Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain.
Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain.
复制标题
针对患有慢性疼痛的艾滋病毒感染者的试点物理治疗计划的初步结果。
DOI：
10.1080/09540121.2014.940272
复制
发表时间：
2015
期刊：
影响因子：
1.7
通讯作者：
Merlin,JessicaS
中科院分区：
文献类型：
--
作者：
Mgbemena,Okechukwu;Westfall,AndrewO;Ritchie,ChristineS;Hicks,Jennifer;Raper,JamesL;Overton,EdgarTurner;Norton,WynneE;Merlin,JessicaS
Chronic pain in HIV-infected individuals is common and often undertreated. Physical therapy (PT) is an evidence-based nonpharmacologic treatment for chronic pain. Our objective is to present the results of a pilot PT program in an HIV pain/palliative care clinic, which is embedded within a Ryan White-funded multidisciplinary HIV primary care clinic. Medical records of HIV-infected patients participating in a PT program between November 2012 and July 2013 were retrospectively reviewed. Pain scores on a 0–10 scale and cost data were collected and analyzed. Among 43 patients referred, 27 collectively attended 86 sessions. Median age of enrolled patients was 54 (IQR 49–58). Sixteen (59%) were African-American and 20 (77%) had an undetectable HIV viral load. Mean pain score at initial visit was 6.5 (SD = 1.1). The average session-level decrease was 2.6 (SD = 1.7) and patient-level decrease was 2.5 (SD = 1.2). The largest payors were Medicare managed care (28%), Medicaid (21%), and Ryan White grant-related funds (18%). When the first four months of the program are excluded to account for slow start-up, the program's monthly net revenue during the remaining five months was $163. We present preliminary data from a low-cost pilot PT program integrated into an HIV clinic in a primary care setting associated with clinically significant improvements in pain. Further investigation into the implementation of such programs is essential.
