Prognostic Factors for Quality of Life After Interdisciplinary Pain Rehabilitation in Patients with Chronic Pain-A Systematic Review

被引:8
|
作者
Liechti, Seraina [1 ]
Tseli, Elena [2 ,3 ]
Taeymans, Jan [1 ,4 ]
Grooten, Wilhelmus [3 ,5 ]
机构
[1] Bern Univ Appl Sci, Div Physiotherapy, Dept Hlth Profess, Bern, Switzerland
[2] Dalarna Univ, Sch Hlth & Welf, Falun, Sweden
[3] Karolinska Inst, Div Phys Therapy, Dept Neurobiol Care Sci & Soc, Alfred Nobels Alle 23, SE-14183 Huddinge, Sweden
[4] Vrije Univ Brussel, Dept Movement & Sport Sci & Rehabil, Brussels, Belgium
[5] Karolinska Univ Hosp, Med Unit Occupat Therapy & Physiotherapy, Womens Hlth & Allied Hlth Profess Theme, Stockholm, Sweden
关键词
Chronic Musculoskeletal Pain; Interdisciplinary Rehabilitation; Health-Related Quality of Life; Prognostic Factors; Systematic Review; LOW-BACK-PAIN; MULTIDISCIPLINARY TREATMENT; MUSCULOSKELETAL PAIN; MULTIMODAL PAIN; SELF-EFFICACY; PREDICTORS; FIBROMYALGIA; OUTCOMES; THERAPY; TRANSITION;
D O I
10.1093/pm/pnac098
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background Health-related quality of life (hrQoL) is a core outcome in evaluating interdisciplinary pain rehabilitation (IPR). This systematic review aimed to identify prognostic factors for hrQoL at least six months after IPR in chronic pain patients. Methods A systematic search was conducted in MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science and Cochrane CENTRAL until September 2020. Included were prognostic studies on the outcome hrQoL in adults aged 18 to 67 years with chronic pain (excluding malignancies, systemic-, inflammatory or degenerative joint diseases) who had undergone IPR. Studies were assessed with The Quality in Prognostic Studies-tool. Potential prognostic factors at baseline for the domains pain, psychological and physical functioning were qualitatively synthesized for hrQoL. Grading of Recommendations Assessment, Development and Evaluation was used to evaluate the level of evidence. Results Fourteen studies on 6,668 participants (mean age 37.4-52.8 y), with musculoskeletal pain/fibromyalgia and a pain duration ranging between 13.1 and 177.4 months were considered eligible. With a very low certainty of evidence, pain intensity, emotional distress, and physical functioning at baseline were inconsistent for prediction of hrQoL and pain duration was not predictive. With low certainty of evidence, fewer pain sites, lower levels of negative cognitive behavioral factors, and higher levels of positive cognitive behavioral factors predicted a better outcome. Conclusions The overall certainty of evidence was low to very low, making it difficult to reach definitive conclusions at present. Future studies with a predefined core set of predictors investigating hrQoL in patients with chronic pain after IPR are needed.
引用
收藏
页码:52 / 70
页数:19
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