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The treatment lottery of chronic back pain? A case series at a multidisciplinary pain centre
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.ORCID iD: 0000-0003-4420-418X
2023 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 23, no 2, p. 273-283Article in journal (Refereed) Published
Abstract [en]

ObjectivesDespite the number of people affected by chronic back pain, and the many available treatment options, even the best modalities provide limited pain reduction on a group level, often without simultaneous improvements in functioning or health-related quality of life. The objective was to provide an overview of the treatment of chronic back pain in clinical practice at a multidisciplinary pain centre, and to study patient and pain characteristics in different treatment groups.Methods104 chronic back pain patients (primary ICD-10-SE-diagnosis M53.0-M54.9 excluding M54.1 and M54.3), referred to the Pain and Rehabilitation Centre, University Hospital, Linkoping in 2015, were studied using data from the Swedish Quality Registry for Pain Rehabilitation, self-reported medication data, and a retrospective medical record review.ResultsThe following treatment groups were identified: rehabilitation (n=21), analgesics (n=33), invasive intervention (n=14), and no treatment (n=35). Significant differences between groups were found with regards to age, sick leave, education level, persisting pain duration, punishing responses by significant other, previous invasive intervention, receiving sub-clinic, physician speciality and referring care level.ConclusionsOverall, patient demographics were associated with treatment strategy to a higher degree than patient-reported outcome measures. Moreover, physician speciality and organisational factors seemed to play a role in treatment choice.

Place, publisher, year, edition, pages
WALTER DE GRUYTER GMBH , 2023. Vol. 23, no 2, p. 273-283
Keywords [en]
analgesics; cervical spine; low back pain; opioids; pulsed radiofrequency treatment; rehabilitation; spine
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-191045DOI: 10.1515/sjpain-2022-0133ISI: 000898235700001PubMedID: 36508652OAI: oai:DiVA.org:liu-191045DiVA, id: diva2:1727877
Note

Funding Agencies|ALF Research Grants; Region OEstergoetland (Emmanuel Baeckryd); NEURO Sweden

Available from: 2023-01-17 Created: 2023-01-17 Last updated: 2024-02-08Bibliographically approved

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Ghafouri, NazdarBäckryd, Emmanuel

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