Article

OBJECTIVE: To determine whether self-reported pain measures are associated with
selection for multimodal or multidisciplinary rehabilitation (MMR) and whether
this selection is influenced by sex. DESIGN: Cross-sectional cohort study.
SUBJECTS: A total of 1,226 women and 464 men with chronic pain conditions from 2
university hospitals. METHODS: Drawing from the Swedish Quality Registry for Pain
Rehabilitation (SQRP), data on pain, psychological symptoms, function, health,
and activity/participation were collected. Multiple logistic regression was used
to investigate association of pain measures with selection for MMR (no/yes) after
multidisciplinary assessment. Covariates were: age, educational level, anxiety,
depression, working status, and several pain measures. RESULTS: High pain
intensity in the previous week (odds ratio (OR) 0.92; 95% confidence interval
(CI) 0.86-0.99) and high pain severity (Multidimensional Pain Inventory) (OR
0.83; 95% CI 0.74-0.95) were negatively associated with selection for MMR,
whereas higher number of pain quadrants was positively associated with selection
for MMR. Similar results were obtained for women, but none of the measures was
predictive for men. CONCLUSION: This practice-based study showed that higher
scores on self-reported pain were not associated with selection for MMR, and in
women there was a negative association for higher pain intensity and pain
severity. Thus, other factors than pain determine whether patients are selected
for MMR.

Langue : ANGLAIS