Dedicated multidisciplinary pain management centres for children in Canada: the current status
Open accessAbstract
Purpose The objective of this study was to examine the services currently offered by multidisciplinary pain treatment facilities (MPTFs) dedicated for pediatric chronic pain management across Canada.Methods A MPTF was defined as a clinic that advertised specialized multidisciplinary services for the diagnosis and management of chronic pain and had a minimum of three different health care disciplines (including at least one medical speciality) available and integrated within the facility. The search method was previously described in an accompanying article. Designated investigators were responsible for confirming and supplementing MPTFs from the preliminary list in their respective provinces. Administrative leads at each eligible MPTF were asked to complete a detailed questionnaire on their infrastructure, clinical, research, teaching and administrative activities. Only MPTFs dedicated to pediatric populations were included.Results Only five centres surveyed had dedicated pediatric MPTFs, all located in major cities in five different provinces. While the median wait time was four weeks, it could be as long as nine months in one MPTF. Headache and neuropathic pain were the most commonly treated pain syndromes. All MPTFs included physicians, nurses and psychologists, and used a rehabilitation model that incorporated a wide variety of pharmacological, psychological and physical therapies. All centres provided training for medical and other healthcare professionals, and three of the five centres conducted research. Government funding was the major source of funding for patient services and overhead costs.Conclusions There are very few pediatric MPTFs in Canada. These facilities exist in five of ten provinces, each within large urban centres. Limited accessibility leads to variable and prolonged wait times for pediatric patients suffering from chronic pain.
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A pilot study of a group art therapy program was perceived as helpful, supportive, and validating by parents.
“In other IIPT programs, a pilot study of a group art therapy program was perceived as helpful, supportive, and validating by parents (Peng et al., 2007)”
From Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment (2024) · cites this paper as Peng et al., 2007
The Study procedures section describes a survey of pediatric pain-treatment centres, and the Discussion addresses multidisciplinary treatment generally. Neither reports a pilot group art therapy study or parents’ views of one; searches for “art therapy” and “parents validating supportive helpful” found no passage addressing the claim. Page numbers were unavailable in our copy. (LLM, conf=0.76)
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- Authors
- Peng, P., Stinson, J. N., Choiniere, M., Dion, D., Intrater, H., LeFort, S., Lynch, M., Ong, M., Rashiq, S., Tkachuk, G., Veillette, Y., & STOPPAIN Investigators Group
- Affiliations
- Mount Sinai Hospital (CA)
- University of Toronto (CA)
- Hôpital Maisonneuve-Rosemont (CA)
- Health Sciences Centre (CA)
- Memorial University of Newfoundland (CA)
- Queen Elizabeth II Health Sciences Centre (CA)
- Alberta Hospital Edmonton (CA)
- Saskatchewan Health Authority (CA)
- Corresponding author
- Peng, Philip
- Venue
- Canadian Journal of Anesthesia/Journal canadien d'anesthésie
- Published
- 2007-12
- Volume
- 54
- Issue
- 12
- Pages
- 985-991
- ISSN
- 0832-610X (ISSN-L)
- 1496-8975
- OpenAlex
- W170426616
- Cited by
- 102
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 10 · 2017: 4 · 2016: 4 · 2015: 13 · 2014: 5 · 2013: 5 · 2012: 4
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Canadian Journal of Anesthesia/Journal canadien d anesthésie (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- Pfizer Canada
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- pediatric chronic pain, children, waiting time, headache, neuropathic pain, rehabilitation, multidisciplinary care, health care access, government funding, Canada
- MeSH terms
- Workforce, Adolescent, Anesthesiology, Canada, Child, Chronic Disease, Female, Humans, Male, Pain, Pediatrics, Time Factors, Waiting Lists, Workload, Pain Clinics, Health Care Surveys, Pain Management
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