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.

Pilot study of eDOL, a new mHealth application and web platform for medical follow-up of chronic pain patients (Preprint)

2021 ◽  
Author(s):  
NICOLAS KERCKHOVE ◽  
Noémie Delage ◽  
Sébastien Cambier ◽  
Nathalie Cantagrel ◽  
Eric Serra ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Real Life ◽  
Basic Research ◽  
High Rate ◽  
Future Research ◽  
Chronic Pain Patients ◽  
Pain Patients

BACKGROUND The pharmacopoeia of analgesics is old, their effectiveness is limited, with undesirable effects and little progress has been made in recent years. Thus, innovation is limited despite prolific basic research. Better characterization of patients could help to identify the predictors of successful treatments through research programs, and therefore enable physicians to carry out better decision-making in the initial choice of treatment and in the follow-up of their patients. Nevertheless, the current assessment of chronic pain patients provides only fragmentary data on their painful daily experiences. Thus, it is essential to modify the temporality in which patients’ sensations are assessed, with real-life monitoring of different parameters, i.e. subjective and objective markers of chronic pain. Consequently, recent studies have highlighted the urgent need to develop self-management and chronic pain management programs through e-health programs, and enhance their therapeutic value. OBJECTIVE We hypothesize that regular patient self-monitoring using an mHealth application would lead physicians to obtain deeper knowledge and a new vision of chronic pain patients, while for patients it would play a positive therapeutic role, as they become active in their own management and benefit from online advice. Such an assessment would not only contribute to better patient characterization and help in the choice of the most appropriate treatment, but could also improve adherence to treatment. To address this issue, we evaluated the feasibility and acceptability, by patients and physicians, of a new mHealth application called eDOL. METHODS An observational study assessing the feasibility and acceptability of the eDOL tool was conducted. Patients completed several questionnaires via eDOL over a period of 2 weeks, and then repeatedly over a period of 3 months. Physicians saw their patients at a follow-up visit that took place at least 3-months after the inclusion visit. The primary endpoint, a composite criterion reflecting the acceptability of eDOL and the feasibility of its use, was assessed using satisfaction questionnaires for both patients and physicians after the completion of study. RESULTS One hundred and thirty-three patients were included of whom 105 were analyzable. Our results showed a rate of adherence of approximately 60% of patients after 3 months of using eDOL, a median acceptability score around 7/10 for both patients and physicians, a high rate of completion of the baseline questionnaires / meters, and a low rate for follow-up questionnaires / meters and forms. We were also able to characterize subgroups of patients and determine a profile of those who adhered to eDOL. CONCLUSIONS This work demonstrates that eDOL is highly feasible and acceptable for both chronic pain patients and their physicians. It also shows that such a tool can integrate many parameters to ensure the detailed characterization of patients for future research works and pain management. CLINICALTRIAL NCT03931694

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.

A one-year follow-up of chronic pain patients treated in an outpatient behavioral program

Pain ◽  
1984 ◽  
Vol 18 ◽  
pp. S421
Author(s):  
B. S. Gottlieb ◽  
J. F. Brodey ◽  
T. S. Sewitch ◽  
M. B. Shaw ◽  
L. L. Weiner
Keyword(s):  
Chronic Pain ◽  
Behavioral Program ◽  
Chronic Pain Patients ◽  
One Year ◽  
Pain Patients

Alexithymia and depression in the recovery of chronic pain patients: a follow-up study

2017 ◽  
Vol 71 (4) ◽  
pp. 262-269 ◽  
Author(s):  
Anita S. Saariaho ◽  
Tom H. Saariaho ◽  
Aino K. Mattila ◽  
Pasi Ohtonen ◽  
Matti I. Joukamaa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Follow Up Study ◽  
Chronic Pain Patients ◽  
Pain Patients

The role of alexithymia: An 8-year follow-up study of chronic pain patients

2016 ◽  
Vol 69 ◽  
pp. 145-154 ◽  
Author(s):  
Anita S. Saariaho ◽  
Tom H. Saariaho ◽  
Aino K. Mattila ◽  
Matti I. Joukamaa ◽  
Max Karukivi
Keyword(s):  
Chronic Pain ◽  
Follow Up Study ◽  
Chronic Pain Patients ◽  
Pain Patients

scholarly journals Home-use servo-ventilation therapy in chronic pain patients with central sleep apnea: initial and 3-month follow-up

2015 ◽  
Vol 19 (4) ◽  
pp. 1285-1292 ◽  
Author(s):  
Colin M. Shapiro ◽  
Sharon A. Chung ◽  
Paul E. Wylie ◽  
Naheed K. Hossain ◽  
Rolf H. O. Holle ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Sleep Apnea ◽  
Central Sleep Apnea ◽  
Chronic Pain Patients ◽  
Pain Patients
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