About this trial
The goal of this observational study is to compare different treatment options in a chronic pain population. The main questions it aims to answer are:
* What is the effectiveness of the different therapy options in the pain center of Sint-Lucas on outcomes related to pain and disability? * What are predictive factors for the different therapy options in the pain center of Sint-Lucas? Which factors predict improvement in pain related outcomes?
Participant data will be gathered as part of their routine care. They can be advised to 4 different treatment options:
* Consultations with the pain specialist * Interventions by the pain specialist (infiltrations, denervations) * Baxter therapy * Interdisciplinary treatment
Researchers will compare patients with different dominant pain mechanisms to see which treatment are most effective for which dominant pain mechanisms.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults
Chronic pain patients
Dutch speaking, or good understanding
Disqualifiers
Adults unable to give consent
Adults who do not understand Dutch
Trial population
The population will be patients attending the pain center of AZ Sint-Lucas in Ghent, a secondary care center for chronic pain patients.
Trial design
Cohort
Prospective
Treatments tested in this trial
Consultation
Other interventionConsultation with the pain specialist, which might entail prescription of medication of vitamins.
Interventions
Procedure/SurgeryFacet injections, nerve denervations, infiltrations, Qutenza, Spinal Cord Stimulation, Transcutaneous Electrical Nerve Stimulation
Baxter therapy
DrugKetamine or Linisol baxter therapy
Interdisciplinary therapy
BehavioralInterdisciplinary therapy provided by the physiotherapist, psychologist and occupational therapist.
Treatment groups
Trial outcomes
Primary outcomes
Change in Pain disability from baseline until 18 months
Pain Disability Index, ranges from zero to 70, with a higher score indicating more pain-related disability
Change in Pain intensity from baseline until 18 months
Numeric Rating Scale for pain intensity in the past week, ranges from zero to 100, with a higher score indicating a higher pain intensity
Change in Pain Frequency from baseline until 18 months
Questions
Change in Functionality from baseline until 18 months
Patient Specific Complaints questionnaire, using a Numeric Rating Scale, ranging from zero to 100, with a higher score indicating a higher amount of functional disability
Secondary outcomes
Change in Post exertional malaise from baseline until 18 months
Questions based on the criteria for Chronic Fatigue Syndrome.
Change in Quality of Life from baseline until 18 months
EuroQol - 5D, five questions about health range from one to three with a higher score indicating more difficulties. One question about perceived health ranges from zero to 100 with a higher score indicating better health.
Sponsors and contacts
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