title: Pain management programme for Chinese patients: a 10-year outcome review.
abstract: OBJECTIVE
  To review the clinical and social benefits of a pain management programme in Hong Kong.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Tertiary out-patient clinic, Hong Kong.
  
  
  METHODS
  Patients with chronic non-cancer pain and prolonged (mean, 46 months) psychosocial disability who joined the Comprehensive Outpatient Pain Engagement programme between 2002 and 2012.
  
  
  METHODS
  A structured 6-week out-patient pain rehabilitation course designed to improve function and reduce disability, regardless of the cause or severity of pain.
  
  
  METHODS
  Social outcomes included return-to-work rate, hospital admissions, and out-patient visits. Physical outcomes included tolerance to sitting and standing. Psychological constructs such as mood, catastrophisation, self-efficacy, quality of life, and perceived performances were used. Each measure was taken before and 1 year after the programme.
  
  
  RESULTS
  There was significant increase in return-to-work rate 1 year after commencement of the programme (35% after vs 17% before the programme; odds ratio=3.01), reduction in medical utilisation, and improvement in all physical and psychological measures. Pain intensity, psychological distress, and history of work-related injuries were not related to the likelihood of return to work. Shorter duration of pain and higher physical functioning score in 36-Item Short-Form Health Survey were prognostic indicators.
  
  
  CONCLUSIONS
  Patients with chronic pain who joined the Comprehensive Outpatient Pain Engagement programme showed significant functional improvement despite the long history of pain.
authors.affiliation: Department of Anaesthesia, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
authors.forename: M C
authors.initials: MC
authors.lastname: Chu
authors.affiliation: Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong.
authors.forename: Rainbow K Y
authors.initials: RK
authors.lastname: Law
authors.affiliation: Department of Physiotherapy, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
authors.forename: Leo C T
authors.initials: LC
authors.lastname: Cheung
authors.affiliation: Pain Management Centre, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
authors.forename: Marlene L
authors.initials: ML
authors.lastname: Ma
authors.affiliation: Department of Occupational Therapy, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
authors.forename: Ewert Y W
authors.initials: EY
authors.lastname: Tse
authors.affiliation: Department of Clinical Psychology, United Christian Hospital, Kwun Tong, Hong Kong.
authors.forename: Tony C M
authors.initials: TC
authors.lastname: Wong
authors.affiliation: Department of Anaesthesiology and Operating Services, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
authors.forename: P P
authors.initials: PP
authors.lastname: Chen
mesh_terms: D000328:Adult; D044466:Asian People; D059350:Chronic Pain / Q000523:psychology / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010045:Outpatients / Q000523:psychology / Q000706:statistics & numerical data; D059408:Pain Management / Q000379:methods* / Q000706:statistics & numerical data; D010147:Pain Measurement / Q000523:psychology / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011788:Quality of Life; D062707:Return to Work / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Asian continental ancestry group; Pain management