Background & Aims
The Corona virus infectious disease (COVID-19) pandemic is one of the most important world-wide healthcare challenges to have emerged in the recent past. Just like most other medical specialties, the field of chronic pain was one of the hardest hit from the COVID-19 pandemic leaving many patients over burdened with their chronic pain and their on-going treatment delayed. We aimed at studying the effects of COVID-19 pandemic on the management of chronic pain patients.
Methods
This prospective observational study was conducted on 150 patients of age > 18 years, of either sex presenting to pain management centre with chronic pain conditions > 3 months. Responses were recorded against a designed questionnaire including demographic profile, pain profile parameters, coping strategies, association of chronic pain with comorbidities, effects on daily activities, sleep, working capacity and mental/emotional health, COVID-19 profile of the patients with chronic pain. At the end of study the data was compiled and analysed. Continuous parametric variables were expressed as means and standard deviation, while continuous non- parametric variables were expressed as median and interquartile range. Categorical variables were expressed as percentages. Comparison of median NRS score was done using Friedman’s two-way analysis of variance by ranks. Comparison of categorical variables was done using Chi square test. p-value<.05 was considered significant.
Results
Majority of the patients were females, with the mean age of 50 ±13 years, belonging to the middle socio-economic status with most common sites of pain being low back pain, knee pain and neck pain. In our study, 20% patients had multiple sites of pain as well. There was significant increase in intensity and frequency of pain, also affecting the sleep, working capacity and mental health of the individuals. More than two third of the patients could not get their interventional pain procedure done on time that played a negative role in management and contributed to increase in pain. Fear of contracting infection, intermittent closure of OPD and assumption of non- availability of pain physician, advised against visiting hospital by family members and travel restrictions decreased follow-up in the OPD. The pain management strategies adopted by the patients were taking over the counter medications, continuing past treatment on their own, and teleconsultation.
Conclusions
There is an urgent need to develop various training programs for healthcare providers and patients to have better utilization of resources in order to provide uninterrupted and safe treatment services for chronic pain patients during a pandemic.
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Presenting Author
Naveen Malhotra
Poster Authors
Naveen Malhotra
MD, DNBE, FIAPM
Pt. BDS PGIMS, Rohtak, Haryana, India
Lead Author
Charan N
MD
Pt. BD Sharma PGIMS Rohtak, Haryana, India
Lead Author
Deepika Budhwar
MD
Pt. BD Sharma PGIMS Rohtak, Haryana, India
Lead Author
Amit Kumar
MD
Pt. BD Sharma PGIMS Rohtak, Haryana, India
Lead Author
Neha Sinha
MD
Pt. BD Sharma PGIMS Rohtak, Haryana, India
Lead Author
Vaishali Phoghat
MD
Pt. BD Sharma PGIMS Rohtak, Haryana, India
Lead Author
Topics
- Access to Care