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
CPMP + additional psychological component Comprehensive, Standard, multidisciplinary inpatient rehabilitation program for chronic low back pain which emphasized education and physical reconditioning + psychological component
CPMP aloneMedication management, physical functioning, education, counseling and vocational rehabilitation components of the intervention group.

Arm Details

1. Is the program practice-based or system-based?
CPMP + additional psychological component
CPMP alone
2. How many patients were randomized to this treatment arm?
CPMP + additional psychological component
CPMP alone
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
CPMP + additional psychological component
CPMP alone
4. Number of sessions per week
Report as X sessions/week
CPMP + additional psychological component
CPMP alone
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
CPMP + additional psychological component
CPMP alone
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.
CPMP + additional psychological component
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
CPMP alone
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
CPMP + additional psychological component
CPMP alone
8. Additional components of the intervention
CPMP + additional psychological component
CPMP alone
9. Description of care coordination/collaboration
CPMP + additional psychological component
CPMP alone

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainMPQ Present Pain Intensity
  • All Participants
  • Baseline
  • Post-intervention
  • 6 months
ContinuousPainMPQ Pain Rating Index
  • All Participants
  • Baseline
  • Post-intervention
  • 6 months
ContinuousPainLow Back Pain Rating Scale Total Score
  • All Participants
  • Baseline
  • Post intervention
  • 6 months
ContinuousPainWHYMPI Pain Interference Subscale
  • All Participants
  • Baseline
  • Post-intervention
  • 6 months
ContinuousPsychological MeasuresWHYMPI Negative Mood Subscale
  • All Participants
  • Baseline
  • Post-intervention
  • 6 months
CategoricalHarms Adverse events
  • All Participants

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


Harms ( Adverse events)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone

Continuous


Pain (MPQ Present Pain Intensity )

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone

Pain (MPQ Pain Rating Index)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone

Pain (Low Back Pain Rating Scale Total Score )

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Post intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone

Pain (WHYMPI Pain Interference Subscale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone

Psychological Measures (WHYMPI Negative Mood Subscale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP + additional psychological component CPMP alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Note
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP + additional psychological component CPMP alone