Analysis of invasive techniques used for chronic pain management in our clinic: evaluation of the first year

Abstract

Purpose: We aimed to identify the services provided by our institute during one year after its inauguration reviewing the medical records of the patients given invasive pain management, and therefore, we aimed to bring forward the similarities and differences between our data and the results of pain studies performed both in Turkey and worldwide.Method: Among 4104 patients who applied to the clinic for chronic pain treatment during the first year after inauguration of the pain clinic in 2009, those performed invasive techniques were reviewed. The invasive procedures were divided into two groups-minor and major interventions. The simple invasive procedures that were performed to the ambulatory patients in policlinics were called minor interventions and those, which were performed with the help of fluoroscopy in the operating room were considered as major invasive procedures.Results: Totally 1299 patients were treated with invasive techniques. Of these invasive methods, 492 (37.88%) were minor and 807 (62.12%) were major invasive procedures. Among all invasive procedures, the most common one was the lumbar epidural injection followed by trigger point injection and intra-articular knee joint injection (numbers of patients were 364, 316 and 238, respectively).Conclusion: Since the number of patients suffering from chronic pain becomes greater as average life-span increases in Turkey, inauguration of new centers, which offer invasive pain management and enhancing the number of physicians practicing such treatment procedures, would be a prospect for the patients suffering from pain.

Keywords

• Invasive procedure, chronic pain, pain center, treatment, Turkey.

Kliniğimizde kronik ağrı tedavisi için uygulanan girişimsel tekniklerin analizi: ilk yıl değerlendirmesi

Abstract

Amaç: Kuruluşunun birinci yılında girişimsel ağrı tedavisi uygulanan hastaların kayıtlarını inceleyerek verilen hizmetleri saptamak, böylelikle hem Türkiye' de hem de dünyada yapılan diğer ağrı çalışmaları ile benzerlik ve farklılıkları ortaya koymayı amaçladık.Metod: 2009 yılında kurulan ağrı kliniğinin ilk yılında kronik ağrı tedavisi için kliniği ziyaret eden 4104 hasta içerisinden girişimsel invaziv teknik kullanılanlar tarandı. İnvaziv girişimler minor ve major olarak iki gruba ayrıldı. Poliklinikte uygulanan basit invaziv işlemler minor, ameliyathanede fluroskopi eşliğinde yapılanlar ise major olarak adlandırıldı.Bulgular: toplam 1299 hastaya girişimsel invaziv teknik uygulandı. Bunları 492 (%37.88)' si minör, 807 (%62.12)' si major invaziv teknikti. Tüm girişimsel işlemler içerisinde en sık yapılan ilk 3 işlem sırasıyla lomber epidural enjeksiyon, tetik nokta enjeksiyonu ve diz içi enjeksiyonlar olarak belirlendi (hasta sayıları sırasıyla, 364, 316 ve 238).Sonuç: Türkiye' de yaşam süresinin uzaması ile kronik ağrı çeken hasta sayısı artacağından girişimsel ağrı tedavisi uygulayan merkezlerin açılması ve yine bu tür tedavileri uygulayan hekim sayısının artırılması ağrı çeken hastalar için bir umut olacaktır.

Keywords

• Girişimsel işlem, kronik ağrı, ağrı merkezi, tedavi, Türkiye

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