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Open Issues and Practical Suggestions for Telemedicine in Chronic Pain

Telemedicine represents a major opportunity to facilitate continued assistance for patients with chronic pain and improve their access to care. Preliminary data show that an improvement can be expected of the monitoring, treatment adherence, assessment of treatment effect including the emotional dis...

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Autores principales: Cascella, Marco, Marinangeli, Franco, Vittori, Alessandro, Scala, Cristina, Piccinini, Massimo, Braga, Alessandro, Miceli, Luca, Vellucci, Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656645/
https://www.ncbi.nlm.nih.gov/pubmed/34886140
http://dx.doi.org/10.3390/ijerph182312416
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author Cascella, Marco
Marinangeli, Franco
Vittori, Alessandro
Scala, Cristina
Piccinini, Massimo
Braga, Alessandro
Miceli, Luca
Vellucci, Renato
author_facet Cascella, Marco
Marinangeli, Franco
Vittori, Alessandro
Scala, Cristina
Piccinini, Massimo
Braga, Alessandro
Miceli, Luca
Vellucci, Renato
author_sort Cascella, Marco
collection PubMed
description Telemedicine represents a major opportunity to facilitate continued assistance for patients with chronic pain and improve their access to care. Preliminary data show that an improvement can be expected of the monitoring, treatment adherence, assessment of treatment effect including the emotional distress associated with pain. Moreover, this approach seems to be convenient and cost-effective, and particularly suitable for personalized treatment. Nevertheless, several open issues must be highlighted such as identification of assessment tools, implementation of monitoring instruments, and ability to evaluate personal needs and expectations. Open questions exist, such as how to evaluate the need for medical intervention and interventional procedures, and how to define when a clinical examination is required for certain conditions. In this context, it is necessary to establish dynamic protocols that provide the right balance between face-to-face visits and telemedicine. Useful tips are provided to start an efficient experience. More data are needed to develop precise operating procedures. In the meantime, the first experiences from such settings can pave the way to initiate effective care pathways in chronic pain.
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spelling pubmed-86566452021-12-10 Open Issues and Practical Suggestions for Telemedicine in Chronic Pain Cascella, Marco Marinangeli, Franco Vittori, Alessandro Scala, Cristina Piccinini, Massimo Braga, Alessandro Miceli, Luca Vellucci, Renato Int J Environ Res Public Health Review Telemedicine represents a major opportunity to facilitate continued assistance for patients with chronic pain and improve their access to care. Preliminary data show that an improvement can be expected of the monitoring, treatment adherence, assessment of treatment effect including the emotional distress associated with pain. Moreover, this approach seems to be convenient and cost-effective, and particularly suitable for personalized treatment. Nevertheless, several open issues must be highlighted such as identification of assessment tools, implementation of monitoring instruments, and ability to evaluate personal needs and expectations. Open questions exist, such as how to evaluate the need for medical intervention and interventional procedures, and how to define when a clinical examination is required for certain conditions. In this context, it is necessary to establish dynamic protocols that provide the right balance between face-to-face visits and telemedicine. Useful tips are provided to start an efficient experience. More data are needed to develop precise operating procedures. In the meantime, the first experiences from such settings can pave the way to initiate effective care pathways in chronic pain. MDPI 2021-11-25 /pmc/articles/PMC8656645/ /pubmed/34886140 http://dx.doi.org/10.3390/ijerph182312416 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Cascella, Marco
Marinangeli, Franco
Vittori, Alessandro
Scala, Cristina
Piccinini, Massimo
Braga, Alessandro
Miceli, Luca
Vellucci, Renato
Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title_full Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title_fullStr Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title_full_unstemmed Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title_short Open Issues and Practical Suggestions for Telemedicine in Chronic Pain
title_sort open issues and practical suggestions for telemedicine in chronic pain
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656645/
https://www.ncbi.nlm.nih.gov/pubmed/34886140
http://dx.doi.org/10.3390/ijerph182312416
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