Moderate and stable pain reductions as a result of interdisciplinary pain rehabilitation—A cohort study from the Swedish quality registry for pain rehabilitation (SQRP)
(2019) In Journal of Clinical Medicine 8(6). p.1-28- Abstract
Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; define a multivariate outcome measure; and investigate whether the clinical self-reported presentation pre-IMMRP predicts the multivariate outcome. To this end, this study analysed chronic pain patients in specialist care included in the Swedish Quality Registry for Pain Rehabilitation for 22 outcomes (pain, psychological distress, participation, and health) on three occasions: pre-IMMRP, post-IMMRP, and 12-month follow-up. Moderate stable ES were demonstrated for pain intensity, interference in... (More)
Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; define a multivariate outcome measure; and investigate whether the clinical self-reported presentation pre-IMMRP predicts the multivariate outcome. To this end, this study analysed chronic pain patients in specialist care included in the Swedish Quality Registry for Pain Rehabilitation for 22 outcomes (pain, psychological distress, participation, and health) on three occasions: pre-IMMRP, post-IMMRP, and 12-month follow-up. Moderate stable ES were demonstrated for pain intensity, interference in daily life, vitality, and health; most other outcomes showed small ES. Using a Multivariate Improvement Score (MIS), we identified three clusters. Cluster 1 had marked positive MIS and was associated with the overall worst situation pre-IMMRP. However, the pre-IMMRP situation could only predict 8% of the variation in MIS. Specialist care IMPRPs showed moderate ES for pain, interference, vitality, and health. Outcomes were best for patients with the worst clinical presentation pre-IMMRP. It was not possible to predict who would clinically benefit most from IMMRP.
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- author
- Ringqvist, Åsa LU ; Dragioti, Elena ; Björk, Mathilda ; Larsson, Britt and Gerdle, Björn
- publishing date
- 2019-06
- type
- Contribution to journal
- publication status
- published
- keywords
- Chronic pain, Musculoskeletal pain, Patient care team, Rehabilitation, Treatment outcome
- in
- Journal of Clinical Medicine
- volume
- 8
- issue
- 6
- article number
- 905
- pages
- 1 - 28
- publisher
- MDPI AG
- external identifiers
-
- scopus:85082096938
- ISSN
- 2077-0383
- DOI
- 10.3390/jcm8060905
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © 2019 by the authors. Licensee MDPI, Basel, Switzerland.
- id
- 787088f9-6ec3-4bf9-a47c-14e0c0d2a567
- date added to LUP
- 2024-09-20 11:57:50
- date last changed
- 2024-09-20 12:22:12
@article{787088f9-6ec3-4bf9-a47c-14e0c0d2a567,
abstract = {{<p>Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; define a multivariate outcome measure; and investigate whether the clinical self-reported presentation pre-IMMRP predicts the multivariate outcome. To this end, this study analysed chronic pain patients in specialist care included in the Swedish Quality Registry for Pain Rehabilitation for 22 outcomes (pain, psychological distress, participation, and health) on three occasions: pre-IMMRP, post-IMMRP, and 12-month follow-up. Moderate stable ES were demonstrated for pain intensity, interference in daily life, vitality, and health; most other outcomes showed small ES. Using a Multivariate Improvement Score (MIS), we identified three clusters. Cluster 1 had marked positive MIS and was associated with the overall worst situation pre-IMMRP. However, the pre-IMMRP situation could only predict 8% of the variation in MIS. Specialist care IMPRPs showed moderate ES for pain, interference, vitality, and health. Outcomes were best for patients with the worst clinical presentation pre-IMMRP. It was not possible to predict who would clinically benefit most from IMMRP.</p>}},
author = {{Ringqvist, Åsa and Dragioti, Elena and Björk, Mathilda and Larsson, Britt and Gerdle, Björn}},
issn = {{2077-0383}},
keywords = {{Chronic pain; Musculoskeletal pain; Patient care team; Rehabilitation; Treatment outcome}},
language = {{eng}},
number = {{6}},
pages = {{1--28}},
publisher = {{MDPI AG}},
series = {{Journal of Clinical Medicine}},
title = {{Moderate and stable pain reductions as a result of interdisciplinary pain rehabilitation—A cohort study from the Swedish quality registry for pain rehabilitation (SQRP)}},
url = {{http://dx.doi.org/10.3390/jcm8060905}},
doi = {{10.3390/jcm8060905}},
volume = {{8}},
year = {{2019}},
}