Rheumatology Medical News about pain rehabilitation;indicators

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Rapid correction of low vitamin D status in nursing home residents

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Allopurinol-induced recurrent dress syndrome: Pathophysiology and treatment

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Exploring indicators for pain rehabilitation: A Delphi study using a multidisciplinary expert panel
Musculoskeletal Care, 05/15/09

Skjutar A et al. – Study concludes that the indicators for pain rehabilitation were comprehensive, pointing out that needs assessment is complex. Despite reaching consensus on 19 out of 20 indicators, further research is needed to deepen knowledge in this area and to secure a fair assessment of a patient's need for pain rehabilitation.

Methods

Aim was to explore the indicators of need for pain rehabilitation using a multidisciplinary expert panel working with pain rehabilitation
A three-round Delphi study was conducted with a multidisciplinary expert panel (n=23), each representing one pain rehabilitation unit in Sweden
The expert panel produced indicators, which were then ranked using a four-point Likert scale

Results

20 multi-faceted indicators for pain rehabilitation were identified
A major part concerned patient problems with:
- activity level, catastrophizing, coping, existential problems,
- fear avoidance, high pain rating, medication, mental health,
- motivation, no pain relief, pain spread/increase,
- psychosocial problems combined with activity problems,
- psychosocial problems, recovery, and reduced physical function
Indicators concerned demographic factors, sick leave, situation in primary health care and work
Finally, tacit knowledge was pointed out as an indicator
The results support previous research but also bring out less quantifiable indicators, such as relying on tacit knowledge while assessing a patient's need for rehabilitation