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Bruce BK, Weiss KE, Ale CM, et al. Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients. Mayo Clin Proc Innov Qual Outcomes. 2017;1(2):141-149doi: 10.1016/j.mayocpiqo.2017.05.006.
Bruce, B. K., Weiss, K. E., Ale, C. M., Harrison, T. E., & Fischer, P. R. (2017). Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients. Mayo Clinic proceedings. Innovations, quality & outcomes, 1(2), 141-149. https://doi.org/10.1016/j.mayocpiqo.2017.05.006
Bruce, Barbara K, et al. "Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients." Mayo Clinic proceedings. Innovations, quality & outcomes vol. 1,2 (2017): 141-149. doi: https://doi.org/10.1016/j.mayocpiqo.2017.05.006
Bruce BK, Weiss KE, Ale CM, Harrison TE, Fischer PR. Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients. Mayo Clin Proc Innov Qual Outcomes. 2017 Jul 26;1(2):141-149. doi: 10.1016/j.mayocpiqo.2017.05.006. eCollection 2017 Sep. PMID: 30225410; PMCID: PMC6135035.
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Mayo Clin Proc Innov Qual Outcomes. 2017 Jul 26;1(2):141-149. doi: 10.1016/j.mayocpiqo.2017.05.006. eCollection 2017 Sep.

Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients.

Mayo Clinic proceedings. Innovations, quality & outcomes

Barbara K Bruce, Karen E Weiss, Chelsea M Ale, Tracy E Harrison, Philip R Fischer

Affiliations

  1. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
  2. Division of Pediatric Anesthesia, Department of Anesthesia, Mayo Clinic, Rochester, MN.
  3. Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN.

PMID: 30225410 PMCID: PMC6135035 DOI: 10.1016/j.mayocpiqo.2017.05.006

Abstract

OBJECTIVE: To describe the development of a clinically and financially successful interdisciplinary pediatric pain rehabilitation program at a large tertiary academic medical center and present demographic and clinical information on the first 1000 patients.

PATIENTS AND METHODS: All patients who were consecutively admitted to this program between October 1, 2008, and March 31, 2015 were included in this review. The patients ranged in age from 9 to 24 years. The program is a 3-week, hospital-based outpatient treatment program that requires substantial parental involvement. At admission and discharge, patients completed the Center for Epidemiologic Studies of Depression Scale for Children, the Functional Disability Inventory, and the Pain Catastrophizing Scale for Children. Opioid use was also assessed.

RESULTS: At admission, patients reported substantial pain-associated disability and depressive symptoms; they had elevated pain catastrophizing scores, and 16% were taking opioids. Primary sites/types of pain included head, abdomen, and generalized. Functional disability scores decreased significantly, from 27 to 9 after the program (

CONCLUSION: Participation in a multidisciplinary pediatric pain rehabilitation program can be successful, with significant decreases in disability, depression symptoms, and pain catastrophizing, as well as discontinuation of opioid use.

Keywords: CBT, cognitive behavioral therapy; POTS, postural orthostatic tachycardia syndrome

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