Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Gerdle, Björn; Fischer, Marcelo Rivano; Ringqvist, Åsa

doi:10.5772/intechopen.102411

Cited by 17 publications

(24 citation statements)

References 135 publications

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“…There is no golden standard for the content, extent and design of IPRP, rather the arrangement of IPRPs somewhat differs between departments. 12 However, common general goals for IPRPs are reduced pain, improved mental health, improved health and quality of life, and increased participation in activities/work and social life. In addition, more specific individual goals are identified in relation to the patients’ specific problems.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, more specific individual goals are identified in relation to the patients’ specific problems. 12 Between 2008 and 2020, the Swedish government financially supported IPRPs as an evidence-based intervention to help people with chronic pain improve their health and ability to RTW. IPRPs are offered both at the primary care level and the specialist care level when complex pain conditions are present that include, for example, psychiatric comorbidity.…”

Section: Methodsmentioning

confidence: 99%

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Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) – Frequency, Patient Characteristics, and Association with Self-Rated Work Ability

Svanholm¹,

Björk²,

Löfgren³

et al. 2023

JPR

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Background Interdisciplinary pain rehabilitation programs (IPRPs) help people with chronic pain improve their health and manage their work; however, the way IPRPs address sick leave could be improved. Although work interventions can be a part of IPRP, it is not well known how and to what extent. Aim This study explores the frequency of work interventions and the characteristics of patients who participate in work interventions as part of IPRP at specialist pain rehabilitation departments in Sweden. In addition, this study explores the association between participation in work interventions and change in patients’ self-rated work ability after IPRP. Methods Data from the Swedish quality registry for pain rehabilitation (SQRP), which includes 3809 patients between 2016 and 2018, were analysed with descriptive statistics and regression analyses. Results The results indicate a high participation rate in work interventions (90%). Some differences were evident concerning characteristics of patients who participated in different work interventions. The return-to-work (RTW) plan, the most frequently used work intervention, had the strongest association with change in self-rated work ability after IPRP. However, the effect sizes were small, and the initial score best explained the change. Furthermore, there were differences between employed and unemployed patients and employment had a positive association with change in self-rated work ability. Conclusion More research is needed to understand IPRP’s mechanisms and work interventions to support patients with chronic pain, reduce sick leave, and manage work. Employment status needs to be considered and interventions should be tailored to match the individual needs.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) – Frequency, Patient Characteristics, and Association with Self-Rated Work Ability

Svanholm¹,

Björk²,

Löfgren³

et al. 2023

JPR

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show abstract

“…Special mention is given to the existence and strong evidence in favor of structured interdisciplinary pain rehabilitation programs [53]. Though not commonly found, these programs provide holistic care to a cohort of patients and typically include medical management, psychological counseling, movement-based therapy, and relaxation training.…”

Section: Non-pharmacologic Pain Management Modalitiesmentioning

confidence: 99%

Management of Co-Occurring SUD and Chronic Pain

Rudolf¹

2023

Substance Use Disorder - New Research Perspectives in the Diagnosis, Treatment, and Prognosis

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Though there has been a 44.4% decrease in the number of prescriptions written for opioid analgesics between the years 2011–2020 in the United States, drug overdose rates continue to climb sharply, reaching nearly 107,000 for a prior 12-months period as of early 2022, driven primarily by the use of illicit opioids. It is estimated that 80–90% of individuals with a substance use disorder (SUD) receive no treatment, and for those with opioid use disorder (OUD) who do find their way to treatment, less than half are offered potentially life-saving medication. Contemporaneously, chronic pain is one of the most common and most disabling health conditions, and frequently involves complex decision-making between the patient and the health care team regarding the treatment approach. Though prescribing trends have ebbed in recent years, opioids continue to be the most prescribed class of drug in the United States despite well-publicized associated harms. It is more critical than ever that stakeholders urgently work to facilitate and destigmatize evidence-based substance use disorder treatment, and promote safe, effective, and holistic care pathways for patients suffering from chronic pain.

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“…34 35 Pain education (including lectures in basic pain science and pain management) will be offered both for patients as well as for their relatives, friends and colleagues. For descriptions and content of the Swedish IPRPs, see Gerdle et al, Ringqvist et al and Gerdle et al [36][37][38]…”

Section: Interdisciplinary Multimodal Rehabilitation Programmementioning

confidence: 99%

Swedish Chronic Pain Biobank: protocol for a multicentre registry and biomarker project

et al. 2022

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IntroductionAbout 20% of the adult population have chronic pain, often associated with psychological distress, sick leave and poor health. There are large variations in the clinical picture. A biopsychosocial approach is used in investigation and treatment. The concept of personalised medicine, that is, optimising medication types and dosages for individual patients based on biomarkers and other patient-related factors, has received increasing attention in different diseases but used less in chronic pain. This cooperative project from all Swedish University Hospitals will investigate whether there are changes in inflammation and metabolism patterns in saliva and blood in chronic pain patients and whether the changes correlate with clinical characteristics and rehabilitation outcomes.Methods and analysisPatients at multidisciplinary pain centres at University Hospitals in Sweden who have chosen to participate in the Swedish Quality Registry for Pain Rehabilitation and healthy sex-matched and age-matched individuals will be included in the study. Saliva and blood samples will be collected in addition to questionnaire data obtained from the register. From the samples, proteins, lipids, metabolites and micro-RNA will be analysed in relation to, for example, diagnosis, pain characteristics, psychological distress, body weight, pharmacological treatment and clinical rehabilitation results using advanced multivariate data analysis and bioinformatics.Ethics and disseminationThe study is approved by the Swedish Ethical Review Authority (Dnr 2021–04929) and will be conducted in accordance with the declaration of Helsinki.The results will be published in open access scientific journals and in popular scientific relevant journals such as those from patient organisations. Data will be also presented in scientific meetings, meeting with healthcare organisations and disseminated in different lecturers at the clinics and universities.

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Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Cited by 17 publications

References 135 publications

Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) – Frequency, Patient Characteristics, and Association with Self-Rated Work Ability

Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) – Frequency, Patient Characteristics, and Association with Self-Rated Work Ability

Management of Co-Occurring SUD and Chronic Pain

Swedish Chronic Pain Biobank: protocol for a multicentre registry and biomarker project

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