TY - JOUR
T1 - Long-term follow-up of patients with chronic musculoskeletal pain attending interdisciplinary pain rehabilitation
T2 - outcomes and predictive factors
AU - Boonstra, Anne M
AU - Hoogers, Judith M B
AU - Stewart, Roy E
AU - Reneman, Michiel F
AU - Schiphorst Preuper, Henrica R
N1 - Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - 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.
AB - 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.
KW - chronic pain
KW - interdisciplinary rehabilitation
KW - long-term outcome
KW - musculoskeletal pain
KW - predictors
KW - LOW-BACK-PAIN
KW - MULTIDISCIPLINARY TREATMENT
KW - INPATIENT REHABILITATION
KW - PROGRAM
KW - INTERVENTIONS
KW - SCL-90-R
KW - NECK
U2 - 10.1097/MRR.0000000000000467
DO - 10.1097/MRR.0000000000000467
M3 - Article
C2 - 33859116
SN - 0342-5282
VL - 44
SP - 110
EP - 117
JO - International Journal of Rehabilitation Research
JF - International Journal of Rehabilitation Research
IS - 2
ER -