Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

EndNote Style
Original Article
Assessment of first-time attendees at a pain clinic using a pain inventory tool
Aims: Pain presents a complex challenge affecting the quality of life of over a million adults annually. Understanding the variety and distribution of pain types is vital for effective management and intervention strategies. This study aimed to assess the characteristics and distribution of pain among first-time attendees at a pain clinic using the Brief pain inventory (BPI).
Methods: A cross-sectional survey was conducted with 100 adult outpatients at the pain clinic of the İstanbul Training and Research Hospital from July to November 2012. The BPI was administered face-to-face and demographic data were collected. Individuals under 18 years of age, mentally retarded, previous pain clinic attendance, cancer pain, or diagnosed rheumatic diseases was excluded. Written informed consent was obtained from all participants. Descriptive statistics were used to describe the means, standard deviations, and frequency distributions.
Results: The study included 100 adult patients with a mean age of 46.4, predominantly female (65%), who sought treatment for various pain complaints at a pain clinic. The majority reported throbbing (41% knee, 31% lumbar, and 65% shoulder) and exhausting pain (74% knee, 73% lumbar, and 65% shoulder), with significant proportions experiencing constant pain, especially in the knee (82%) and lumbar region (81%). Regular analgesic use was noted in 54% of the patients, with 65% requiring daily medication, indicating high demand for pain management. Despite treatment, 90% expressed the need for stronger pain relief and 50% reported side effects from analgesics. Various nonpharmacological methods have been used, such as hot compression (38%) and relaxation techniques (30%).
Conclusion: The study reveals the significant pain burden among first-time pain clinic patients, with throbbing and exhausting sensations prevalent in knee and lumbar regions. The extensive use of analgesics and need for stronger pain relief indicate ongoing pain management challenges. The adoption of nonpharmacological methods highlights the need for a multifaceted approach. These findings emphasize the necessity of tailored, multidimensional pain management strategies for enhanced patient care and quality of life.

1. Institute of Medicine (US) Committee on Advancing Pain Research, Care,and Education.Relieving Pain in America: A Blueprint for TransformingPrevention, Care, Education, and Research. Washington (DC): NationalAcademies Press (US); 2011.
2. Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, bestpractices, and new advances. Lancet. 2021;397(10289):2082-2097.
3. Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brainmechanisms of pain perception and regulation in health and disease. EurJ Pain. 2005;9(4):463-484.
4. Jensen MP, Ehde DM, Day MA. The behavioral activation and inhibitionsystems: implications for understanding and treating chronic pain. J Pain.2016;17(5):529.e1-529.e18.
5. Duncan G. Mind-body dualism and the biopsychosocial model of pain:what did Descartes really say? J Med Philos. 2000;25(4):485-513.
6. Cleeland C, Ryan K. Pain assessment: global use of the Brief PainInventory. Ann Acad Med Singap. 1994;23(2):129-138.
7. Visentin M, Zanolin E, Trentin L, Sartori S, de Marco R. Prevalence andtreatment of pain in adults admitted to Italian hospitals. Eur J Pain. 2005;9(1):61-67.
8. Hasse LA, Ritchey PN, Smith R. Predicting the number of headache visits bytype of patient seen in family practice. J Headache Pain. 2002;42(8):738-746.
9. Sertel Berk HÖ, Bahadır G. The experience of chronic pain and painbeliefs. Agri. 2007;19(4):5-15.
10. Kuehn B. Chronic pain prevalence. JAMA. 2018;320(16):1632.
11. Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain:systematic review. Rev Saude Publica. 2015;49:1.
12. Karaman H, Kavak GÖ. Ağrı kliniğimizin bir yıllık olgu analizi. Pam MedJ. 2010;3(1):17.
13. Nakamura M, Toyama Y, Nishiwaki Y, Ushida T. Prevalence andcharacteristics of chronic musculoskeletal pain in Japan. J Orthop Sci.2011;16(4):424-432.
14. Fujii T, Matsudaira K. Prevalence of low back pain and factors associatedwith chronic disabling back pain in Japan. Eur Spine J. 2013;22(2):432-438.
15. Sadeghian F, Raei M, Ntani G, Coggon D. Predictors of incident andpersistent neck/shoulder pain in Iranian workers: a cohort study. PLoSOne. 2013;8(2):e57544.
16. Leggett LE, Soril LJ, Lorenzetti DL, et al. Radiofrequency ablation forchronic low back pain: a systematic review of randomized controlledtrials. Pain Res Manag. 2014;19(5):e146-e153.
17. Elliot AM, Smith BH, Hannaford PC, Smith WC, Chambers WA. Thecourse of chronic pain in the community; results of a 4-year follow-upstudy. Pain. 2002;99(1-2):299-307.
Volume 4, Issue 2, 2024
Page : 68-72