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What Is the Effecti...
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, Elena (author)
- Högskolan 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.
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- Lo Martire, Riccardo (author)
- Högskolan 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.
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- Vixner, Linda (author)
- Högskolan Dalarna,Medicinsk vetenskap,Dalarna Univ, Sch Educ Hlth & Social Studies, S-79188 Falun, Sweden.
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- Grooten, Wilhelmus Johannes Andreas (author)
- Karolinska Institutet
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- Gerdle, Björn (author)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Äng, Björn (author)
- Uppsala 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
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(creator_code:org_t)
- 2020-08-29
- 2020
- English.
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In: Journal of Clinical Medicine. - : MDPI AG. - 2077-0383. ; 9:9
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Abstract
Subject headings
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- 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
- 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)
Keyword
- multidisciplinary pain management
- outcome measures
- physical and mental functioning
- practice-based evidence
- registry study
- Health and Welfare
- Hälsa och välfärd
Publication and Content Type
- ref (subject category)
- art (subject category)
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