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First EFIC® Symposium Societal Impact of Pain - SIP

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Ian Power<br />

Pr<strong>of</strong>. Ian Power BSc (Hons) MD FRCA<br />

FFPMANZCA FANZCA FRCS Ed FRCP Edin<br />

Anaesthesia, Critical Care & <strong>Pain</strong> Medicine<br />

College <strong>of</strong> Medicine and Veterinary Medicine<br />

University <strong>of</strong> Edinburgh, Scotland<br />

REAL WORLD DATA TO ASSESS IMPACT OF<br />

PAIN; OBJECTIVES AND METHODOLOGY<br />

OF ONGOING STUDIES IN THE UK<br />

Real word data is becoming increasingly important<br />

in evaluating treatments, interventions<br />

and services within the healthcare sector.<br />

Where traditionally new treatments were presented<br />

to market with a wealth <strong>of</strong> randomized<br />

control trial data this, in isolation, is no longer<br />

sufficient to ensure new treatments are<br />

adopted quickly to give access to the patients<br />

who need them most. In addition burden <strong>of</strong> illness<br />

cannot be assessed without the use <strong>of</strong><br />

real world data. In the area <strong>of</strong> pain management,<br />

patient pathways and treatment algorithms<br />

are complex and varied and there is a<br />

clear need to evaluate current practice in order<br />

to inform improvements where these are possible.<br />

A program <strong>of</strong> real world studies have been initiated<br />

in the UK, involving key centres across<br />

all four countries to collect data on the routine<br />

management <strong>of</strong> chronic pain. The studies are<br />

an example <strong>of</strong> collaborative working between<br />

the NHS and the pharmaceutical industry.<br />

The first study focuses on the overall burden<br />

<strong>of</strong> illness by collecting resource use and pathway<br />

data associated with chronic pain from<br />

primary care practice records. This study will<br />

provide top line data on secondary care resource<br />

use as far as is possible from primary<br />

care sources. However, to supplement this, the<br />

second study focuses on resource use and patient<br />

pathways associated with the same group<br />

<strong>of</strong> patients within specialist secondary care<br />

pain clinics. Both studies were granted central<br />

ethics approval in the UK in early 2010 and<br />

data is being collected currently. Further details<br />

on objectives, methodology and interim results<br />

will be presented and discussed.<br />

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