title: Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients.
abstract: Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1-10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p < 0.001, and health status (VAS) from 40.6 to 61.9, p < 0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.
authors: Pain Unit, Hospital Infanta Cristina, 28981 Madrid, Spain.
authors: Juan Antonio
authors: 0000-0002-8364-0067
authors: JA
authors: García García
authors: Pain Unit, Hospital Son Llàtzer, 07198 Palma de Mallorca, Spain.
authors: Patricia
authors: P
authors: Hernández-Puiggròs
authors: Pain Unit, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.
authors: Javier
authors: J
authors: Tesedo Nieto
authors: Pain Unit, Hospital Royo Villanova, 50015 Zaragoza, Spain.
authors: María Pilar
authors: MP
authors: Acín Lázaro
authors: Pain Unit, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.
authors: Alfredo
authors: A
authors: Carrera González
authors: Pain Unit, Hospital Royo Villanova, 50015 Zaragoza, Spain.
authors: Miguel José Arranz
authors: MJ
authors: Soler
authors: Pain Unit, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.
authors: Sergio
authors: S
authors: Maldonado Vega