Schmetsdorf Julia, Krüger Kathrin, Posselt Jacqueline, Werner Runde, Zechel Hans-Georg, Kohlmann Thomas, Krauth Christian
Hannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; Centre for Health Economics Research Hannover (CHERH), Hannover, Germany.
Hannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; AOK Niedersachsen, Hannover, Germany.
J Rehabil Med. 2025 Aug 20;57:jrm42088. doi: 10.2340/jrm.v57.42088.
This study aimed to evaluate the effectiveness of a 12-month relapse prophylaxis following a 4-week interdisciplinary multimodal pain therapy approach for patients with back pain. The study examined whether the intervention reduced days of incapacity to work (primary outcome) and improved functional capacity and health-related quality of life (secondary outcomes) compared with interdisciplinary multimodal pain therapy alone.
A randomized controlled trial was conducted. The recruitment period was 24 months.
SUBJECTS/PATIENTS: The study comprised 297 employed patients from a rural region in north-west Germany, diagnosed with back pain in different regions of the spine.
The analyses were based on quantitative data: claims data and questionnaire data.
The results showed a mean of 70.07 days of incapacity to work after the interdisciplinary multimodal pain therapy for the control group and a lower mean of 56.41 days for the intervention group. The group difference was not significant (p = 0.259). Analysis of change scores revealed statistically significant larger improvements of functional capacity and health-related quality of life in the intervention group.
Findings of this study show improvements in the secondary outcomes. The results indicate that further studies are needed to determine how to sustainably reduce days off work due to back pain.
本研究旨在评估针对背痛患者采用为期4周的多学科多模式疼痛治疗方法后，进行为期12个月的预防复发治疗的效果。该研究考察了与单纯多学科多模式疼痛治疗相比，这种干预措施是否减少了失能工作日（主要结局），并改善了功能能力和健康相关生活质量（次要结局）。
进行了一项随机对照试验。招募期为24个月。
受试者/患者：该研究纳入了来自德国西北部农村地区的297名在职患者，他们被诊断出脊柱不同部位患有背痛。
分析基于定量数据：理赔数据和问卷调查数据。
结果显示，对照组在多学科多模式疼痛治疗后的平均失能工作日为70.07天，干预组的平均失能工作日较低，为56.41天。组间差异不显著（p = 0.259）。对变化分数的分析显示，干预组在功能能力和健康相关生活质量方面有统计学上显著更大的改善。
本研究结果显示次要结局有所改善。结果表明，需要进一步研究以确定如何可持续地减少因背痛导致的缺勤天数。
