Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)
This study investigates the effects of sex, education, and country of birth on clinical presentations and outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRPs). A multivariate improvement score (MIS) and two retrospective estimations of changes in pain and ability to handle...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-07-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/9/8/2374 |
| _version_ | 1797561411659890688 |
|---|---|
| author | Björn Gerdle Katja Boersma Pernilla Åsenlöf Britt-Marie Stålnacke Britt Larsson Åsa Ringqvist |
| author_facet | Björn Gerdle Katja Boersma Pernilla Åsenlöf Britt-Marie Stålnacke Britt Larsson Åsa Ringqvist |
| author_sort | Björn Gerdle |
| collection | DOAJ |
| description | This study investigates the effects of sex, education, and country of birth on clinical presentations and outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRPs). A multivariate improvement score (MIS) and two retrospective estimations of changes in pain and ability to handle life situations were used as the three overall outcomes of IMMRPs. The study population consisted of chronic pain patients within specialist care in the Swedish Quality Registry for Pain Rehabilitation (SQRP) between 2008 and 2016 at baseline (n = 39,916), and for the subset participating in IMMRPs (n = 14,666). A cluster analysis based on sex, education, and country of origin revealed significant differences in the following aspects: best baseline clinical situation was for European women with university educations and the worst baseline clinical situation was for all patients born outside Europe of both sexes and different educations (i.e., moderate-large effect sizes). In addition, European women with university educations also had the most favorable overall outcomes in response to IMMRPs (small effect sizes). These results raise important questions concerning fairness and equality and need to be considered when optimizing assessments and content and delivery of IMMRPs for patients with chronic pain. |
| first_indexed | 2024-03-10T18:13:34Z |
| format | Article |
| id | doaj.art-fb34367c1681499aaffd18efc8796e5b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T18:13:34Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fb34367c1681499aaffd18efc8796e5b2023-11-20T07:54:59ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0198237410.3390/jcm9082374Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)Björn Gerdle0Katja Boersma1Pernilla Åsenlöf2Britt-Marie Stålnacke3Britt Larsson4Åsa Ringqvist5Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 83 Linköping, SwedenSchool of Law, Psychology and Social Work, Örebro University, SE-701 82 Örebro, SwedenDepartment of Neuroscience, Uppsala University, SE-751 05 Uppsala, SwedenDepartment of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-901 87 Umeå, SwedenPain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 83 Linköping, SwedenDepartment of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, SE-221 85 Lund, SwedenThis study investigates the effects of sex, education, and country of birth on clinical presentations and outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRPs). A multivariate improvement score (MIS) and two retrospective estimations of changes in pain and ability to handle life situations were used as the three overall outcomes of IMMRPs. The study population consisted of chronic pain patients within specialist care in the Swedish Quality Registry for Pain Rehabilitation (SQRP) between 2008 and 2016 at baseline (n = 39,916), and for the subset participating in IMMRPs (n = 14,666). A cluster analysis based on sex, education, and country of origin revealed significant differences in the following aspects: best baseline clinical situation was for European women with university educations and the worst baseline clinical situation was for all patients born outside Europe of both sexes and different educations (i.e., moderate-large effect sizes). In addition, European women with university educations also had the most favorable overall outcomes in response to IMMRPs (small effect sizes). These results raise important questions concerning fairness and equality and need to be considered when optimizing assessments and content and delivery of IMMRPs for patients with chronic pain.https://www.mdpi.com/2077-0383/9/8/2374chronic paincountry of birtheducationsexrehabilitationinterdisciplinary |
| spellingShingle | Björn Gerdle Katja Boersma Pernilla Åsenlöf Britt-Marie Stålnacke Britt Larsson Åsa Ringqvist Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) Journal of Clinical Medicine chronic pain country of birth education sex rehabilitation interdisciplinary |
| title | Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) |
| title_full | Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) |
| title_fullStr | Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) |
| title_full_unstemmed | Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) |
| title_short | Influences of Sex, Education, and Country of Birth on Clinical Presentations and Overall Outcomes of Interdisciplinary Pain Rehabilitation in Chronic Pain Patients: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP) |
| title_sort | influences of sex education and country of birth on clinical presentations and overall outcomes of interdisciplinary pain rehabilitation in chronic pain patients a cohort study from the swedish quality registry for pain rehabilitation sqrp |
| topic | chronic pain country of birth education sex rehabilitation interdisciplinary |
| url | https://www.mdpi.com/2077-0383/9/8/2374 |
| work_keys_str_mv | AT bjorngerdle influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp AT katjaboersma influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp AT pernillaasenlof influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp AT brittmariestalnacke influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp AT brittlarsson influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp AT asaringqvist influencesofsexeducationandcountryofbirthonclinicalpresentationsandoveralloutcomesofinterdisciplinarypainrehabilitationinchronicpainpatientsacohortstudyfromtheswedishqualityregistryforpainrehabilitationsqrp |