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Saudi Journal of Medicine (SJM)
Volume-6 | Issue-02 | 47-56
Original Research Article
A Semi-systematic Review of Patient Journey for Chronic Pain in Saudi Arabia to Improve Patient Care
Sami M Bahlas, Ziad El Chami, Ashraf A Amir, Said Khader, Mahmoud Bakir, Shams Arifeen
Published : Feb. 28, 2021
DOI : 10.36348/sjm.2021.v06i02.005
Abstract
This semi-systematic review aimed to quantitatively map and identify data gaps in patient journey touchpoints for chronic low back pain (CLBP) and osteoarthritis (OA) in Saudi Arabia. An evidence mapping approach was used to quantify the prevalence and distribution of different touch points including awareness, screening, diagnosis, treatment, adherence and control across CLBP and OA patient journeys. A systematic search of databases MEDLINE, Embase and BIOSIS was conducted using predefined inclusion criteria to identify relevant studies published in English between 01 January 2010 and 11 December 2019. A substantive unstructured literature search was also conducted on public or government websites with no date restriction. To address data gaps, anecdotal data were also considered for inclusion. Data combined from all sources was synthesized and presented as simple or weighted mean. Of the 47 records identified, five studies met the inclusion criteria. The overall prevalence of CLBP from three studies was estimated at 8%. The prevalence of OA as per anecdotal data was 30%. Awareness of OA, based on two published studies and anecdotal evidence was 48%. According to anecdotal evidence, screening and diagnosis of OA was 50% and 60%, respectively. The majority of patients with OA (80%) were treated, with higher adherence (90%), of which 60% of patients showed symptoms control. The study findings highlight the need for more evidence-based research related to common patient journey touchpoints, which in turn may aid in efficient resource utilization, innovative pain services and collaborative practices to improve patient outcomes at national level.
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