Difficult Encounters in Pain Medicine

NCT05585619 | Completed

• 1 other identifier: IRB00334965
• Study Type: observational
• Target: 428
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators are seeking to determine factors associated with difficult patient encounters in an academic pain clinic. The investigators are examining 36 different variables to determine the association with "difficult" patient encounters as independently rated by a trainee and attending physician.

Conditions

Chronic Pain

Keywords

chronic pain

Outcome Measures

Primary Outcomes (2)

• Difficulty of encounter as rated by trainee

  Difficulty of encounter as rated by a 6-point Likert scale (1=very pleasant, 6=extremely difficult)

  Immediately after consult

• Difficulty of encounter as rated by attending physician

  Difficulty of encounter as rated by a 6-point Likert scale (1=very pleasant, 6=extremely difficult)

  Immediately after consult

Secondary Outcomes (5)

• Patient global impression of change

  1-2 months post-treatment

• Pain score

  1-2 months post-treatment

• Categorical success

  1-2 months post-treatment

• Appointment status

  1-2 months post-treatment

• Number of side effects

  1-2 months post-treatment

Study Arms (1)

Chronic pain patients

New chronic pain consults seen by a trainee and attending pain physician

Other: Pain treatment

Interventions

Pain treatment OTHER

Any pain treatment to include medications, procedures, or referrals

Chronic pain patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Chronic pain patients seen for a new consultation at the Johns Hopkins Blaustein Pain Treatment Center

You may qualify if:

• ≥ 18 years of age
• Pain duration \> 3 months
• New Visit (or no visit within 3 years)

You may not qualify if:

• Referral only for diagnostic procedure
• Friend or relative, or direct referral from friend or relative

Sponsors & Collaborators

• Johns Hopkins University: lead

Study Sites (1)

Johns Hopkins School of Medicine

Baltimore, Maryland, 21205, United States

Location

Related Publications (3)

• Wasan AD, Wootton J, Jamison RN. Dealing with difficult patients in your pain practice. Reg Anesth Pain Med. 2005 Mar-Apr;30(2):184-92. doi: 10.1016/j.rapm.2004.11.005.

  PMID: 15765460 RESULT

• Hinchey SA, Jackson JL. A cohort study assessing difficult patient encounters in a walk-in primary care clinic, predictors and outcomes. J Gen Intern Med. 2011 Jun;26(6):588-94. doi: 10.1007/s11606-010-1620-6. Epub 2011 Jan 25.

  PMID: 21264521 RESULT

• Liu WL, van Gelderen E, Mawalkar R, Wang EJ, Treisman G, Cohen SP. Do difficult encounters affect pain treatment outcomes? A prospective cohort study. Pain Med. 2025 Sep 1;26(9):554-561. doi: 10.1093/pm/pnaf027.

  PMID: 40100641 DERIVED

MeSH Terms

Conditions

Chronic Pain

Interventions

Analgesia

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Anesthesia and Analgesia

Study Officials

• Steven P. Cohen, MD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 14, 2022
• First Posted: October 19, 2022
• Study Start: October 10, 2022
• Primary Completion: December 15, 2023
• Study Completion: March 29, 2024
• Last Updated: May 10, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, ANALYTIC CODE
• Time Frame: 1-3 years after completion of study
• Access Criteria: By request

Locations

US (1)