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Do pain characteristics guide selection for multimodal pain rehabilitation?
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.ORCID iD: 0000-0003-3707-5869
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Department of Clinical Sciences, Karolinska Institutet and Department of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden.
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2017 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 49, p. 161-169Article in journal (Refereed) Published
Abstract [en]

Objective: To determine whether self-reported painmeasures are associated with selection for multimodalor multidisciplinary rehabilitation (MMR) andwhether this selection is influenced by sex.Design: Cross-sectional cohort study.Subjects: A total of 1,226 women and 464 men withchronic pain conditions from 2 university hospitals.Methods: Drawing from the Swedish Quality Registryfor Pain Rehabilitation (SQRP), data on pain, psychologicalsymptoms, function, health, and activity/participation were collected. Multiple logistic regressionwas used to investigate association of painmeasures with selection for MMR (no/yes) aftermultidisciplinary assessment. Covariates were: age,educational level, anxiety, depression, working status,and several pain measures.Results: High pain intensity in the previous week(odds ratio (OR) 0.92; 95% confidence interval (CI)0.86–0.99) and high pain severity (MultidimensionalPain Inventory) (OR 0.83; 95% CI 0.74–0.95)were negatively associated with selection for MMR,whereas higher number of pain quadrants was positivelyassociated with selection for MMR. Similarresults were obtained for women, but none of themeasures was predictive for men.Conclusion: This practice-based study showed thathigher scores on self-reported pain were not associatedwith selection for MMR, and in women therewas a negative association for higher pain intensityand pain severity. Thus, other factors than pain determinewhether patients are selected for MMR.

Place, publisher, year, edition, pages
FOUNDATION REHABILITATION INFORMATION , 2017. Vol. 49, p. 161-169
Keywords [en]
multimodal treatment; multidisciplinary; chronic pain; gender; rehabilitation; primary healthcare
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Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-134197DOI: 10.2340/16501977-2176ISI: 000396799000009PubMedID: 28101558OAI: oai:DiVA.org:liu-134197DiVA, id: diva2:1069486
Note

Funding agencies: Swedish Social Insurance Agency; REHSAM; AFA Insurance

Available from: 2017-01-29 Created: 2017-01-29 Last updated: 2018-03-23

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Enthoven, PaulMolander, PeterÖberg, BirgittaGerdle, Björn
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