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Healthcare 2017, 5(2), 28; doi:10.3390/healthcare5020028

Population Characteristics in a Tertiary Pain Service Cohort Experiencing Chronic Non-Cancer Pain: Weight Status, Comorbidities, and Patient Goals

1
School Health Science, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2305, Australia
2
Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2305, Australia
3
Hunter Integrated Pain Service, Newcastle, NSW 2300, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 20 March 2017 / Revised: 29 May 2017 / Accepted: 7 June 2017 / Published: 14 June 2017
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Abstract

We describe the characteristics of patients attending an Australian tertiary multidisciplinary pain service and identify areas for nutrition interventions. This cross-sectional study targets patients experiencing chronic pain who attended the service between June–December 2014. Self-reported data was captured from: (1) an Electronic Persistent Pain Outcomes Collaboration (ePPOC) referral questionnaire, incorporating demographics, pain status, and mental health; (2) a Pain Assessment and Recovery Plan (PARP), which documents patients’ perceived problems associated with pain and personal treatment goals. The ePPOC referral questionnaire was completed by 166 patients and the PARP by 153. The mean (SD) patient age was 53 ± 13 years, with almost 60% experiencing pain for >5 years. Forty-five percent of patients were classified as obese (BMI ≥ 30 kg/m2, mean (SD) BMI was 31 ± 7 kg/m2), with a mean waist circumference of 104 ± 19.4 cm (SD). The most frequent patient nominated treatment goals related to physical activity (39%), followed by nutritional goals (23%). Traditionally, pain management programs have included physical, psychosocial, and medical, but not nutritional, interventions. By contrast, patients identified and reported important nutrition-related treatment goals. There is a need to test nutrition treatment pathways, including an evaluation of dietary intake and nutrition support. This will help to optimize dietary behaviors and establish nutrition as an important component of multidisciplinary chronic pain management. View Full-Text
Keywords: weight; nutrition; pain; lifestyle weight; nutrition; pain; lifestyle
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Brain, K.; Burrows, T.; Rollo, M.E.; Hayes, C.; Hodson, F.J.; Collins, C.E. Population Characteristics in a Tertiary Pain Service Cohort Experiencing Chronic Non-Cancer Pain: Weight Status, Comorbidities, and Patient Goals. Healthcare 2017, 5, 28.

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