What Is the Effectiveness of Different Duration Interdisciplinary Treatment Programs in Patients with Chronic Pain? A Large-Scale Longitudinal Register Study

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Tseli, ElenaHögskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, S-14152 Huddinge, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden. (author)

What Is the Effectiveness of Different Duration Interdisciplinary Treatment Programs in Patients with Chronic Pain? A Large-Scale Longitudinal Register Study

Article/chapterEnglish2020

Publisher, publication year, extent ...

2020-08-29
MDPI AG,2020
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:du-34971
https://urn.kb.se/resolve?urn=urn:nbn:se:du-34971URI
https://doi.org/10.3390/jcm9092788DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-424631URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-171361URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:144969347URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|Swedish Research Council, Stockholm, SwedenSwedish Research Council [2015-02512]; Swedish Research Council for Health, Working Life and Welfare (FORTE) [2017-00177]; Doctoral School in Health Care Sciences, Karolinska Institutet, Stockholm, Sweden; AFA-Insurance, Stockholm, Sweden [140340]; Research-ALF, County Council of Ostergotland, Linkoping, Sweden, Stockholm, Sweden [LIO-608021]
Chronic pain is a leading cause of disability globally. Interdisciplinary multimodal pain rehabilitation (IMPR) targets pain with a bio-psycho-social approach, often delivered as composite programs. However, evidence of optimal program duration for the rehabilitation to succeed remains scarce. This study evaluated the effectiveness of different duration IMPR-programs-using within- and between-effects analyses in a pragmatic multicenter register-based controlled design. Using the Swedish Quality Registry for Pain Rehabilitation, data from fifteen clinics specialized in chronic pain rehabilitation across Sweden were retrieved. Participants were patients with chronic musculoskeletal pain who had taken part in short (4-9 weeks; n = 924), moderate (10 weeks; n = 1379), or long (11-18 weeks; n = 395) IMPR programs. Longitudinal patient-reported outcome data were assessed at baseline, post-intervention, and at a 12-month follow-up. Primary outcomes were health-related quality of life, presented as perceived physical and mental health (SF-36). Secondary outcomes included the Hospital Anxiety and Depression Scale (HADS), pain intensity (NRS 0-10), the Multidimensional Pain Inventory (MPI), and perceived health (EQ-5D). Overall, all groups showed improvements. No clinically important effect emerged for different duration IMPR. In conclusion, while our results showed that patients following IMPR report improvement across a bio-psycho-social specter, a longer program duration was no more effective than a shorter one.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
multidisciplinary pain management
outcome measures
physical and mental functioning
practice-based evidence
registry study
Health and Welfare
Hälsa och välfärd

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Lo Martire, RiccardoHögskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, S-14152 Huddinge, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden.(Swepub:du)rlm (author)
Vixner, LindaHögskolan Dalarna,Medicinsk vetenskap,Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden.(Swepub:du)lvi (author)
Grooten, Wilhelmus Johannes AndreasKarolinska Institutet (author)
Gerdle, BjörnLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)bjoge88 (author)
Äng, BjörnUppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet, Center for Clinical Research Dalarna-Uppsala University,Centrum för klinisk forskning Dalarna,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, S-14152 Huddinge, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden.,Karolinska Inst, Sweden; Dalarna Univ, Sweden; Uppsala Univ, Sweden(Swepub:du)bja (author)
Högskolan DalarnaMedicinsk vetenskap (creator_code:org_t)

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