Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain

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Fältnamn	Indikatorer	Metadata
000		05220naa a2200517 4500
001		oai:DiVA.org:umu-169757
003		SwePub
008		200513s2020 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:liu-165100
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1697572 URI
024	7	a https://doi.org/10.2340/16501977-26492 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1651002 URI
040		a (SwePub)umud (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Pietilä Holmner, Elisabeth,d 1953-u Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden4 aut0 (Swepub:umu)elhpir72
245	1 0	a Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain
264	1	a Uppsala :b Foundation Rehabilitation Information,c 2020
338		a electronic2 rdacarrier
500		a Funding Agencies\|Swedish Social Insurance Agency; research programme REHSAM; AFA Insurance; Forsknings-ALF (county council of Vasterbotten); Forsknings-ALF (county council of Ostergotland)
520		a Objectives: To investigate the outcomes one year after multimodal rehabilitation programmes in primary care for patients with chronic pain, both as a whole and for men and women separately. A second aim was to identify predictive factors for not being on sickness absence at follow-up after one year.Methods: A prospective longitudinal cohort study of 234 patients, 34 men and 200 women, age range 18–65 years, who participated in multimodal rehabilitation programmes in primary care in 2 Swedish county councils. Pain, physical and emotional functioning, coping, health-related quality of life, work-related factors, sickness absence (sick leave, sickness compensation/disability pension) were evaluated prior to and one year after multimodal rehabilitation programmes.Results: Patients showed significant improvements at 1-year follow-up for all measures (all p ≤ 0.004) except satisfaction with vocation (p = 0.060). The proportion of patients on sick leave decreased significantly at follow-up (p = 0.027), while there was no significant difference regarding the proportion of patients on sickness compensation/disability pension (p = 0.087). Higher self-rated work ability was associated with not being on sickness absence at 1-year follow-up (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.21–1.06, p = 0.005).Conclusion: This study indicates that multimodal rehabilitation programmes in primary care could be beneficial for patients with chronic pain, since the outcomes at 1-year follow-up for pain, physical and emotional functioning, coping, and health-related quality of life were positive. However, the effect sizes were small and thus further development of multimodal rehabilitation programmes is warranted in order to improve the outcomes.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
653		a multidisciplinary
653		a rehabilitation
653		a pain
653		a primary care
653		a outcome
653		a sex
700	1	a Enthoven, Paulu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:liu)pauen91
700	1	a Gerdle, Björnu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:liu)bjoge88
700	1	a Molander, Peteru Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:liu)petmo97
700	1	a Stålnacke, Britt-Marie,d 1955-u Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden4 aut0 (Swepub:umu)brst0005
710	2	a Umeå universitetb Rehabiliteringsmedicin4 org
773	0	t Journal of Rehabilitation Medicined Uppsala : Foundation Rehabilitation Informationg 52:2q 52:2x 1650-1977x 1651-2081
856	4	u https://doi.org/10.2340/16501977-2649y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1429925/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://www.medicaljournals.se/jrm/content_files/download.php?doi=10.2340/16501977-2649
856	4	u https://liu.diva-portal.org/smash/get/diva2:1423718/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-169757
856	4 8	u https://doi.org/10.2340/16501977-2649
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-165100

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Av författaren/redakt...: Pietilä Holmner, ...; Enthoven, Paul; Gerdle, Björn; Molander, Peter; Stålnacke, Britt ...

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