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Variability in patient characteristics and service provision of interdisciplinary pain rehabilitation : A study using the Swedish national quality registry for pain rehabilitation

Rivano Fischer, Marcelo LU ; Schults, Marie Louise ; Stålnacke, Britt Marie ; Ekholm, Jan ; Persson, Elisabeth B. LU and Löfgren, Monika (2020) In Journal of Rehabilitation Medicine 52(11).
Abstract

OBJECTIVE: To describe the organization, content and dosage of interdisciplinary pain rehabilitation, and the differences in degree of severity of problems of patients admitted to clinical units reporting to a Swedish national quality pain registry, grouped according to unit size and possible affiliation with a university hospital. METHODS: Reports from 31 out of 39 clinical units in Sweden, on inclusion processes, organization, content and dosage of interdisciplinary pain rehabilitation, and patient-reported data from a Swedish national quality pain registry at assessment for interdisciplinary pain rehabilitation were analysed. RESULTS: the number of patients treated annually at each unit ranged from 3 to 340. In 17 units, teams... (More)

OBJECTIVE: To describe the organization, content and dosage of interdisciplinary pain rehabilitation, and the differences in degree of severity of problems of patients admitted to clinical units reporting to a Swedish national quality pain registry, grouped according to unit size and possible affiliation with a university hospital. METHODS: Reports from 31 out of 39 clinical units in Sweden, on inclusion processes, organization, content and dosage of interdisciplinary pain rehabilitation, and patient-reported data from a Swedish national quality pain registry at assessment for interdisciplinary pain rehabilitation were analysed. RESULTS: the number of patients treated annually at each unit ranged from 3 to 340. In 17 units, teams comprised 5 professionals. Dosage of interdisciplinary pain rehabilitation ranged from 20-180 h per patient in total. Patients at the university-hospital units scored the highest levels of symptoms and lowest levels of health-related quality of life. Units used similar sets of inclusion criteria, and several treatments, such as education, self-training and psychological interventions, were used by most units. CONCLUSION: When interpreting outcome data from registries, aspects other than rehabilitation outcomes must be considered. The interpretation of outcomes from quality registries would be facilitated if data, in addition to assessments and patient-reported outcomes, also includes standardized descriptions of the reporting clinical units.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chronic pain, inclusion criteria, multimodal rehabilitation, pain registry, rehabilitation organization, team composition, treatment dosage, treatment duration
in
Journal of Rehabilitation Medicine
volume
52
issue
11
article number
jrm00128
publisher
Taylor & Francis
external identifiers
  • scopus:85097570736
  • pmid:33191437
  • scopus:85098865596
ISSN
1651-2081
DOI
10.2340/16501977-2765
language
English
LU publication?
yes
id
4cd63e33-994d-4380-8407-76f2d4f8e5bc
date added to LUP
2020-12-22 09:47:20
date last changed
2024-04-03 19:28:10
@article{4cd63e33-994d-4380-8407-76f2d4f8e5bc,
  abstract     = {{<p>OBJECTIVE: To describe the organization, content and dosage of interdisciplinary pain rehabilitation, and the differences in degree of severity of problems of patients admitted to clinical units reporting to a Swedish national quality pain registry, grouped according to unit size and possible affiliation with a university hospital. METHODS: Reports from 31 out of 39 clinical units in Sweden, on inclusion processes, organization, content and dosage of interdisciplinary pain rehabilitation, and patient-reported data from a Swedish national quality pain registry at assessment for interdisciplinary pain rehabilitation were analysed. RESULTS: the number of patients treated annually at each unit ranged from 3 to 340. In 17 units, teams comprised 5 professionals. Dosage of interdisciplinary pain rehabilitation ranged from 20-180 h per patient in total. Patients at the university-hospital units scored the highest levels of symptoms and lowest levels of health-related quality of life. Units used similar sets of inclusion criteria, and several treatments, such as education, self-training and psychological interventions, were used by most units. CONCLUSION: When interpreting outcome data from registries, aspects other than rehabilitation outcomes must be considered. The interpretation of outcomes from quality registries would be facilitated if data, in addition to assessments and patient-reported outcomes, also includes standardized descriptions of the reporting clinical units.</p>}},
  author       = {{Rivano Fischer, Marcelo and Schults, Marie Louise and Stålnacke, Britt Marie and Ekholm, Jan and Persson, Elisabeth B. and Löfgren, Monika}},
  issn         = {{1651-2081}},
  keywords     = {{chronic pain; inclusion criteria; multimodal rehabilitation; pain registry; rehabilitation organization; team composition; treatment dosage; treatment duration}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{Variability in patient characteristics and service provision of interdisciplinary pain rehabilitation : A study using the Swedish national quality registry for pain rehabilitation}},
  url          = {{http://dx.doi.org/10.2340/16501977-2765}},
  doi          = {{10.2340/16501977-2765}},
  volume       = {{52}},
  year         = {{2020}},
}