Chronic Pain Clinical Trial
— PRECAPAINOfficial title:
Chronic Pain and Social Vulnerability: Prevalence and Predictive Factors of the Social Vulnerability in Evaluation and Treatment of the Pain Center (CETD)
In the care of the chronic pain in pain's department, pain consultation or Evaluation and
Treatment of the Pain Center (CETD), the patients are often in a situation of physical and
psychic suffering which requires a multidisciplinary follow-up. So, 19 percent of the
chronic painful patients lost their employment, are "disintegrated" because of their pain,
this being able to provocate a loss of their financial autonomy. A large number of painful
patients thus find themselves in situations of social vulnerability even of precariousness
often denied and difficult to detect by the caring team. Precarity is define as " the lack
of one or several securities, in particular the employment, allowing the people and the
families to assume their professional, family or social obligations, and to enjoy their
fundamental rights." To allow a earlier identification of the populations in deprivation
situation, the questionnaire EPICES (Evaluation of the Precariousness and the Disparities of
health for the Centers of Examination of Health (CES)) was administered to more than 7000
people. The individual score, indicator of the precariousness and the disparities of health,
is calculated after answer to 11 questions and was calculated on about 200 000 French
people. Among numerous indicators, it appears that the consumption of psychotropics or a
negative perception of the health are socioeconomic indicators, mode of life and health
which are prevailing according to the quintiles of the score EPICES.
This national study, on the French CETD aims is: 1 - to study prevalence of the social
vulnerability even of the precariousness thanks to adapted questionnaires of which the
questionnaire EPICES, 2 - to identify predictive social-economic factors which generate and
amplify this circumstance, 3 - to identify the patients for whom a situation of
precariousness and social vulnerability is proved true, justifying the earlier orientation
towards the social worker of the Center so allowing a "global" care of the patient during
the second visit
Status | Recruiting |
Enrollment | 800 |
Est. completion date | May 2016 |
Est. primary completion date | April 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 18 Years |
Eligibility |
Inclusion Criteria: - Patient follow-up in a CETD, Patient of more than 18 years old, Patient having a sufficient cooperation and an understanding to conform to the imperatives of the study, Patient agreeing to give a written consent, Patient member in the social security system French. Exclusion Criteria: - Old Patient under age 18, Patient with cooperation and understanding not allowing conforming in a strict way to the conditions and to the tests planned by the protocol, Patient benefiting from a legal protective measure (guardianship, supervision) Unaffiliated patient in the social security system French |
N/A
Country | Name | City | State |
---|---|---|---|
France | CHU Clermont-Ferrand | Clermont-Ferrand |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Clermont-Ferrand |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Estimate prevalence of the precariousness and the disparities of health at the chronic painful patient in CETD by the questionnaire EPICES | Estimate prevalence of the precariousness and the disparities of health at the chronic painful patient in CETD by the questionnaire EPICES (Evaluation of the Precariousness and the Disparities of Health for the Centers of Examination of Health). Patient which have a score EPICES = 30, 2. will be considered as " vulnerable socially or precarious" and will came for a second consultation in the center of Evaluation and Treatment of the Pain, to benefit an earlier orientation and better adapted with a social worker. |
At day 1 | No |
Secondary | Estimation of the relation between precariousness / disparities of health and the quality of life estimated by the SF36 | At day 1 | No |
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