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The value of interdisciplinary treatment for sickness absence in chronic pain: A nationwide register-based cohort study
Karolinska Inst, Sweden; Uppsala Univ, Sweden.
Linköpings universitet, Avdelningen för prevention, rehabilitering och nära vård.ORCID iD: 0000-0002-1607-187X
Linköpings universitet, Psykologi.
University of Arts, Crafts and Design.
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2021 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 25, no 10, p. 2190-2201Article in journal (Refereed) Published
Abstract [en]

Background Interdisciplinary treatment (IDT) is an internationally recommended intervention for chronic pain, despite inconclusive evidence of its effects on sickness absence. Methods With data from 25,613 patients in Swedish specialist healthcare, we compared sickness absence, in the form of both sick leave and disability pensions, over a 5-year period between patients either allocated to an IDT programme or to other/no interventions (controls). To obtain population-average estimates, a Markov multistate model with theory-based inverse probability weights was used to compute both the proportion of patients on sickness absence and the total sickness absence duration. Results IDT patients were more likely than controls to receive sickness absence benefits at any given time (baseline: 49% vs. 46%; 5-year follow-up: 36% vs. 35%), and thereby also had a higher total duration, with a mean (95% CI) of 67 (87, 48) more days than controls over the 5-year period. Intriguingly, sick leave was higher in IDT patients (563 [552, 573] vs. 478 [466, 490] days), whereas disability pension was higher in controls (152 [144, 160] vs. 169 [161, 178] days). Conclusion Although sickness absence decreased over the study period in both IDT patients and controls, we found no support for IDT decreasing sickness absence more than other/no interventions in chronic pain patients. Significance In this large study of chronic pain patients in specialist healthcare, sickness absence is compared over a 5-year period between patients in an interdisciplinary treatment programme and other/no interventions. Sickness absence decreased over the study period in bothgroups; however, there was no support forthat it decreased more with interdisciplinary treatment than alternative interventions.

Place, publisher, year, edition, pages
Wiley , 2021. Vol. 25, no 10, p. 2190-2201
National Category
Surgery
Identifiers
URN: urn:nbn:se:konstfack:diva-8310DOI: 10.1002/ejp.1832ISI: 000675153400001PubMedID: 34189810OAI: oai:DiVA.org:konstfack-8310DiVA, id: diva2:1626237
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07414Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00177Swedish Research Council, 2015-02512
Note

Funding Agencies|Swedish Research CouncilSwedish Research CouncilEuropean Commission [Vetenskapsradet: 2015-02512]; Swedish Research Council for Health, Working Life and WelfareSwedish Research CouncilSwedish Research Council for Health Working Life & Welfare (Forte) [FORTE: 2016-07414, 2017-00177]

Available from: 2022-01-11 Created: 2022-01-11 Last updated: 2022-01-11Bibliographically approved

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