Publication:

Treatment outcomes and quality of life among patients with chronic pain in a referral hospital in Ethiopia

Background Chronic pain is a pervasive and complex public health issue that profoundly impacts the quality of life (QoL), mental health, and daily activities. Defined as pain lasting beyond three to six months, it arises from diverse causes, including injuries, medical conditions, and psychological factors. Patients with chronic pain often experience poor QoL. In Ethiopia, the burden is compounded by limited healthcare infrastructure, socioeconomic challenges, and cultural attitudes toward pain management. This study aimed to assess treatment outcomes and QoL among patients with chronic pain attending the Tikur Anbessa Specialized Hospital (TASH) neurology clinic.

Methods A cross-sectional study was conducted at TASH, using the SF-12 questionnaire to assess QoL through patient interviews and clinical data collected from medical records. All patients meeting inclusion criteria and attending the clinic for chronic pain management between March and May 2023 were included.

Results Of the 200 patients included, 64.5% were female, and chronic low back pain was the most common diagnosis (33.5%). Amitriptyline, prescribed for 39.5% of participants, was the most frequently used medication. Despite treatment, 59.5% of patients reported uncontrolled pain, adversely affecting their physical and emotional well-being.

Conclusions Although treatment led to some improvement, the majority of patients continued to experience uncontrolled pain, significantly impairing their QoL. These findings underscore the urgent need for enhanced pain management strategies in Ethiopia.