Maintenance of quality of life improvement for patients with chronic pain and obesity after interdisciplinary multimodal pain rehabilitation - A study using the Swedish Quality Registry for Pain Rehabilitation

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Fältnamn	Indikatorer	Metadata
000		05192naa a2200433 4500
001		oai:DiVA.org:liu-161832
003		SwePub
008		191118s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:lup.lub.lu.se:b102cff1-a88c-4635-bdc9-d69899fb6940
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1618322 URI
024	7	a https://doi.org/10.1002/ejp.14572 DOI
024	7	a https://lup.lub.lu.se/record/b102cff1-a88c-4635-bdc9-d69899fb69402 URI
040		a (SwePub)liud (SwePub)lu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Dong, Huan-Jiu Linköping University,Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:liu)huado29
245	1 0	a Maintenance of quality of life improvement for patients with chronic pain and obesity after interdisciplinary multimodal pain rehabilitation - A study using the Swedish Quality Registry for Pain Rehabilitation
264		c 2019-08-08
264	1	b WILEY,c 2019
338		a electronic2 rdacarrier
500		a Funding Agencies\|Swedish Trade Union Confederation; The Confederation of Swedish Enterprise; County Council of Ostergotland Research; The Council for Negotiation and Co-operation
520		a Background Throughout the world many people have both obesity and chronic pain, comorbidities that decrease Health-Related Quality of Life (HRQoL). It is uncertain whether patients with comorbid obesity can maintain improved HRQoL after Interdisciplinary Multimodal Pain Rehabilitation (IMMPR). Methods Data from 2016, 2017, and 2018 were obtained from a national pain database for Swedish specialized pain clinics and collected at three time points: Pre-IMMPR; Post- IMMPR; and 12-month follow-up (FU-IMMPR). Participants (N = 872) reported body weight, height, pain aspects, and HRQoL (RAND 36-Item Health Survey). Severe obesity (Body Mass Index, BMI amp;gt;= 35 kg/m(2)) was defined according to WHO classifications. We used linear mixed regression models to examine BMI group differences in HRQoL over time. Results More than 25% of patients (224/872) were obese and nearly 30% (63/224) of these were severely obese. All BMI groups improved significantly in both physical and mental composites of HRQoL after IMMPR (Pre- vs. Post-IMMPR, p amp;lt; .001). The improvements were maintained at a 12-month follow-up (Post- vs. FU-IMMPR, p amp;gt; .05). The severe obesity group had the lowest physical health score and least improvement (pre- vs. FU-IMMPR, Cohens d = o.422, small effect size). Severe obesity had negative impact on physical health (beta = -4.39, p amp;lt; .05) after controlling for sociodemographic factors and pain aspects. Conclusion Improvements in HRQoL after IMMPR were achieved and maintained across all weights, including patients with comorbid obesity. Only severe obesity was negatively associated with physical health aspects of HRQoL. Significance Patients with chronic pain and comorbid obesity achieve sustained Health-Related Quality of Life (HRQoL) improvements from Interdisciplinary Multimodal Pain Rehabilitation (IMMPR). This finding suggests that rehabilitation professionals should consider using IMMPR for patients with comorbid obesity even though their improvement may not reach the same level as for non-obese patients.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 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
700	1	a Larsson, Brittu Linköping University,Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:lu)ymed-bla
700	1	a Rivano Fischer, Marcelou Lund University,Lunds universitet,Rehabiliteringsmedicin,Forskargrupper vid Lunds universitet,Rehabilitation medicine,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden; Skane Univ Hosp, Sweden4 aut0 (Swepub:lu)med-mor
700	1	a Gerdle, Björnu Linköping University,Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum4 aut0 (Swepub:liu)bjoge88
710	2	a Linköpings universitetb Avdelningen för samhällsmedicin4 org
773	0	t European Journal of Paind : WILEYg 23:10, s. 1839-1849q 23:10<1839-1849x 1090-3801x 1532-2149
856	4	u https://liu.diva-portal.org/smash/get/diva2:1370911/FULLTEXT01.pdfx primaryx Raw objecty fulltext:postprint
856	4	u http://liu.diva-portal.org/smash/get/diva2:1370911/FULLTEXT01
856	4	u http://dx.doi.org/10.1002/ejp.1457y FULLTEXT
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-161832
856	4 8	u https://doi.org/10.1002/ejp.1457
856	4 8	u https://lup.lub.lu.se/record/b102cff1-a88c-4635-bdc9-d69899fb6940

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Av författaren/redakt...: Dong, Huan-Ji; Larsson, Britt; Rivano Fischer, ...; Gerdle, Björn

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

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