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The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Chronic pelvic pain management programme Chronic pelvic pain management programme
Chronic pelvic pain management programme Chronic pelvic pain management programme

Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition.

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Key take away

The delivery of specialised interdisciplinary chronic pain management services has efficiently paved the way to the evolution of chronic pelvic pain (CPP) management programme for women. Also, the females with CPP undergoing rehabilitation within the same sex environment can lead to open-ness and frankness in sharing their views on the female health-related issues (e.g. menstruation, pregnancy and childbirth).

Background

Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition. European Association of Urology (EAU) Guidelines (2013) and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012) place strong emphasis upon multi-speciality assessment and liaison, as well as interdisciplinary assessment and intervention in reference to the management of CPP. The aim was to introduce and describe the development and delivery of an interdisciplinary pain management programme (PMP), at a Specialised Pain Management Centre in Liverpool, United Kingdom, for women diagnosed with CPP.

Method

The format and content of the CPP PMP at The Walton Centre, Liverpool, is described and the preliminary results from the CPP PMP are presented.

Result

Preliminary data suggest that outcomes on the specialised CPP PMP indicate that patients are able to make clinically important change across a range of outcome measures. Moreover, these results compare favourably to the established PMP for generalised chronic pain when comparing clinically significant outcomes with the Walton Centre’s (a tertiary-level pain management centre) 2013 PMP Audit document. Patients attending the CPP PMP positively appraised the PMP and felt it was useful and supportive to be in a group dedicated to CPP.

Conclusion

This article presents some preliminary results that suggest there is value in delivering a specialised multidisciplinary PMP for this group. There is a clear need for further clinical research into the effectiveness of similar interventions for CPP, including the early identification of those CPP patients who may benefit from both multi-specialty and interdisciplinary management.

Source:

Br J Pain. 2015 Nov; 9(4): 233–240

Article:

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Authors:

Hannah Twiddy et al.

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