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
CPMPComprehensive pain management program ,early, coordinated multidisciplinary intervention for reducing disability following traumatic injury
Usual CareCare managed by a GP; allied health therapies as needed (e.g. physiotherapy, occupational therapy, clinical psychology)

Arm Details

1. Is the program practice-based or system-based?
CPMP
Usual Care
2. How many patients were randomized to this treatment arm?
CPMP
Usual Care
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
CPMP
Usual Care
4. Number of sessions per week
Report as X sessions/week
CPMP
Usual Care
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
CPMP
Usual Care
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
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
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
Usual Care
8. Additional components of the intervention
CPMP
Usual Care
9. Description of care coordination/collaboration
CPMP
Usual Care

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
CategoricalPainClinical Pain Diagnosis at 6 months, pain with no impairment
  • All Participants
  • 6 months
CategoricalPainClinical Pain Diagnosis at 6 months, pain with impairment
  • All Participants
  • 6 months
ContinuousPainBPI -Average pain severity over last 48 hours
  • All Participants
  • 6 months
ContinuousPainPainDETECT
  • All Participants
  • 6 months
CategoricalFunctionADL Impairment (yes)
  • All Participants
  • 6 months
ContinuousFunctionFIM
  • All Participants
  • 6 months
CategoricalFunctionWalking Impairment (yes)
  • All Participants
  • 6 months
CategoricalHarmsAdverse Events
  • All Participants
  • 6 months
ContinuousPsychological MeasuresDepression CES-D
  • All Participants
  • 6 months
CategoricalPsychological MeasuresPTSD
  • All Participants
  • 6 months
CategoricalPsychological Measures Depression and PTS
  • All Participants
  • 6 months
ContinuousUtilization Health Care Use - GP visits
  • All Participants
  • 6 months
ContinuousUtilization Health Care Use - Medical Specialist
  • All Participants
  • 6 months
ContinuousUtilizationClinical Psychology
  • All Participants
  • 6 months
ContinuousUtilizationPT
  • All Participants
  • 6 months
ContinuousUtilizationOT
  • All Participants
  • 6 months
ContinuousPainBPI - Coping confidence
  • All Participants
  • 6 months
ContinuousPainBPI - Relief
  • All Participants
  • 6 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


Pain (Clinical Pain Diagnosis at 6 months, pain with no impairment)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Risk Ratio (RR)
Events
95% CI low (RR)
Percentage
95% CI high (RR)
Note
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Pain (Clinical Pain Diagnosis at 6 months, pain with impairment)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
Note
Risk Ratio (RR)
95% CI low (RR)
95% CI high (RR)
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Function (ADL Impairment (yes))

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Risk Ratio (RR)
Events
95% CI low (RR)
Percentage
95% CI high (RR)
Note
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Function (Walking Impairment (yes))

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Risk Ratio (RR)
Events
95% CI low (RR)
Percentage
95% CI high (RR)
Note
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Harms (Adverse Events)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
6 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
Note
Risk Ratio (RR)
95% CI low (RR)
95% CI high (RR)
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care

Psychological Measures (PTSD)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Risk Ratio (RR)
Events
95% CI low (RR)
Percentage
95% CI high (RR)
Note
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Psychological Measures ( Depression and PTS)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Risk Ratio (RR)
Events
95% CI low (RR)
Percentage
95% CI high (RR)
Note
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Continuous


Pain (BPI -Average pain severity over last 48 hours)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
95% CI low
p value (adjMD)
95% CI high
Risk Ratio (RR)
Note
95% CI low (RR)
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Pain (PainDETECT)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
95% CI low
Risk Ratio (RR)
95% CI high
95% CI low (RR)
Note
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Function (FIM)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
95% CI low
Risk Ratio (RR)
95% CI high
95% CI low (RR)
Note
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Psychological Measures (Depression CES-D)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
SE
p value (adjMD)
95% CI low
Risk Ratio (RR)
95% CI high
95% CI low (RR)
Note
95% CI high (RR)
p value
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Utilization (Health Care Use - GP visits)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
All Arms (ANOVA)
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
p value (MD)
SD
Risk Ratio (RR)
95% CI high
95% CI low (RR)
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
All Arms (ANOVA)

Utilization (Health Care Use - Medical Specialist)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Utilization (Clinical Psychology)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Mean
Mean Difference (MD)
SD
95% CI low (MD)
95% CI high (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Utilization (PT)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Mean
Mean Difference (MD)
SD
95% CI low (MD)
95% CI high (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Utilization (OT)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Mean
Mean Difference (MD)
SD
95% CI low (MD)
95% CI high (MD)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Pain (BPI - Coping confidence)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
95% CI low
p value (adjMD)
95% CI high
Risk Ratio (RR)
Note
95% CI low (RR)
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.

Pain (BPI - Relief)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPUsual Care
vs.
6 months
Total (N analyzed)
Mean Difference (MD)
Events
95% CI low (MD)
Percentage
95% CI high (MD)
Mean
SD (MD)
SD
p value (MD)
95% CI low
p value (adjMD)
95% CI high
Risk Ratio (RR)
Note
95% CI low (RR)
95% CI high (RR)
Within Arm ComparisonsNet Comparisons
CPMPUsual Care
vs.