The treatment lottery of chronic back pain? A case series at a multidisciplinary pain centre
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
2023-01-172023-01-172024-02-08Bibliographically approved