Enthoven Paul, Molander Peter, Öberg Birgitta, Stålnacke Britt-Marie, Stenberg Gunilla, Gerdle Björn
Department of Medical and Health Sciences , Faculty of Health Sciences, Linköping University, SE-581 83 Linköping, Sweden.
J Rehabil Med. 2017 Jan 31;49(2):161-169. doi: 10.2340/16501977-2176.
To determine whether self-reported pain measures are associated with selection for multimodal or multidisciplinary rehabilitation (MMR) and whether this selection is influenced by sex.
Cross-sectional cohort study.
A total of 1,226 women and 464 men with chronic pain conditions from 2 university hospitals.
Drawing from the Swedish Quality Registry for Pain Rehabilitation (SQRP), data on pain, psychological symptoms, function, health, and activity/participation were collected. Multiple logistic regression was used to investigate association of pain measures with selection for MMR (no/yes) after multidisciplinary assessment. Covariates were: age, educational level, anxiety, depression, working status, and several pain measures.
High pain intensity in the previous week (odds ratio (OR) 0.92; 95% confidence interval (CI) 0.86-0.99) and high pain severity (Multidimensional Pain Inventory) (OR 0.83; 95% CI 0.74-0.95) were negatively associated with selection for MMR, whereas higher number of pain quadrants was positively associated with selection for MMR. Similar results were obtained for women, but none of the measures was predictive for men.
This practice-based study showed that higher scores on self-reported pain were not associated with selection for MMR, and in women there was a negative association for higher pain intensity and pain severity. Thus, other factors than pain determine whether patients are selected for MMR.
确定自我报告的疼痛指标是否与多模式或多学科康复（MMR）的选择相关，以及这种选择是否受性别影响。
横断面队列研究。
来自2所大学医院的1226名患有慢性疼痛疾病的女性和464名男性。
从瑞典疼痛康复质量登记处（SQRP）获取数据，收集有关疼痛、心理症状、功能、健康及活动/参与情况的信息。采用多元逻辑回归分析多学科评估后疼痛指标与MMR选择（否/是）之间的关联。协变量包括：年龄、教育水平、焦虑、抑郁、工作状态及多项疼痛指标。
前一周的高疼痛强度（比值比（OR）0.92；95%置信区间（CI）0.86 - 0.99）和高疼痛严重程度（多维疼痛量表）（OR 0.83；95% CI 0.74 - 0.95）与MMR选择呈负相关，而更多的疼痛象限与MMR选择呈正相关。女性得到了类似结果，但没有一项指标对男性具有预测性。
这项基于实践的研究表明，自我报告的疼痛得分较高与MMR选择无关，且在女性中，较高的疼痛强度和疼痛严重程度与MMR选择呈负相关。因此，除疼痛外的其他因素决定了患者是否被选入MMR。
