Longitudinal Treatment Outcomes for an Interdisciplinary Pain Rehabilitation Program: Comparisons of Subjective and Objective Outcomes on the Basis of Opioid Use Status

The Journal of Pain : Official Journal of the American Pain Society
Wesley P GilliamLarissa L Loukianova

Abstract

Chronic pain is a major public health concern, and widespread use of prescription opioids for chronic pain has contributed to the escalating problem of opioid use disorder. Interdisciplinary pain rehabilitation programs (IPRPs) can be highly effective in discontinuing opioids in patients with chronic pain while also improving functional status. This study sought to examine self-report and performance-based functional outcomes of 2 cohorts of patients enrolled in a 3-week IPRP: patients engaged in interdisciplinary pain treatment and physician-supervised opioid taper versus nonopioid users engaged in interdisciplinary treatment. Immediate and long-term treatment outcomes were assessed using a series of 2 (group: opioid use, no opioid use) × 2 (period: pretreatment, post-treatment) and 2 (group: opioid use, no opioid use) × 2 (period: pretreatment, 6 months post-treatment) mixed model analyses of variance. Group × Period interactions were nonsignificant whereas period effects were significant for all outcomes in directions indicating improvement (Ps < .001) at discharge from the program and at 6 months, irrespective of opioid use status. Results support the assertion that IPRPs lead to significant improvements in subjective as we...Continue Reading

Citations

Feb 27, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Natalia BienekChristine H Meyer-Frießem
Apr 6, 2019·The Clinical Journal of Pain·Wesley P GilliamKeith Gascho
May 28, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Ronen ShechterMarie N Hanna
Jul 25, 2019·Pain Practice : the Official Journal of World Institute of Pain·Julia R CranerLogan L George
Oct 18, 2018·The New England Journal of Medicine·Lisa CaulleyEdgar Ross
May 27, 2020·Journal of Behavioral Medicine·Wesley P GilliamJeannie A Sperry
Oct 29, 2020·Internal Medicine Journal·Paul GlareMichael Nicholas
Apr 9, 2021·The Clinical Journal of Pain·Julia R Craner, Eric S Lake
Aug 4, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Julia R CranerArianna E A Perra
Sep 13, 2021·Pain Practice : the Official Journal of World Institute of Pain·Julia R Craner, Lindsay G Flegge
Sep 15, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew E SchumannWesley P Gilliam

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