic to identify intake visits and factors associated with treatment initiation among adolescents with chronic pain. We identified adolescents aged 13 to 18 years at the time of referral to clinic (2010-2016). Factors associated with completion of visits were evaluated using logistic regression. Patients who completed visits more frequently had private insurance than public or no insurance ( = .053). The most common reasons for caregiver decision not to attend the pain clinic included use of another pain clinic, that services were not wanted or no longer needed, and that their child was undergoing further testing. The current study demonstrated that patients with head pain were more likely to complete an intake visit, while there was a trend showing that lack of private insurance decreased this likelihood.
在转诊患者中进行的初始临床评估以及限制治疗开始的因素尚未得到充分描述。我们对转诊至我们门诊疼痛诊所的患者进行了回顾性研究，以确定青少年慢性疼痛患者的初次就诊情况以及与治疗开始相关的因素。我们确定了在2010年至2016年转诊至诊所时年龄在13至18岁之间的青少年。使用逻辑回归评估与就诊完成相关的因素。完成就诊频率较高的患者拥有私人保险的比例高于公共保险或无保险患者（P = 0.053）。照顾者决定不参加疼痛诊所的最常见原因包括使用了另一家疼痛诊所、不需要或不再需要该服务以及他们的孩子正在接受进一步检查。当前研究表明，头痛患者更有可能完成初次就诊，而有一种趋势表明缺乏私人保险会降低这种可能性。
