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Scottish Pain Research Community (SPaRC)

Scottish Pain Research Community (SPaRC). Blair H. Smith Professor of Primary Care Medicine. Definitions. Pain: “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or expressed in terms of such damage” – IASP, 1979

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Scottish Pain Research Community (SPaRC)

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  1. Scottish Pain Research Community (SPaRC) Blair H. Smith Professor of Primary Care Medicine

  2. Definitions Pain: “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or expressed in terms of such damage” – IASP, 1979 Chronic pain: “Pain that persists beyond normal tissue healing time [3 months]” - IASP, 1986

  3. Grampian chronic pain study “Intermittent or continuous pain or discomfort, present for at least three months”IASP, 1986; Purveset al, 1998 • 84% corrected response rate (6940/ 8544 responded) • adult population prevalence of 46.5%(95% CI 44.8% - 48.2%) • adult population prevalence of 5.6%(4.9% - 6.5%) “severe chronic pain” (Chronic Pain Grade 4: high intensity, severely disabling) • Annual incidence 8.3% (older, poor health, unemployed) • Annual recovery 5.4% (younger, good health) Elliott AM et al. Lancet 1999 354 1248-1252 Smith BH et alFamily Practice2001 18 292-299 Elliott AM et alPain 2000 88 305-308

  4. Chronic pain and health Mental Health General Health Role Emotional Social Function SF-36 Smith BH et al, Family Practice 2001

  5. Those of employment age

  6. Western Isles 1,250 Orkney 900 “Severe” chronic pain in Scotland Shetland 950 Grampian 23,500 Highland 9,500 Tayside 17,350 Total 221,000 Forth Valley 12,900 Fife 15,700 Argyll & Clyde 19,000 Lothian 35,850 Lanark 25,200 Based on adult prevalence of 5.6% Smith et al 2001 Greater Glasgow 40,900 Borders 4,500 Ayr & Arran 16,800 Dumfries & Galloway 6,700

  7. “Severe” chronic pain in the UK 233,000 Total 2,715,000 75,000 2,264,000 Based on adult prevalence of 5.6%, CPG 4 Smith BH et al 2001 143,000

  8. GRIPS Report (NHS QIS; 2007, 2008) • Chronic pain should be recognized as a condition in its own right • NHS Boards should develop clear referral pathways from primary care to specialist services, • NHS Boards should implement McEwen Report (2004) recommendations • Uniformity in pain service provision across Scotland required • NHS QIS and NES should “develop and roll-out a competency framework based on a training needs assessment” (ie more education)

  9. Scottish Government Response “I am happy to give a commitment that the Scottish Government does indeed recognize chronic pain as a long term condition in its own right” Nicola Sturgeon Deputy First Minister, and Cabinet Secretary for Health and Wellbeing May 2008

  10. Chronic Pain Steering Group • NHS Quality Improvement Scotland • SGHD Long Term Conditions Unit • Three agreed aims: • 1. Quality improvement infrastructure to support management of chronic pain by NHS Boards: education, research, practice • 2. Core chronic pain dataset • 3. SIGN Guideline

  11. Chronic Pain Steering GroupResearch Sub-Group Aims: To promote the aspirations that: • clinical practice in managing chronic pain is informed by current research • current research in chronic pain is relevant to clinical practice Objectives: • Cataloguing current research in chronic pain in Scotland • Creating a network of researchers active in chronic pain in Scotland • Dissemination of relevant research findings from researchers in Scotland to clinicians, patients and managers working in chronic pain • Dissemination of findings of relevant research to health service policy makers, highlighting relevance to current and future policy • Identification of research priorities relevant to the Chronic Pain Steering Group • Supporting research working towards these priorities • Provision of current evidence-based advice to clinicians and others working in chronic pain in Scotland

  12. Today’s meeting • Aims: • 1. Launch SPaRC • 2. Launch the Community website • 3. Share current research between members of SPaRC • 4. Identify potential collaborations within the Community • 5. Identify other possible activities within the Community • 6. Raise the profile of pain research in Scotland • Content • Invited lectures • Research presentations • Interactive breakout sessions

  13. Workshops • Opportunities for Translational Pain Research in Scotland • Dr Lesley Colvin, Professor Tim Hales • Moving towards a SIGN guideline • Dr Mick Serpell • What should SPaRC be and how to get the best use from the community website • Professor Gary Macfarlane, NES • Funding opportunities for the future • Professor David Rowbotham

  14. Enjoy the day

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