Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210060
Brazilian Journal of Pain
Original Article

Evaluation of a multidisciplinary team in chronic pain treatment: interventional and prospective study

Avaliação de uma equipe multidisciplinar no tratamento da dor crônica: estudo intervencionista e prospectivo

Leandro Monteiro Maemura; Joenice de Almeida Ferreira Matos; Raissa Freitas de Paula Oliveira; Thiago Machado Carrijo; Tiago Vieira Fernandes; Rodrigo Parente Medeiros

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Abstract

BACKGROUND AND OBJECTIVES: The multidisciplinary approach involves more than one specialist in the health field in order to obtain more effective treatment for patients with chronic pain. The aim of this study was to assess whether the multidisciplinary approach is effective in the treatment of patients with chronic pain, as well as to analyze the therapeutic response of these patients using scales for measuring neuropathic pain, pain intensity and quality of life.

METHODS: Twenty-seven patients were evaluated, with a mean age of 56.85±12.17 years. They remained in follow-up with a multidisciplinary team for 4 months and were evaluated at the beginning and end of treatment using the visual analog scale, Leeds Pain Scale for Neuropathic Signs and Symptoms and the Short Form-36 quality of life questionnaire.

RESULTS: Results showed a symptomatic improvement of the patients, with regard to the reduction of pain intensity, improvement of functional capacity, mental health and general health condition, with the values found before and after intervention from 30.10% to 58.80% (p=0.004), 33.7% to 57.78% (p<0.001), 43.41% to 67.56% (p=0.002), 40.19% to 65.07% (p=0.001), respectively, in addition to the reduction of the subjective pain sensation measured by the visual analog scale with a pre-treatment median of 8 and median at the end of 2 (p<0.001).

CONCLUSION: The study confirmed that the treatment performed by a multidisciplinary team improves not only the level of pain, but also directly affects the quality of life of patients.

Keywords

Chronic pain, Pain, Quality of life

Resumo

JUSTIFICATIVA E OBJETIVOS: A abordagem multiprofissional envolve mais de um especialista da área da saúde para obter tratamento mais efetivo do paciente com dor crônica. O objetivo deste estudo foi avaliar se a abordagem multidisciplinar possui eficácia no tratamento de pacientes com dor crônica, assim como analisar a resposta terapêutica destes pacientes com a utilização de escalas para aferição de dor neuropática, intensidade da dor e qualidade de vida.

MÉTODOS: Foram avaliados 27 pacientes, com idade média de 56,85±12,17 anos. Permaneceram em acompanhamento com equipe multidisciplinar por 4 meses e foram avaliados no início e ao final do tratamento pela escala analógica visual, Leeds Pain Scale for Neuropathic Signs and Symptoms e o questionário de qualidade de vida Short Form-36.

RESULTADOS: Observou-se melhora sintomática dos pacientes, no que diz respeito à redução da intensidade da dor, aperfeiçoamento da capacidade funcional, saúde mental e estado geral de saúde, sendo os valores encontrados pré e pós-intervenção de 30,10% para 58,80% (p=0,004), 33,7% para 57,78% (p<0,001), 43,41% para 67,56% (p=0,002), 40,19% para 65,07% (p=0,001), respectivamente, além da redução da sensação subjetiva de dor aferida pela escala analógica visual com mediana pré-tratamento de 8 e ao final de 2 (p<0,001).

CONCLUSÃO: O estudo confirmou que o tratamento realizado por equipe multidisciplinar especializada em dor apresentou melhora e aumento da qualidade de vida dos pacientes.

Palavras-chave

Dor, Dor crônica, Qualidade de vida

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Submitted date:
02/25/2021

Accepted date:
09/27/2021

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