Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia

Autor: Erica Engelberg-Cook, DVM, PhD, CCRP, Danqing Hu, MD, PhD, Svetlana Kurklinsky, PhD, Anwar Mack, MD, Christopher D. Sletten, PhD, LP, Wenchun Qu, MD, PhD, Michael D. Osborne, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 5, Iss 6, Pp 1056-1065 (2021)
Druh dokumentu: article
ISSN: 2542-4548
DOI: 10.1016/j.mayocpiqo.2021.08.008
Popis: Objective: To analyze opioid intake interference with psychological, well-being, and functional outcomes and medication tapering in patients with fibromyalgia admitted to the Mayo Clinic Pain Rehabilitation Program (MCPRP) in Florida. Patients and Methods: A retrospective study on MCPRP outcomes was conducted. We reviewed the health records of 150 patients with fibromyalgia who participated in the program from May 1, 2014, to May 1, 2015. All patients were asked to fill out a survey at admission to and dismissal from the program. Surveys contained questions from the numeric pain score, Multidimensional Pain Inventory (perceived life control and interference of pain subscales), Center for Epidemiological Studies–Depression Scale, Pain Catastrophizing Scale, 36-Item Short-Form Health Status Survey (general health perceptions subscale), and Pain Self-Efficacy Questionnaire. A medical record review identified categories and number of medications at program admission and dismissal. Patients were divided in 2 groups: those whose concomitant medication did not include opioids at admission (no opioids group) and those whose concomitant medication included opioids at admission (opioids group). Results: By dismissal from the MCPRP, patients with fibromyalgia in the no opioids group had a significant (P
Databáze: Directory of Open Access Journals