Paediatric chronic pain patients Musculoskeletal Diseases
Conditions
Interventions
The study aims to describe and quantify the type and impact of chronic pain in CYP, and the degree and duration of change throughout usual care. It is routine practice at Great Ormond Street Hospital
ii) inform a biopsychosocial formulation and management plan
and iii) collection at subsequent appointments facilitates monitoring of treatment response.
The research team will prospectively collect clinical data, PROMs scores, and information regarding inte
Sponsors
Great Ormond Street Hospital for Children NHS Foundation Trust
Eligibility
Sex/Gender
All
Age
8 Years to 18 Years
Inclusion criteria
Inclusion criteria: 8 - 18 years old, referred to the GOSH chronic pain service
Exclusion criteria
Exclusion criteria: 1. Unwilling/unable to provide written informed Participant consent/assent and Parental consent 2. Outside of the stated age range (8 - 18 years). 3. If the parent/carer is unable to understand English, consent will be obtained only if a suitable interpreter can be sourced in line with usual clinical care. Children and Young People (CYP) who are unable to speak English or who are only managing school at a level less than usual for an 8-year old will be excluded as current versions of PROMs on EPIC are not available in multiple languages.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall well-being (quality of life) measured using the Paediatric Quality of Life Inventory (PedsQL Core Domains V4, total score, Child Versions (ages) & Parent version) at each clinic visit, and at 3 and 5 years post referral for participants consenting to longer follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Collected from each clinic visit, and extend outcome reporting to 3 and 5 years post referral for participants consenting to longer-term follow-up: 1. Pain intensity (using a 1-10 visual analogue scale [VAS]) (now, average last week, worst last week) 2. Pain interference with daily living measured using the Paediatric PROMIS Pain Interference Short Form 8a 3. Physical function measured using the Physical function subscale of PedsQL (Child and Parent/Caregiver on behalf of child); physiotherapist assessment of muscle strength (MMT) 4. Psychosocial and family function measured using Emotional and Social domains of PedsQL (Child version & Parent/caregiver version relating to child) 5. Pain catastrophising measured using Pain Catastrophising Scale (PCS; child version and parent/caregiver version) 6. Child mental health measured using the Paediatric Index of Emotional Distress (PI-ED) 7. Parent/caregiver mental health measured using the Hospital Anxiety and Depression Scale (HADS) 8. School function/attendance measured using the school subscale of PedsQL, attendance reported at routine Pain Clinic appointments by child/parent and by the school (if latter available) 9. Pain-related disability measured using above-mentioned questionnaires, which form an overall view of pain-related disability 10. A case-report form (CRF), completed using patient notes collected onto EPIC following first assessment at Pain Clinic appointments, will capture: 10.1. demographics (age, sex, diagnosis) 10.2. pain: classification, distribution and duration of pain at primary site, pain at additional sites, spread, aggravating/relieving factors 10.3. medical history (current/prior illness, surgery, previous investigations) 10.4. details of pharmacological and multidisciplinary management methods, past and planned 11. For those who consent to follow-up at 3 and 5 years post referral, a follow-up CRF will collect directly from participants regarding: 11.1. Pain: classification, distribution and dura | — |
Countries
England, United Kingdom
Contacts
Public ContactAnna Fieldwalker
Outcome results
None listed