Patient-Reported Outcome (PRO) questionnaires for people with pain in any spine region. A systematic review

Leahy, Edmund; Davidson, Megan; Benjamin, Deenika R.; Wajswelner, Henry

doi:10.1016/j.math.2015.10.010

Cited by 19 publications

(20 citation statements)

References 44 publications

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“…Many patients with chronic musculoskeletal pain have chronic low back pain or chronic neck pain, and often pain in both locations. The FRI is recommended for the assessment of disability in people with multi-area spinal pain (17). Furthermore, the FRI has shown good responsiveness for patients with chronic low back pain (18) and chronic neck pain (19).…”

Section: Emotional and Physical Functioningmentioning

confidence: 99%

Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain

Pietilä-Holmner¹,

Enthoven²,

Gerdle³

et al. 2020

J Rehabil Med

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LAY ABSTRACTFor patients with chronic pain, studies have shown that multimodal rehabilitation programmes at specialist care level have positive effects. Since there is limited knowledge about the long-term effects of multimodal rehabilitation programmes in a primary care setting this study investigated the effects of multimodal rehabilitation programmes in 234 patients with chronic pain, 34 men and 200 women, age range 18-65 years, who participated in multimodal rehabilitation programmes in primary care in 2 Swedish county councils. At 1-year follow-up patients reported small improvements in pain, physical and emotional functioning, coping, and health-related quality of life. The proportion of patients on sick leave decreased, while there was no difference regarding the proportion of patients on sickness compensation/ disability pension. This study indicates that multimodal rehabilitation programmes in primary care could be beneficial for patients with chronic pain.Objectives: To investigate the outcomes one year after multimodal rehabilitation programmes in primary care for patients with chronic pain, both as a whole and for men and women separately. A second aim was to identify predictive factors for not being on sickness absence at follow-up after one year. Methods: A prospective longitudinal cohort study of 234 patients, 34 men and 200 women, age range 18-65 years, who participated in multimodal rehabilitation programmes in primary care in 2 Swedish county councils. Pain, physical and emotional functioning, coping, health-related quality of life, work-related factors, sickness absence (sick leave, sickness compensation/disability pension) were evaluated prior to and one year after multimodal rehabilitation programmes. Results: Patients showed significant improvements at 1-year follow-up for all measures (all p ≤ 0.004) except satisfaction with vocation (p = 0.060). The proportion of patients on sick leave decreased significantly at follow-up (p = 0.027), while there was no significant difference regarding the proportion of patients on sickness compensation/disability pension (p = 0.087). Higher self-rated work ability was associated with not being on sickness absence at 1-year follow-up (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.21-1.06, p = 0.005). Conclusion: This study indicates that multimodal rehabilitation programmes in primary care could be beneficial for patients with chronic pain, since the outcomes at 1-year follow-up for pain, physical and emotional functioning, coping, and health-related quality of life were positive. However, the effect sizes were small and thus further development of multimodal rehabilitation programmes is warranted in order to improve the outcomes.

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Section: Emotional and Physical Functioningmentioning

confidence: 99%

Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain

Pietilä-Holmner¹,

Enthoven²,

Gerdle³

et al. 2020

J Rehabil Med

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“…From the current point of view it needs to be stated that there is still a considerable lack of valid and reliable measurement instruments or unclear evidence of psychometric properties of existing instruments. Previous reports about measurement instruments and their properties for pain intensity vary significantly, from no evidence of psychometric property for pain intensity [ 30 ], unclear evidence because of low report quality [ 29 ] to good results in psychometric property for patient reported outcome questionnaires for people with pain in any spine region while mainly fair methodological quality [ 51 ]. Lacking methodological quality is a well-known problem in the field of measurement instruments and affects most of the instruments in pain research [ 26 ].…”

Section: Issues For Further Consideration In the Discussion Of Cosmentioning

confidence: 99%

Core Outcome Sets and Multidimensional Assessment Tools for Harmonizing Outcome Measure in Chronic Pain and Back Pain

et al. 2016

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Core Outcome Sets (COSs) are a set of domains and measurement instruments recommended for application in any clinical trial to ensure comparable outcome assessment (both domains and instruments). COSs are not exclusively recommended for clinical trials, but also for daily record keeping in routine care. There are several COS recommendations considering clinical trials as well as multidimensional assessment tools to support daily record keeping in low back pain. In this article, relevant initiatives will be described, and implications for research in COS development in chronic pain and back pain will be discussed.

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“…The degree of OA was classified according to K-L grade assessed from radiographs of the knee joint in weightbearing in the anteroposterior projection and semiflexion in the lateral projection. 12 MRI of the knee were performed in all patients to evaluate the meniscal lesions. PRO scores, such as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and Knee Society Score (KSS) (both clinical and functional scores) were recorded preoperatively for all patients.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

“…Because of the paucity of literature that pertains to this age group, the selection of treatment modalities could be difficult. Therefore, the purpose of this investigation was to evaluate the clinical outcomes and radiographic results of this patient cohort aged older than 60 years who received partial arthroscopic meniscectomy and investigate the impact of a traumatic history of the meniscus and preoperative Kellgren-Lawrence (K-L) grade 11,12 on the results of the surgery. The hypothesis of this study was: satisfactory results could be obtained for patients older than 60 years who underwent partial arthroscopic meniscectomy and patients with mild OA, and clear traumatic history of meniscus would have better improvement in both clinical and pain scores.…”

mentioning

confidence: 99%

Is Knee Arthroscopy Beneficial in Treating Traumatic Meniscal Tears on Patients Older Than 60 Years?

Cavaignac

Chen

et al. 2017

J Knee Surg

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Knee arthroscopic surgery is usually performed on young or middle-aged patients with meniscal tears. However, we have noted an amount of active elderly patients who suffered from traumatic meniscal tear without significant degenerative changes. Outcome data were prospectively collected and retrospectively reviewed in patients older than 60 years who underwent partial arthroscopic meniscectomy between April 2008 and July 2013. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, Kellgren-Lawrence (K-L) grade, Knee Society Score (KSS), and pain scores were collected, and conversion to total knee arthroplasty (TKA) was recorded. Subgroups comparing the clinical outcome of different level of K-L grade and Outerbridge's score were conducted. At an average of 31 months of follow-up (standard deviation [SD]: 8.9; range, 24-63 months) for 96 patients with a mean age of 65.8 years (SD: 5.7; range, 60-83 years), 12 patients underwent conversion to TKA at an average of 2.1 years. Patients with a clear traumatic history of the knee have better improvement in visual analog scale ( < 0.001), KSS functional score ( = 0.005), and WOMAC score ( < 0.001), patients with K-L grade greater than III were 3.1 times more likely to undergo conversion to TKA than patients with K-L grade less than III. The findings indicate that patients older than 60 years with mild osteoarthritis and clear traumatic history of the meniscus are a good indication for arthroscopic partial meniscectomy. The level of evidence is level IV (a retrospective case series).

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Patient-Reported Outcome (PRO) questionnaires for people with pain in any spine region. A systematic review

Cited by 19 publications

References 44 publications

Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain

Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain

Core Outcome Sets and Multidimensional Assessment Tools for Harmonizing Outcome Measure in Chronic Pain and Back Pain

Is Knee Arthroscopy Beneficial in Treating Traumatic Meniscal Tears on Patients Older Than 60 Years?

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