Authors
Kelly L Huffman, Darcy Mandell, Jennifer K Lehmann, Xavier F Jimenez, Brittany R Lapin
Publication date
2019/12/1
Journal
The Journal of Pain
Volume
20
Issue
12
Pages
1470-1485
Publisher
Churchill Livingstone
Description
Patients treated in interdisciplinary chronic pain rehabilitation programs show long-term improvements in symptoms; however, outcomes may vary across heterogenous patient subpopulations. This longitudinal retrospective study characterizes the influence of opioids, mood, patient characteristics, and baseline symptoms on pain and functional impairment (FI) in 1,681 patients 6-months to 12-months post-treatment in an interdisciplinary chronic pain rehabilitation program incorporating opioid weaning. Linear mixed models showed immediate and durable treatment benefits with nonuniform worsening at follow up which slowed over time. Latent class growth analysis identified three post-treatment trajectories of pain and FI: mild symptoms and durable benefits, moderate symptoms and durable benefits, and intractable symptoms. A fourth pain trajectory showed immediate post-treatment improvement and worsening …
Total citations
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