Models of Care for addressing chronic musculoskeletal pain and health in children and adolescents

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• 作者：Jennifer Stinson^a ; ^{Jennifer.stinson@sickkids.ca} (Senior Scientist ; Associate Professor) ; Mark Connelly^b ; ¹ ; ^{mconnelly1@cmh.edu} (Professor of Pediatrics) ; Steven J. Kamper^c ; ² ; ^{Skamper@georgeinstitute.org.au} (Senior Research Fellow) ; Troels Herlin^d ; ³ ; ^{troeherl@rm.dk} (Professor of Pediatric Rheumatology) ; Karine Toupin April^e ; ^f ; ⁴ ; ^{ktoupin@cheo.on.ca} (Associate Scientist ; Assistant Professor)
• 关键词：Musculoskeletal pain ; Children ; Adolescents ; Models of care
• 刊名：Best Practice & Research Clinical Rheumatology
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：30
• 期：3
• 页码：468-482
• 全文大小：411 K
• 卷排序：30

文摘

Chronic musculoskeletal pain among children and adolescents is common and can negatively affect quality of life. It also represents a high burden on the health system. Effective models of care for addressing the prevention and management of pediatric musculoskeletal pain are imperative. This chapter will address the following key questions:(1) Why are pediatric-specific models of pain care needed?(2) What is the burden of chronic musculoskeletal pain among children and adolescents?(3) What are the best practice approaches for early identification and prevention of chronic musculoskeletal pain in children and adolescents?(4) What are the recommended strategies for clinical management of chronic pain, including pharmacological, physical, psychological and complementary, and alternative approaches?(5) What are the most effective strategies for implementing models of pain care across different care settings?(6) What are the research priorities to improve models of care for children and adolescents with chronic musculoskeletal pain?