The Treatment of Pediatric Pain in Spain: A Survey Study

Int J Environ Res Public Health. 2023 Jan 30;20(3):2484. doi: 10.3390/ijerph20032484.

Abstract

Pain is a common experience among children and adolescents, and pain management in this population is a challenge to clinicians. The aims of this study were to increase our understanding of current practices in the management of both acute and chronic pediatric pain in Spain, explore potential barriers to ideal practices, and identify professional needs as perceived by healthcare professionals. A total of 277 healthcare professionals took part, all of whom had wide experience in managing children and adolescents with pain (M [SD] age = 44.85, [10.73]; 75% women). Participants had to respond to a web-based survey with 50 questions related to pain education, organizational characteristics of their pain programs (including the characteristics of the patients treated), and current practices in the assessment and treatment of children and adolescents with pain. Almost all the participants (93%) acknowledged important gaps in their training, and only 47% reported that they had received specific education on the management of pediatric pain during their undergraduate and postgraduate studies. A third (31%) were members of multidisciplinary teams, and almost all (99%) understood that protocols to guide the management of pain in young people were necessary. However, only a few of them used a protocol to assess and treat (56% and 48%, respectively) acute and chronic pain (24% and 23%, respectively). The data also showed that a lack of pain education, coordination of professionals, and guidelines was perceived as an important barrier in the care provided to children and adolescents with pain in Spain. The findings of this study can now be used by healthcare professionals in Spain interested in managing pediatric pain, as well as policymakers concerned to improve the education of professionals and the care given to young people with pain.

Keywords: adolescents; children; healthcare professionals; pain; pain management; pain programs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Chronic Pain* / therapy
  • Female
  • Health Personnel
  • Humans
  • Male
  • Pain Management* / methods
  • Spain / epidemiology
  • Surveys and Questionnaires

Grants and funding

This study was partly supported by grants from the Spanish Ministry of Economy, Industry and Competitiveness (RTI2018-09870-B-I00; RED2018-102546-T), the Spanish Ministry of Science and Innovation (PID2020-114146RJ-I00), the European Regional Development Fund (ERDF), the Government of Catalonia (AGAUR), and Universitat Rovira i Virgili (PFR program) (RED2018-102546-T), the Government of Catalonia (AGAUR; 2017SGR-1321), Fundación Grünenthal (Spain), and ICREA-Acadèmia. The APC was funded by Agency for Administration of University and Research; ICREA-Acadèmia. ES’s work is supported by a grant from the Spanish Ministry of Science and Innovation (PID2020-114146RJ-I00). JM’s work is supported by ICREA-Acadèmia. The Chair in Pediatric Pain URV-FG is funded by Fundación Grünenthal.