Irish Journal of Medical Science (1971 -)

, Volume 188, Issue 1, pp 273–275 | Cite as

Duration of opening statement of patients attending a chronic pain clinic consultation

  • Ather Imran
  • Deepak Doltani
  • Jean Saunders
  • Dominic HarmonEmail author
Original Article



The opening patient statement is an important part of the medical consultation. It is where after the initial solicitation the physician gets information about the patient’s current problems and concerns. Previous research shows that 23–28% of patients are allowed to complete their opening statement un-interruptedly in the general practice setting. Interruption results in fewer patient concerns expressed and failure to gather potentially important patient information.


The objective of the study was to assess the duration of opening statements of patients attending a chronic pain clinic consultation.

Study design

Prospective observational study


Chronic pain clinic. University teaching hospital


Following written informed consent, data was collected prospectively from 100 adult patients attending a chronic pain clinic consultation at a university hospital. We recorded the time of the opening statement following a standardized opening question by the pain physician. No verbal or non-verbal interruption by the physician was made during the patient’s opening statement.


Out of 100 adult patients, 37% (n = 37) were male and 63% (n = 63) were female. Mean age (years) was 54.4. The mean opening statement time was 89 s.


The study is limited by being a single-centered study.


The duration of opening statements of patients attending a chronic pain clinic consultation when systematically studied takes a very short amount of time. It is important that all interruptions should be avoided. Our findings should encourage physicians to allow patients to complete their opening statements un-interruptedly in the chronic pain clinic.


Communication Consultation 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Silverman J, Kurtz S, Draper J (2005) Skills for communicating with patients. Radcliffe Medical Press, OxfordGoogle Scholar
  2. 2.
    Heritage J, Robinson JD (2006) The structure of patients’ presenting concerns: physicians’ opening questions. Health Commun 19(2):89–102CrossRefGoogle Scholar
  3. 3.
    Beckman HB, Frankel RM (1984) The effect of physician behavior on the collection of data. Ann Intern Med 101(5):692–696CrossRefGoogle Scholar
  4. 4.
    Marvel MK, Epstein RM, Flowers K, Beckman HB (1999) Soliciting the patient’s agenda: have we improved? JAMA 281(3):283–287CrossRefGoogle Scholar
  5. 5.
    Thornton RG (2011) Considerations in treating patients with chronic pain. Proc (Bayl Univ, Med Cent) 24(3):262–265CrossRefGoogle Scholar
  6. 6.
    Langewitz W, Denz M, Keller M et al (2002) Spontaneous talking time at start of consultation in outpatient clinic: cohort study. BMJ 325(7366):682–683CrossRefGoogle Scholar
  7. 7.
    Blau JN (1989) Time to let the patient speak. BMJ 298(6665):39CrossRefGoogle Scholar
  8. 8.
    Zolnierek KB, Dimatteo MR (2009) Physician communication and patient adherence to treatment: a meta-analysis. Med Care 47(8):826–834CrossRefGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2018

Authors and Affiliations

  • Ather Imran
    • 1
  • Deepak Doltani
    • 1
  • Jean Saunders
    • 2
  • Dominic Harmon
    • 1
    • 3
    Email author
  1. 1.Graduate Entry Medical SchoolUniversity of LimerickLimerickIreland
  2. 2.SCU/CSTAR @ ULUniversity of LimerickLimerickIreland
  3. 3.Department of Anesthesia and Pain MedicineLimerick University HospitalLimerickIreland

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