Extraction form for project: IPMP (Integrated Pain Management Programs)

Design Details

1. What type of program does the study assess (IPMP or CPMP)?
Integrated Pain Management Program (IPMP): Based in, integrated with, coordinated by primary care. Comprehensive Pain Management Program (CPMP): Referral based and separate from primary care.
2. In what country was the study conducted?
List all applicable countries.
3. What study design was used?
Please select the appropriate study design for the study. If the study design is not listed, you may add the appropriate study design.
4. Mean age
Report across all patients included in relevant study arms. Round to whole number. Include the word "years" after reporting the mean age.
5. % male
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol.
6. % Non-white
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol. If not reported, put NR.
7. Mean duration of pain or symptoms
Report across all patients included in relevant study arms. Round to whole number. Report duration in terms of months. If not reported, put NR.
8. Pain etiology/type
9. Disability
Disability can be measured in several ways. For example, authors may report the percent of patients receiving disability payments or they may report the mean score of a continuous disability scale such as the Pain Disability Index. Either are appropriate here, just be explicit about what is being reported.
10. Comorbidities
Extract the percent of patients with relevant comorbidities. Round percentages to whole numbers. If not reported, put NR.
% Depression diagnosis
% Anxiety diagnosis
% PTSD disagnosis
% Overweight or obese
% w/ Substance Use Disorder
% Smokers
% Suicidal
11. Randomized, Analyzed, and Attrition (at longest followup point)
For attrition report as: % (n/N)
Randomized
Analyzed
Attrition
12. How was the study funded?
13. Notes and comments

Arms

Arm NameArm Description
IPMP + usual care
Usual care onlyAny of standard treatments for OA given by a PCP at DVAMC and referral to other providers or specialists. Provider and patient participants in this group received no additional intervention during the study period.

Arm Details

1. Is the program practice-based or system-based?
IPMP + usual care
Usual care only
2. How many patients were randomized to this treatment arm?
IPMP + usual care
Usual care only
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
IPMP + usual care
Usual care only
4. Number of sessions per week
Report as X sessions/week
IPMP + usual care
Usual care only
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
IPMP + usual care
Usual care only
6. Physical Functioning/Reconditioning & Psychological and Mental Health Components of Intervention
For treatment providers, you may write-in any options that are needed that are not already presented. For duration of treatment report as "X sessions per week over X weeks", when possible. For anything not reported, put NR.
IPMP + usual care
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Usual care only
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
7. Medication Review and/or Management Components of Intervention
IPMP + usual care
Usual care only
8. Additional components of the intervention
IPMP + usual care
Usual care only
9. Description of care coordination/collaboration
IPMP + usual care
Usual care only

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
CategoricalFunctionImprovement of ≥12% on WOMAC score from baseline
  • All Participants
  • 12 months
CategoricalFunctionImprovement of ≥18% on WOMAC score from baseline
  • All Participants
  • 12 months
ContinuousFunctionWOMAC total
  • All Participants
  • Baseline
  • 6 months
  • 12 months
ContinuousPainWOMAC Pain subscale
  • All Participants
  • Baseline
  • 6 months
  • 12 months
ContinuousFunctionWOMAC Function subscale
  • All Participants
  • Baseline
  • 6 months
  • 12 months
ContinuousFunctionSPPB (Physical Function)
  • All Participants
  • Baseline
  • 12 months
ContinuousQOLPHQ-8
  • All Participants
  • Baseline
  • 12 months
ContinuousPhysical activityCHAMPS: Change from baseline in weekly frequency of all exercise
  • All Participants
  • Baseline
  • 12 months
ContinuousPhysical activityCHAMPS: Change from baseline in duration (hours per week) of all exercise
  • All Participants
  • Baseline
  • 12 months
ContinuousPhysical activityCHAMPS: Change from baseline on weekly frequency of moderate or greater intensity exercise
  • All Participants
  • Baseline
  • 12 months
ContinuousPhysical activityCHAMPS: Change from baseline in duration (hours per week) of moderate or greater intensity exercise
  • All Participants
  • Baseline
  • 12 months
CategoricalProgram-related outcomesProportion of patients with a provider referral for physical therapy
  • All Participants
  • 12 months
CategoricalProgram-related outcomesProportion of patients with a provider referral for knee braces
  • All Participants
  • 12 months
CategoricalProgram-related outcomesProportion of patients with a provider referral for the MOVE! Program
  • All Participants
  • 12 months
CategoricalProgram-related outcomesProportion of patients with a provider referral for an orthopedic visit
  • All Participants
  • 12 months
CategoricalProgram-related outcomesProportion of patients with a provider referral for a joint injection
  • All Participants
  • 12 months

Outcome Details

N/A

Risk of Bias Assessment

1. Randomization adequate?
Rating
2. Allocation concealment adequate?
Rating
3. Groups similar at baseline?
Rating
4. Outcome assessors masked?
Rating
5. Care providers masked?
Rating
6. Patient masked?
Rating
7. Reporting of attrition, crossovers, adherence, and contamination?
Rating
8. Loss to followup acceptable?
Overall ≤20%?
Difference between groups <10%?
9. Intention-to-treat (ITT) analysis?
Overall ≤20%?
10. Outcomes prespecified?
Overall ≤20%?
11. Quality determination
Overall ≤20%?

Results

Categorical


Function (Improvement of ≥12% on WOMAC score from baseline )

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Function (Improvement of ≥18% on WOMAC score from baseline)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Program-related outcomes (Proportion of patients with a provider referral for physical therapy)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only

Program-related outcomes (Proportion of patients with a provider referral for knee braces)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only

Program-related outcomes (Proportion of patients with a provider referral for the MOVE! Program)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only

Program-related outcomes (Proportion of patients with a provider referral for an orthopedic visit)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only

Program-related outcomes (Proportion of patients with a provider referral for a joint injection)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only

Continuous


Function (WOMAC total)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Pain (WOMAC Pain subscale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Function (WOMAC Function subscale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Function (SPPB (Physical Function))

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

QOL (PHQ-8)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD
SD (MD)
Median
p value (MD)
25th percentile
75th percentile
Minimum
Maximum
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Physical activity (CHAMPS: Change from baseline in weekly frequency of all exercise)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Physical activity (CHAMPS: Change from baseline in duration (hours per week) of all exercise)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Physical activity (CHAMPS: Change from baseline on weekly frequency of moderate or greater intensity exercise)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)

Physical activity (CHAMPS: Change from baseline in duration (hours per week) of moderate or greater intensity exercise)

All Participants
Descriptive StatisticsBetween Arm Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Median
SD (MD)
25th percentile
p value (MD)
75th percentile
Within Arm ComparisonsNet Comparisons
IPMP + usual careUsual care only
IPMP + usual care
vs.
Usual care only (Any of...)