Saturday, September 01, 2012

Canadian Pain Fact Sheet - Canadian Pain Society and the Canadian Pain Coalition

Pain in Canada Fact Sheet

Presented by the Canadian Pain Society (CPS) and the Canadian Pain Coaltion (CPC)

Pain is poorly managed in Canada

  • Although we have the knowledge and technology, Canadians are left in pain after surgery, even in our top hospitals.
  • Only 30% of ordered medication is given, 50% of patients are left in moderate to severe pain after surgery and the situation is not improving (Watt‐Watson, Stevens et al. 2004; Watt‐Watson, Choiniere et al. 2010).
  • Growing evidence has identified that many common surgical procedures cause persistent post‐operative pain that becomes chronic (Kehlet, Jensen et al. 2006).
  • Pain is the most common reason for seeking health care and as a presenting complaint accounts for up to 78% of visits to the emergency department, recent research continues to document high pain intensity and suboptimal pain management in a large multicenter emergency department network in Canada and the United States (Todd, Ducharme et al. 2007).
  • Uncontrolled pain compromises immune function, promotes tumor growth and compromises healing with increased morbidity and mortality following surgery (Liebeskind 1991).
  • One in five Canadian adults suffer from chronic pain (Moulin, Clark et al. 2002; Schopflocher, Jovey et al. 2011) children are not spared with 15‐30% of children experiencing recurring or chronic pain (Stanford, Chambers et al. 2008) and the prevalence increases with age (Hadjistavropoulos, Gibson et al. 2010).
  • Many cancer and HIV survivors have greater quantity of life but unfortunately a poor quality of life due to chronic pain conditions caused by the disease or the treatments that cause irreversible damage to nerves (Levy, Chwistek et al. 2008; Phillips, Cherry et al. 2010).
  • Chronic pain is associated with the worst quality of life as compared with other chronic diseases such as chronic lung or heart disease (Choiniere, Dion et al. 2010).
  • Based on US figures documenting that the cost of chronic pain in adults including health care expenses and lost productivity is $560‐$630 Billion annually it is estimated that the annual cost of chronic pain in Canada is at least $56‐60 Billion dollars (Relieving Pain in America - 2011).
  • People living with pain have double the risk of suicide as compared with people without chronic pain (Tang and Crane 2006).
  • A recent review of opioid (narcotic) related deaths in Ontario, identified the tragic fact that pain medication related deaths in Ontario are increasing and that most of the people who died had been seen by a physician within 9‐11 days prior to death (emergency room visits and office visits respectively) and the final encounter with the physician involved a mental health or pain related diagnosis. In almost a quarter of the cases the coroner had determined that the manner of death was suicide (Dhalla, Mamdani et al. 2009).
  • Veterinarian students receive three times more pain education than human health professionals and five times more hours than medical students (Watt-Watson, McGillion et al. 2009).
  • Pain research is grossly under‐funded in Canada (Lynch, Schopflocher et al. 2009).