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Do pain characteristics guide selection for multimodal pain rehabilitation?

Do pain characteristics guide selection for multimodal pain rehabilitation?
Author Information (click to view)

Enthoven P, Molander P, Öberg B, Stålnacke BM, Stenberg G, Gerdle B,


Enthoven P, Molander P, Öberg B, Stålnacke BM, Stenberg G, Gerdle B, (click to view)

Enthoven P, Molander P, Öberg B, Stålnacke BM, Stenberg G, Gerdle B,

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Journal of rehabilitation medicine 49(2) 161-169 doi 10.2340/16501977-2176
Abstract
OBJECTIVE
To determine whether self-reported pain measures are associated with selection for multimodal or multidisciplinary rehabilitation (MMR) and whether this selection is influenced by sex.

DESIGN
Cross-sectional cohort study.

SUBJECTS
A total of 1,226 women and 464 men with chronic pain conditions from 2 university hospitals.

METHODS
Drawing from the Swedish Quality Registry for Pain Rehabilitation (SQRP), data on pain, psychological symptoms, function, health, and activity/participation were collected. Multiple logistic regression was used to investigate association of pain measures with selection for MMR (no/yes) after multidisciplinary assessment. Covariates were: age, educational level, anxiety, depression, working status, and several pain measures.

RESULTS
High pain intensity in the previous week (odds ratio (OR) 0.92; 95% confidence interval (CI) 0.86-0.99) and high pain severity (Multidimensional Pain Inventory) (OR 0.83; 95% CI 0.74-0.95) were negatively associated with selection for MMR, whereas higher number of pain quadrants was positively associated with selection for MMR. Similar results were obtained for women, but none of the measures was predictive for men.

CONCLUSION
This practice-based study showed that higher scores on self-reported pain were not associated with selection for MMR, and in women there was a negative association for higher pain intensity and pain severity. Thus, other factors than pain determine whether patients are selected for MMR.

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