The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Hannah Twiddy, Natalie Lane, Rajiv Chawla, Selina Johnson, Alison Bradshaw, Shaireen Aleem, Lucinda Mawdsley
In: British Journal of Pain · 2015 · vol. 9(4) , pp. 233–240 · doi:10.1177/2049463715584408 · PMID:26526186 · W2130869454
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This paper describes a specialized interdisciplinary pain management program for women with chronic pelvic pain and presents preliminary results showing clinically important improvements across multiple outcome measures.

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Abstract

CONTEXT/BACKGROUND: Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition. European Association of Urology (EAU) Guidelines (2013) and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012) place strong emphasis upon multi-speciality assessment and liaison, as well as interdisciplinary assessment and intervention in reference to the management of CPP. OBJECTIVES: The aim was to introduce and describe the development and delivery of an interdisciplinary pain management programme (PMP), at a Specialised Pain Management Centre in Liverpool, United Kingdom, for women diagnosed with CPP. METHOD: The format and content of the CPP PMP at The Walton Centre, Liverpool, is described and the preliminary results from the CPP PMP are presented. RESULTS: Preliminary data suggest that outcomes on the specialised CPP PMP indicate that patients are able to make clinically important change across a range of outcome measures. Moreover, these results compare favourably to the established PMP for generalised chronic pain when comparing clinically significant outcomes with the Walton Centre's (a tertiary-level pain management centre) 2013 PMP Audit document. Patients attending the CPP PMP positively appraised the PMP and felt it was useful and supportive to be in a group dedicated to CPP. CONCLUSIONS: This article presents some preliminary results that suggest there is value in delivering a specialised multidisciplinary PMP for this group. There is a clear need for further clinical research into the effectiveness of similar interventions for CPP, including the early identification of those CPP patients who may benefit from both multi-specialty and interdisciplinary management.

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chronic_pelvic_pain

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