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
Multidisciplinary pain management program with pretreatment multimodal assessmentPretreatment multimodal assessment
Multidisciplinary pain management program aloneRoutine multidisciplinary individual pain management therapy "usual care"

Arm Details

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

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainVisual Analogue Scale
  • All Participants
  • Baseline
  • 15 months
ContinuousFunctionOswestry Disability Index
  • All Participants
  • Baseline
  • 15 months
ContinuousQOLZung Self-Rating Depression Scale
  • All Participants
  • Baseline
  • 15 months
ContinuousQOLStress and Crisis Inventory
  • All Participants
  • Baseline
  • 15 months
ContinuousQOLSF-36 - PCS
  • All Participants
  • Baseline
  • 15 months
ContinuousQOLSF-36 - MCS
  • All Participants
  • Baseline
  • 15 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

Continuous


Pain (Visual Analogue Scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone

Function (Oswestry Disability Index)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone

QOL (Zung Self-Rating Depression Scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone

QOL (Stress and Crisis Inventory)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
25th percentile
95% CI high (MD)
75th percentile
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone

QOL (SF-36 - PCS)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone

QOL (SF-36 - MCS)

All Participants
Descriptive StatisticsBetween Arm Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
15 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
Multidisciplinary pain management program with pretreatment multimodal assessmentMultidisciplinary pain management program alone