scholarly journals Who benefits from multimodal rehabilitation – an exploration of pain, psychological distress, and life impacts in over 35,000 chronic pain patients identified in the Swedish Quality Registry for Pain Rehabilitation

2019 ◽  
Vol Volume 12 ◽  
pp. 891-908 ◽  
Author(s):  
Björn Gerdle ◽  
Sophia Åkerblom ◽  
Gunilla Brodda Jansen ◽  
Paul Enthoven ◽  
Malin Ernberg ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Quality Registry ◽  
Chronic Pain Patients ◽  
Pain Patients

scholarly journals Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)

2020 ◽  
Vol 9 (8) ◽  
pp. 2374
Author(s):  
Björn Gerdle ◽  
Katja Boersma ◽  
Pernilla Åsenlöf ◽  
Britt-Marie Stålnacke ◽  
Britt Larsson ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Sex Education ◽  
Clinical Situation ◽  
Effect Sizes ◽  
Country Of Birth ◽  
Quality Registry ◽  
Clinical Presentations ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
European Women

This study investigates the effects of sex, education, and country of birth on clinical presentations and outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRPs). A multivariate improvement score (MIS) and two retrospective estimations of changes in pain and ability to handle life situations were used as the three overall outcomes of IMMRPs. The study population consisted of chronic pain patients within specialist care in the Swedish Quality Registry for Pain Rehabilitation (SQRP) between 2008 and 2016 at baseline (n = 39,916), and for the subset participating in IMMRPs (n = 14,666). A cluster analysis based on sex, education, and country of origin revealed significant differences in the following aspects: best baseline clinical situation was for European women with university educations and the worst baseline clinical situation was for all patients born outside Europe of both sexes and different educations (i.e., moderate-large effect sizes). In addition, European women with university educations also had the most favorable overall outcomes in response to IMMRPs (small effect sizes). These results raise important questions concerning fairness and equality and need to be considered when optimizing assessments and content and delivery of IMMRPs for patients with chronic pain.

Prevalence of temporomandibular disorder in adult patients with chronic pain

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Clara Stålnacke ◽  
Niels Ganzer ◽  
Per Liv ◽  
Anders Wänman ◽  
Anna Lövgren
Keyword(s):  
Chronic Pain ◽  
General Population ◽  
Temporomandibular Disorder ◽  
Bodily Pain ◽  
Clinical Importance ◽  
University Hospital ◽  
Quality Registry ◽  
Chronic Pain Patients ◽  
Rehabilitation Clinic ◽  
Pain Patients

AbstractObjectivesChronic pain patients often suffer in multiple locations. In health care, examinations of bodily pain usually do not include questions about temporomandibular disorders (TMD); hence TMD symptoms and potential comorbidities are not regularly assessed. Therefore, the primary aim was to evaluate the prevalence of TMD in patients referred to a pain rehabilitation clinic, and the secondary aim was to evaluate possible factors associated with TMD symptoms.MethodsConsecutive chronic pain patients referred to the Pain Rehabilitation Clinic at the Umeå University Hospital in Sweden were included. TMD symptoms were assessed using three valid screening questions – 3Q/TMD. Pain sites, emotional distress, kinesiophobia, and demographics were obtained from the Swedish Quality Registry for Pain Rehabilitation.ResultsIn total, 188 (144 women) chronic pain patients (mean age 41.8 years) were included. Of these, 123 (96 women) answered affirmatively to at least one of the 3Q/TMD. The relative risk of TMD symptoms among the patients with chronic pain, in comparison to the general population, was 7.1 (95% CI 5.9–8.4). Age was the only independent variable associated with TMD among the patients (p = 0.018).ConclusionsThe prevalence of TMD symptoms was higher in a chronic pain population compared to the general population. The 3Q/TMD questionnaire could be a suitable screening tool at pain rehabilitation clinics to identify patients for further examination of involvement of pain in the trigeminal region. Our results reinforce the clinical importance of paying attention to concurrent widespread pain and local TMD symptoms.

Psychological distress and the outcome of treatment for chronic pain patients

Pain ◽  
1984 ◽  
Vol 18 ◽  
pp. S44
Author(s):  
R. N. Wharton ◽  
J. C. Yang ◽  
S. W.C. Clark
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Chronic Pain Patients ◽  
Pain Patients

scholarly journals Moderate and Stable Pain Reductions as a Result of Interdisciplinary Pain Rehabilitation—A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)

2019 ◽  
Vol 8 (6) ◽  
pp. 905 ◽  
Author(s):  
Ringqvist ◽  
Dragioti ◽  
Björk ◽  
Larsson ◽  
Gerdle
Keyword(s):  
Chronic Pain ◽  
Real Life ◽  
Life Outcomes ◽  
Specialist Care ◽  
Quality Registry ◽  
Rehabilitation Programs ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
Multivariate Outcome

Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; define a multivariate outcome measure; and investigate whether the clinical self-reported presentation pre-IMMRP predicts the multivariate outcome. To this end, this study analysed chronic pain patients in specialist care included in the Swedish Quality Registry for Pain Rehabilitation for 22 outcomes (pain, psychological distress, participation, and health) on three occasions: pre-IMMRP, post-IMMRP, and 12-month follow-up. Moderate stable ES were demonstrated for pain intensity, interference in daily life, vitality, and health; most other outcomes showed small ES. Using a Multivariate Improvement Score (MIS), we identified three clusters. Cluster 1 had marked positive MIS and was associated with the overall worst situation pre-IMMRP. However, the pre-IMMRP situation could only predict 8% of the variation in MIS. Specialist care IMPRPs showed moderate ES for pain, interference, vitality, and health. Outcomes were best for patients with the worst clinical presentation pre-IMMRP. It was not possible to predict who would clinically benefit most from IMMRP.

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