Long-term follow-up of patients with chronic musculoskeletal pain attending interdisciplinary pain rehabilitation: outcomes and predictive factors

Anne M Boonstra, Judith M B Hoogers, Roy E Stewart, Michiel F Reneman, Henrica R Schiphorst Preuper*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The long-term outcomes of interdisciplinary pain rehabilitation (IPR) in patients with chronic musculoskeletal pain (CMP) and its predictors has been studied to a limited extent. In this historical cohort study, functioning, satisfaction with life domains, and pain were assessed at baseline, discharge, and at 6-15 years follow-up. At follow-up, most patients (77%) rated the effects of the IPR as temporarily or persistently positive. The gains in functioning, satisfaction with life domains, and pain made during IPR remained for 6-15 years after the IPR. Patients who were single, retired, or not in work, and those having higher pain and lower functioning at baseline, had lower functioning at follow-up, while patients with traumatic pain disorders had higher functioning at follow-up. Gains made during IPR, particularly gains in social and mental functioning and in pain predicted functioning at follow-up. Treatments and events between discharge and follow-up also influenced the long-term outcome. In conclusion, on average, outcomes achieved during IPR persisted at long-term follow-up. Predictors of a better long-term outcome were mainly baseline characteristics.

Original languageEnglish
Pages (from-to)110-117
Number of pages8
JournalInternational Journal of Rehabilitation Research
Volume44
Issue number2
Early online date13-Apr-2021
DOIs
Publication statusPublished - Jun-2021

Keywords

  • chronic pain
  • interdisciplinary rehabilitation
  • long-term outcome
  • musculoskeletal pain
  • predictors
  • LOW-BACK-PAIN
  • MULTIDISCIPLINARY TREATMENT
  • INPATIENT REHABILITATION
  • PROGRAM
  • INTERVENTIONS
  • SCL-90-R
  • NECK

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