Spreading of Pain in Patients with Chronic Pain is Related to Pain Duration and Clinical Presentation and Weakly Associated with Outcomes of Interdisciplinary Pain Rehabilitation: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)

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Gerdle, BjörnLinköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum (författare)

Spreading of Pain in Patients with Chronic Pain is Related to Pain Duration and Clinical Presentation and Weakly Associated with Outcomes of Interdisciplinary Pain Rehabilitation : A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)

Artikel/kapitelEngelska2021

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Dove Medical Press LTD,2021
electronicrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:liu-173845
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-173845URI
https://doi.org/10.2147/JPR.S288638DOI
https://lup.lub.lu.se/record/4b63fd59-3f8e-4ca8-a646-deffb8e64ab1URI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agencies|Swedish Research CouncilSwedish Research CouncilEuropean Commission [2018-02470]; County Council of Ostergotland (Research-ALF) [LIO-608021]
Introduction: The extent to which pain is distributed across the body (spreading of pain) differs largely among patients with chronic pain conditions and widespread pain has been linked to poor quality of life and work disability. A longer duration of pain is expected to be associated with more widespread pain, but studies are surprisingly scarce. Whether spreading of pain is associated with clinical presentation and treatment outcome in patients seen in interdisciplinary multimodal pain rehabilitation programs (IMMRPs) is unclear. The association between spreading of pain and (1) pain duration (2) clinical presentation (eg, pain intensity, pain-related cognitions, psychological distress, activity/participation aspects and quality of life) and (3) treatment outcome were examined. Methods: Data from patients included in the Swedish Quality Registry for Pain Rehabilitation were used (n=39,916). A subset of patients that participated in IMMRPs (n=14,666) was used to examine whether spreading of pain at baseline predicted treatment outcome. Spreading of pain was registered using 36 predefined anatomical areas which were summarized and divided into four categories: 1-6 regions with pain (20.6% of patients), 7-12 regions (26.8%), 13-18 regions (22.0%) and 19-36 regions (30.6%). Results: More widespread pain was associated with a longer pain duration and a more severe clinical picture at baseline with the strongest associations emerging in relation to health and pain aspects (pain intensity, pain interference and pain duration). Widespread pain was associated with a poorer overall treatment outcome following IMMRPs at both post-treatment and at a 12-month follow-up, but effect sizes were small. Discussion: Spreading of pain is an indicator of the duration and severity of chronic pain and to a limited extent to outcomes of IMMRP. Longer pain duration in those with more widespread pain supports the concept of early intervention as clinically important and implies a need to develop and improve rehabilitation for patients with chronic widespread pain.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
chronic pain; interdisciplinary; outcome; pain spreading; rehabilitation; spatial distribution

Biuppslag (personer, institutioner, konferenser, titlar ...)

Rivano Fischer, MarceloLund University,Lunds universitet,Rehabiliteringsmedicin,Forskargrupper vid Lunds universitet,Rehabilitation medicine,Lund University Research Groups,Skåne University Hospital,Skane Univ Hosp, Sweden; Lund Univ, Sweden(Swepub:lu)med-mor (författare)
Cervin, MattiLund University,Lunds universitet,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurokognitiva funktioner och psykopatologi hos barn och ungdomar,Forskargrupper vid Lunds universitet,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Brain function and behavioral mechanisms in psychopathology,Lund University Research Groups,Lund Univ, Sweden(Swepub:lu)ma8505ce (författare)
Ringqvist, ÅsaSkane Univ Hosp, Sweden,Skåne University Hospital(Swepub:lu)med-aar (författare)
Linköpings universitetAvdelningen för prevention, rehabilitering och nära vård (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Pain Research: Dove Medical Press LTD14, s. 173-1871178-7090

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Journal of Pain Research (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Gerdle, Björn; Rivano Fischer, ...; Cervin, Matti; Ringqvist, Åsa

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Av lärosätet: Linköpings universitet; Lunds universitet

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