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 - InpatientInpatient pain management program; patients were residents in an unstaffed hostel on hospital grounds (returned home on weekends), treatment took place in nearby ward space
CPMP - OutpatientOutpatient pain management program, hospital ward space.
Waitlist

Arm Details

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

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainVAS pain intensity
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousPainVAS pain distress
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousDisabilitySickness Impact Profile
  • All Participants
  • Baseline
  • 1 month
  • 12 months
CategoricalOpioid UseProportion of patients not using opioids
  • All Participants
  • Baseline
  • 1 month
  • 12 months
CategoricalOpioid UseProportion of patients using an opioid dose equivalent to >10 mg morphine per day
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousDepression Beck Depression Inventory
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousAnxietyState-Trait Anxiety Inventory
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousSelf-EfficacyPain Self-Efficacy Questionnaire
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousCatastrophizingCoping Strategies Questionnaire - Catastrophizing
  • All Participants
  • Baseline
  • 1 month
  • 12 months
ContinuousOpioid UseMean opioid dose
  • All Participants
  • Baseline
  • 1 month
  • 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


Opioid Use (Proportion of patients not using opioids)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
1 month
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Opioid Use (Proportion of patients using an opioid dose equivalent to >10 mg morphine per day)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
1 month
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
12 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Continuous


Pain (VAS pain intensity)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Pain (VAS pain distress)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Disability (Sickness Impact Profile)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Depression (Beck Depression Inventory)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Anxiety (State-Trait Anxiety Inventory)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Self-Efficacy (Pain Self-Efficacy Questionnaire)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Catastrophizing (Coping Strategies Questionnaire - Catastrophizing)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist

Opioid Use (Mean opioid dose)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Maximum
SD (MD)
p value (MD)
1 month
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Maximum
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
Maximum
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientWaitlist