The Prediction of Return to the Workplace After Multidisciplinary Pain Center Treatment

Fishbain, David A.; Rosomoff, Hubert L.; Goldberg, Michael A.; Cutler, Robert; Abdel-Moty, Elsayed; Khalil, Tarek M.; Rosomoff, Reneé Steele

doi:10.1097/00002508-199303000-00002

Cited by 88 publications

(47 citation statements)

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“…Patients may also not recover because they fear to do so would be an admission of fraud and also because they may feel a need to defend their disability against the possible withdrawal of benefits should the case be reexamined (Mendelson 1982). Fishbain et al (1993) describe the inconsistent results in the literature and possible reasons for these findings. Further, their review of the literature does not provide evidence that the poorer prognosis for patients being seen in a medicolegal context is directly related to financial secondary gain.…”

Section: Compensation and "Litigation Neurosis"mentioning

confidence: 97%

Primary, Secondary, and Tertiary Losses in Chronic Pain Patients

Worzer

Kishino²,

Gatchel

2009

Psychol. Inj. and Law

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Treating individuals with chronic illness and disability requires attention to physical, psychological, and social factors. These unique challenges are optimally addressed by utilizing a biopsychosocial approach, while considering the potential array of both gains and losses that chronic pain patients experience. The benefits a patient receives from remaining ill are often referred to as secondary gain. In medicolegal settings, a common example of a secondary gain issue is the effort to obtain financial compensation. While secondary gain can be one factor that contributes to perpetuating illness and disability, there are often more powerful losses that lead to such perpetuation. The losses associated with pain and disability are not frequently discussed. The overall purpose of this paper is to identify primary, secondary, and tertiary loss issues in chronic pain patients, and address issues related to how these factors are important within a medicolegal/forensic context.

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Section: Compensation and "Litigation Neurosis"mentioning

confidence: 97%

Primary, Secondary, and Tertiary Losses in Chronic Pain Patients

Worzer

Kishino²,

Gatchel

2009

Psychol. Inj. and Law

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“…In a recent review, Fishbain et al (1993) found 164 studies in which the effect on chronic pain of non-surgical pain facility treatment was evaluated with some type of outcome variable. The different outcome variables utilized in these studies are presented in Table 2.…”

Section: Outcome Research In Pain Facilitiesmentioning

confidence: 99%

“…The different outcome variables utilized in these studies are presented in Table 2. Since Fishbain et al (1993), the number of pain treatment outcome studies stands at more than 300. This extensive literature has been reviewed by numerous authors (White & Harth 1996;Bendix et al, 1996;Koes et al, 1996;Manniche, 1995;Aronoff et al, 1982Aronoff et al, , 1988Wells & Miles, 1991).…”

Section: Outcome Research In Pain Facilitiesmentioning

confidence: 99%

“…Organization of health care professionals and basic scientists that includes research, teaching, and patient care in acute and chronic pain Typically a component of a medical school or a teaching hospital Clinical programs supervised by an appropriately trained and licensed director Staffed by a minimum of physician, psychologist, occupational therapist, physical therapist and registered nurse Services provided integrated and based on interdisciplinary assessment and management Offers both inpatient and outpatient program Adapted from Loeser, 1991. consistent (Fishbain et al, 1993;White & Harth 1996;Bendix et al, 1996;Koes et al, 1996;Manniche, 1995;Aronoff et al, 1982Aronoff et al, , 1988Wells & Miles, 1991).…”

Section: Multi-disciplinary Pain Centermentioning

confidence: 99%

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Non-surgical chronic pain treatment outcome: a review

Fishbain

2000

International Review of Psychiatry

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Meta-analyses (MAs) of non-surgical chronic pain treatment studies were systematically reviewed to determine effectiveness. Twentyfour MAs were found relating to non-surgical, non-malignant, non-headache chronic pain treatment. Two natural groupings, pain facility treatment and specific pain treatments, were created. In addition, a number of the MAs examined the same treatments including pain facility treatments, manipulation, capsaicin, acupuncture, antidepressants, back school, physical therapy, and cognitive behavior treatments. MAs addressing the same treatments were reviewed for replicate variability or reliability of results, thereby allowing some conclusions about the consistency of this type of data. The following treatments were consistently effective demonstrating replicate non-variability or reliability: pain facility treatment, capsaicin, anti-depressants, physical therapy, topical NSAIDs, and cognitive behavioral treatments. Only one MA demonstrated the effectiveness of anticonvulsants and psychoeducational. Potential problems with the reviewed MAs and cost effectiveness of treatment are discussed. Finally, potential future initiatives in this area of research are presented. Although pain facility treatment and a number of specific pain treatments are consistently demonstrated to be effective, at the present time, it is impossible to isolate a set of `effective treatments' within the pain facility treatment package.

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“…Fishbain et al 's review was unable to determine which variables or set of variables predicted return to work. 14 In a Canadian study, Weir et al 15 reported that use of a multidisciplinary pain clinic contains the use of other health care services with important economic impact. In 1991 dollars, they reported that the projected annual per patient costs for non-users of a Pain Clinic was $6,008, of patients who had a pain clinic consult only as $4,557, of patients who used a Pain Management Clinic but did not complete treatment as $3,284, and of patients who completed a Pain Management Program as $3,800.…”

Section: Outcomementioning

confidence: 99%

Chronic pain — is anything new?

Clark

1995

Can J Anaesth

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The Prediction of Return to the Workplace After Multidisciplinary Pain Center Treatment

Cited by 88 publications

References 0 publications

Primary, Secondary, and Tertiary Losses in Chronic Pain Patients

Primary, Secondary, and Tertiary Losses in Chronic Pain Patients

Non-surgical chronic pain treatment outcome: a review

Chronic pain — is anything new?

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