Problem/Solution Chronic Pain Clinics
To gauge a patient’s pain state physicians rely on a set of survey questions which are answered by the patient. The most common being the visual analog scale (VAS). The VAS requires patients to evaluate their own pain levels and communicate that reading on a scale from 0-10 (0= no pain: 10= worst pain imaginable).
Once a baseline is determined the physician makes a treatment recommendation taking into the account the patient’s reported pain state and medical history. Follow-up visits are required to see if treatment has led to a reduction of a patient’s pain state from baseline.
Problems with Current Methodology:
Patients have difficulties providing a good estimate of their internal state. This problem is compounded by the fact that patients have no good basis for differentiating pain scores, especially in the middle of the scale (3-6; 6-8); they can only compare to memories or imagined pain. Patients’ pain scores, and their verbal behavior changes when patients interact with people in medical authority, skewing the data.
Problems with Current Methodology Lead to:
Lack of a reliable baseline from visit to visit creates uncertainty if a treatment is working leading to massive costs in the health care system due to poor patient outcomes.
Overdosing of patients can lead to addiction to particularly of opioids
Underdosing of patients leads to unnecessary pain for the patient
Lack of reliable of objective patient pain state increases the liability to doctors as disputes are focused on patient reported results
Current Standard of Care
The PainQx platform system is currently an investigation medical device. The PainQx platform will be seeking FDA Clearance as a Class II medical device in 2020.
The PainQx platform upon FDA Clearance will solve the logic chain below by providing:
Objective Pain Measurement: Improves patient outcomes
Patient Pain State Confirmation: Empowers practitioner’s clinical decisions
Effective Pain Management: Eliminates under / over treatment dilemma
Measuring A Patient’s Pain State With PainQx:
Patients’ brain waves are analyzed and PainQx generates a PQ score for the patient between 0 – 10 providing an objective baseline. Once a baseline has been established the physician continues with his/her traditional measurement strategies. Once completed the physician makes a treatment recommendation based on the patient the PQ score, medical history, and self-reported measures.
Advantages of PainQx Methodology:
The PQ score is a quantifiable and objective measurement tool that the doctor can use to establish an initial patient pain state at baseline and subsequent visits.
Removes the need for a patient to verbalize their pain state.
Removes sociological influences on patient as clinician does not have to verbally administer test
Provides a third party measurement reducing variability of a patient's pain state
Advantages of the PainQx Platform May Lead to:
A reliable baseline from visit to visit creates reduces uncertainty of treatment outcomes leading improved clinical outcomes and savings to the healthcare system
Improved dosing leads to fewer incidence of opioid abuse thereby reducing the risk addiction
Improved dosing leads to a reduction of cases of underdosing improving patient satisfaction
The presence of a quantifiable and objective tool that measures a patient’s pain state reduces a physicians liability during disputes as independent third party can be included in the discussion