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 - Function-centeredFunction-centered multidisciplinary treatment with the goals of increased work-related capacity, improved self-efficacy, and return to work.
CPMP - Pain-centeredPain-centered multidisciplinary treatment with the goals of pain reduction, strength and mobility training, and return to work

Arm Details

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

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainPain Numeric Rating Scale
  • All Participants
  • Baseline
  • Post-intervention change
  • 3 month change
ContinuousFunctionPerformance Assessment and Capacity Training
  • All Participants
  • Baseline
  • Post-intervention change
ContinuousQOLGlobal improvement
  • All Participants
  • Post-intervention
  • 3 months
ContinuousQOLPatient satisfaction with treatment
  • All Participants
  • 12 months
ContinuousAdverse eventsHarms/adverse events
  • All Participants
  • Baseline
ContinuousProgram-related OutcomeHealthcare utilization in the year following treatment (Diagnostic procedures)
  • All Participants
  • Baseline
ContinuousProgram-related OutcomeHealthcare utilization in the year following treatment (Medications)
  • All Participants
  • Baseline
ContinuousProgram-related OutcomeHealthcare utilization in the year following treatment (Physical and occupational therapy)
  • All Participants
  • Baseline

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

Continuous


Pain (Pain Numeric Rating Scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
Post-intervention change
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
3 month change
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)

Function (Performance Assessment and Capacity Training)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
Post-intervention change
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)

QOL (Global improvement)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)
Post-intervention
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
3 months
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Mean
95% CI high (MD)
SD
SD (MD)
SD
p value (MD)
Median
25th percentile
75th percentile
Note
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered
All Arms (ANOVA)

QOL (Patient satisfaction with treatment)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
12 months
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Median
95% CI high (MD)
25th percentile
SD (MD)
75th percentile
p value (MD)
Note
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered

Adverse events (Harms/adverse events)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
Note
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered

Program-related Outcome (Healthcare utilization in the year following treatment (Diagnostic procedures))

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered

Program-related Outcome (Healthcare utilization in the year following treatment (Medications))

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered

Program-related Outcome (Healthcare utilization in the year following treatment (Physical and occupational therapy))

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Function-centeredCPMP - Pain-centered
Baseline
Proportion
Mean Difference (MD)
Total (N analyzed)
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Function-centeredCPMP - Pain-centered