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Moderate and Stable Pain Reductions as a Result of Interdisciplinary Pain Rehabilitation: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)
Skane Univ Hosp, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.ORCID iD: 0000-0001-9019-4125
Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.ORCID iD: 0000-0002-1607-187X
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
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2019 (English)In: JOURNAL OF CLINICAL MEDICINE, ISSN 2077-0383, Vol. 8, no 6, article id 905Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
MDPI, 2019. Vol. 8, no 6, article id 905
Keywords [en]
chronic pain; musculoskeletal pain; patient care team; rehabilitation; treatment outcome
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-159280DOI: 10.3390/jcm8060905ISI: 000475349300149PubMedID: 31238588OAI: oai:DiVA.org:liu-159280DiVA, id: diva2:1341136
Note

Funding Agencies|Swedish Research Council [2018-02470]; County Council of Ostergotland (forsknings-ALF) [LIO-608021]; AFA insurance [140340]

Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-08-15Bibliographically approved

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Dragioti, ElenaLarsson, BrittGerdle, Björn

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Dragioti, ElenaBjörk, MathildaLarsson, BrittGerdle, Björn
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Division of Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation CenterDivision of Occupational TherapyDepartment of Rheumatology
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