A primary care-based interdisciplinary team approach to the treatment of chronic pain utilizing a pragmatic clinical trials framework.


Journal Article

Chronic pain affects at least 116 million adults in the USA and exacts a tremendous cost in suffering and lost productivity. While health systems offer specialized pain services, the primary care setting is where most patients seek and receive care for pain. Primary care-based treatment of chronic pain by interdisciplinary teams (including behavioral specialists, nurse case managers, physical therapists, and pharmacists) is one of the most effective approaches for improving outcomes and managing costs. To ensure robust integration of such services into sustainable health-care programs, evaluations must be conducted by researchers well versed in the methodologies of clinical trials, mixed methods and implementation research, bioinformatics, health services, and cost-effectiveness. Recent national health policy changes, in addition to the increasing recognition of the high prevalence and cost of chronic pain conditions, present a unique opportunity to shift the care paradigm for patients with chronic pain.

Full Text

Duke Authors

Cited Authors

  • Debar, LL; Kindler, L; Keefe, FJ; Green, CA; Smith, DH; Deyo, RA; Ames, K; Feldstein, A

Published Date

  • December 1, 2012

Published In

Volume / Issue

  • 2 / 4

Start / End Page

  • 523 - 530

PubMed ID

  • 23440672

Pubmed Central ID

  • 23440672

International Standard Serial Number (ISSN)

  • 1869-6716

Digital Object Identifier (DOI)

  • 10.1007/s13142-012-0163-2


  • eng

Conference Location

  • England