Models of Care for addressing chronic musculoskeletal pain and health in children and adolescents

被引:31
作者
Stinson, Jennifer [1 ]
Connelly, Mark [2 ]
Kamper, Steven J. [3 ]
Herlin, Troels [4 ]
April, Karine Toupin [5 ,6 ]
机构
[1] Univ Toronto, Peter Gilgan Ctr Res & Learning, Hosp Sick Children, Lawrence S Bloomberg Fac Nursing, 686 Bay St,Room 069715, Toronto, ON M5G 0A4, Canada
[2] Childrens Mercy Hosp, Div Dev & Behav Sci, 2401 Gillham Rd, Kansas City, MO 64108 USA
[3] Univ Sydney, George Inst, POB M201 Missenden Rd, Camperdown, NSW 2050, Australia
[4] Aarhus Univ Hosp, Dept Pediat, Palle Juul Jensens Blvd 99, DK-8200 Aarhus N, Denmark
[5] Childrens Hosp Eastern Ontario, Res Inst, 401 Smyth Rd, Ottawa, ON K1H 8L1, Canada
[6] Univ Ottawa, Fac Med, Dept Pediat, 401 Smyth Rd, Ottawa, ON K1H 8L1, Canada
来源
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2016年 / 30卷 / 03期
基金
英国医学研究理事会;
关键词
Musculoskeletal pain; Children; Adolescents; Models of care; LOW-BACK-PAIN; JUVENILE IDIOPATHIC ARTHRITIS; IPEER2PEER PROGRAM; DECISION-MAKING; MANAGEMENT; FEASIBILITY; IMPACT; METAANALYSIS; DISABILITY; DISEASE;
D O I
10.1016/j.berh.2016.08.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic musculoskeletal pain among children and adolescents is common and can negatively affect quality of life. It also represents a high burden on the health system. Effective models of care for addressing the prevention and management of pediatric musculoskeletal pain are imperative. This chapter will address the following key questions: (1) Why are pediatric-specific models of pain care needed? (2) What is the burden of chronic musculoskeletal pain among children and adolescents? (3) What are the best practice approaches for early identification and prevention of chronic musculoskeletal pain in children and adolescents? (4) What are the recommended strategies for clinical management of chronic pain, including pharmacological, physical, psychological and complementary, and alternative approaches? (5) What are the most effective strategies for implementing models of pain care across different care settings? (6) What are the research priorities to improve models of care for children and adolescents with chronic musculoskeletal pain? (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:468 / 482
页数:15
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