Does pain severity guide selection to multimodal pain rehabilitation across gender?

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Does pain severity guide selection to multimodal pain rehabilitation across gender?

Haukenes, I. (author): Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Norwegian Inst Publ Hlth, Div Mental Hlth, Dept Publ Mental Hlth, Bergen, Norway,Umeå universitet, Institutionen för folkhälsa och klinisk medicin

Hensing, Gunnel, 1956 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine

Stålnacke, Britt-Marie (author): Umeå universitet,Rehabiliteringsmedicin,Umeå universitet, Rehabiliteringsmedicin

Hammarström, Anne (author): Umeå universitet,Socialmedicin,Norwegian Inst Publ Hlth, Div Mental Hlth, Dept Publ Mental Hlth, Bergen, Norway,Umeå Centre for Gender Studies in Medicine,Umeå universitet, Institutionen för folkhälsa och klinisk medicin

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2014-11-04
2015
English.
In: European Journal of Pain. - : Wiley. - 1090-3801 .- 1532-2149. ; 19:6, s. 826-833

Related links:: https://gup.ub.gu.se...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BackgroundStudies have addressed the effect of multimodal pain rehabilitation (MMR), whereas criteria for selection are sparse. This study examines whether higher scores on musculoskeletal pain measures are associated with selection to MMR, and whether this differs across gender. MethodA clinical population of 262 male and 589 female patients was recruited consecutively during 3 years, 2007-2010. The patients were referred from primary care to a pain rehabilitation clinic in Northern Sweden for assessment and selection to MMR. Register-based data on self-reported pain were linked to patients' records where outcome (MMR or not) was stated. We modelled odds ratios for selection to MMR by higher scores on validated pain measures (pain severity, interference with daily life, pain sites and localized pain vs. varying pain location). Covariates were age, educational level and multiple pain measures. Anxiety and depression (Hospital, Anxiety and Depression Scale) and working status were used in sensitivity tests. ResultsHigher scores of self-reported pain were not associated with selection to MMR in multivariate models. Among women, higher scores on pain severity, pain sites and varying pain location (localized pain=reference) were negatively associated with selection to MMR. After adjustment for multiple pain measures, the negative odds ratio for varying location persisted (OR=0.59, 95% CI=0.39-0.89). ConclusionHigher scores on self-reported pain did not guide selection to MMR and a negative trend was found among women. Studies of referral patterns and decision processes may contribute to a better understanding of the clinical practice that decides selection to MMR.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)

Keyword

CHRONIC MUSCULOSKELETAL PAIN
CARDIAC REHABILITATION
CLINICAL-TRIALS
DEPRESSION
DISORDERS
OUTCOMES
HEALTH
WOMEN
CARE
RECOMMENDATIONS
Anesthesiology
Clinical Neurology
Neurosciences

Publication and Content Type

ref (subject category)
art (subject category)

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