Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study

Objectives: The aim was to determine the habits of physical medicine and rehabilitation specialists (PRM) in the prescription of analgesics and application of different physical modalities in outpatients, and to investigate if there are any differences with respect to doctors age. Methods: We perfor...

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Main Authors: Stefan Kostadinović, Jovan Vasiljević
Format: Article
Language:English
Published: Taylor & Francis Group 2016-12-01
Series:Cogent Medicine
Subjects:
Online Access:http://dx.doi.org/10.1080/2331205X.2016.1214337
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author Stefan Kostadinović
Jovan Vasiljević
author_facet Stefan Kostadinović
Jovan Vasiljević
author_sort Stefan Kostadinović
collection DOAJ
description Objectives: The aim was to determine the habits of physical medicine and rehabilitation specialists (PRM) in the prescription of analgesics and application of different physical modalities in outpatients, and to investigate if there are any differences with respect to doctors age. Methods: We performed a retrospective study of outpatients treated at the Clinic for Physical Medicine and Rehabilitation, Clinical Center Serbia, for 3 month period. The assessment was performed by patient reports analysis. We investigated the age of doctors, the diagnosis, whether pain intensity was measured using validated pain scale, if analgesics, physical modalities, or the combination were prescribed. We also examined the type of prescribed analgesics. Results: Out of 340 outpatients (192 males, 148 females, mean 45.2 ± 15.89 years) treated by 19 PRM specialists were included in the study. PRM specialists did not measured pain intensity by any valid scale in 296 patients (87.1%). NSAIDs where most used analgesic in 90 patients (26,5%). Opioids where used in only five patients (1.5%). Our results revealed that younger doctors prescribed more often analgesics than older (47.4 vs. 30.2%). Younger doctors also prescribe more often the combination of analgesics and different physical modalities (42.7 vs. 29.2%). Conclusions: We found that the most often prescribed are different physical modalities. The intensity of pain was measured by any validated pain scale in low percentage. Among transcribed analgesics, NSAIDs had the highest percentage, while the opioids were prescribed very little. Younger specialists prescribed analgesics more often as well the combination of analgesics and different physical modalities.
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spelling doaj.art-44fc3a56c4d043e29a74c988aea03d982022-12-22T03:52:06ZengTaylor & Francis GroupCogent Medicine2331-205X2016-12-013110.1080/2331205X.2016.12143371214337Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort studyStefan Kostadinović0Jovan Vasiljević1Medical School, University of Novi SadThe Institute of Pathology, University of BelgradeObjectives: The aim was to determine the habits of physical medicine and rehabilitation specialists (PRM) in the prescription of analgesics and application of different physical modalities in outpatients, and to investigate if there are any differences with respect to doctors age. Methods: We performed a retrospective study of outpatients treated at the Clinic for Physical Medicine and Rehabilitation, Clinical Center Serbia, for 3 month period. The assessment was performed by patient reports analysis. We investigated the age of doctors, the diagnosis, whether pain intensity was measured using validated pain scale, if analgesics, physical modalities, or the combination were prescribed. We also examined the type of prescribed analgesics. Results: Out of 340 outpatients (192 males, 148 females, mean 45.2 ± 15.89 years) treated by 19 PRM specialists were included in the study. PRM specialists did not measured pain intensity by any valid scale in 296 patients (87.1%). NSAIDs where most used analgesic in 90 patients (26,5%). Opioids where used in only five patients (1.5%). Our results revealed that younger doctors prescribed more often analgesics than older (47.4 vs. 30.2%). Younger doctors also prescribe more often the combination of analgesics and different physical modalities (42.7 vs. 29.2%). Conclusions: We found that the most often prescribed are different physical modalities. The intensity of pain was measured by any validated pain scale in low percentage. Among transcribed analgesics, NSAIDs had the highest percentage, while the opioids were prescribed very little. Younger specialists prescribed analgesics more often as well the combination of analgesics and different physical modalities.http://dx.doi.org/10.1080/2331205X.2016.1214337analgesicsphysical modalitiesprescriptionhabits
spellingShingle Stefan Kostadinović
Jovan Vasiljević
Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
Cogent Medicine
analgesics
physical modalities
prescription
habits
title Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
title_full Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
title_fullStr Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
title_full_unstemmed Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
title_short Pain therapy in patients with musculoskeletal disorders in outpatient setting: A cohort study
title_sort pain therapy in patients with musculoskeletal disorders in outpatient setting a cohort study
topic analgesics
physical modalities
prescription
habits
url http://dx.doi.org/10.1080/2331205X.2016.1214337
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