Health-related quality of life change in patients treated at a multidisciplinary pain clinic

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http://hdl.handle.net/10138/312938

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Vartiainen , P , Heiskanen , T , Sintonen , H , Roine , R P & Kalso , E 2019 , ' Health-related quality of life change in patients treated at a multidisciplinary pain clinic ' , European Journal of Pain , vol. 23 , no. 7 , pp. 1318-1328 . https://doi.org/10.1002/ejp.1398

Title: Health-related quality of life change in patients treated at a multidisciplinary pain clinic
Author: Vartiainen, Pekka; Heiskanen, Tarja; Sintonen, Harri; Roine, Risto P.; Kalso, Eija
Contributor: University of Helsinki, Anestesiologian yksikkö
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
University of Helsinki, Clinicum
University of Helsinki, University of Helsinki
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
Date: 2019-08
Language: eng
Number of pages: 11
Belongs to series: European Journal of Pain
ISSN: 1090-3801
URI: http://hdl.handle.net/10138/312938
Abstract: Background Multidisciplinary pain management (MPM) is a generally accepted method for treating chronic pain, but heterogeneous outcome measures provide only limited conclusions concerning its effectiveness. Therefore, further studies on the effectiveness of MPM are needed to identify subgroups of patients who benefit, or do not benefit, from these interventions. Our aim was to analyse health-related quality of life (HRQoL) changes after MPM and to identify factors associated with treatment outcomes. Methods We carried out a real world observational follow-up study of chronic pain patients referred to a tertiary multidisciplinary outpatient pain clinic to describe, using the validated HRQoL instrument 15D, the HRQoL change after MPM and to identify factors associated with this change. 1,043 patients responded to the 15D HRQoL questionnaire at baseline and 12 months after the start of treatment. Background data were collected from the pre-admission questionnaire of the pain clinic. Results Fifty-three percent of the patients reported a clinically important improvement and, of these, 81% had a major improvement. Thirty-five percent reported a clinically important deterioration, and 12% had no change in HRQoL. Binary logistic regression analysis revealed that major improvement was positively associated with shorter duration of pain (
Subject: CHRONIC NONMALIGNANT PAIN
LOW-BACK-PAIN
REHABILITATION PROGRAM
MULTIMODAL PAIN
PERSISTENT PAIN
FOLLOW-UP
PREDICTORS
15D
PREVALENCE
EPIDEMIOLOGY
3126 Surgery, anesthesiology, intensive care, radiology
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