Evidence map›Paper›PMID 24992454›Full record

Trial reportPain research & management

The efficacy of a multidisciplinary group program for patients with refractory chronic pain.

Masayuki Inoue, Shinsuke Inoue, Tatsunori Ikemoto, Young-Chang P Arai, Masatoshi Nakata, Atsuko Miyazaki, Makoto Nishihara, Takashi Kawai, Noboru Hatakeyama, Setsuko Yamaguchi and 7 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Psychological Treatment Strategy for Chronic Low Back Pain.Spine surgery and related research · 2019
    Review
  4. Article
  5. Article
  6. Article
  7. Burdensome problems of chronic musculoskeletal pain and future prospects.Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association · 2015
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Masayuki Inoue
Shinsuke Inoue
Tatsunori Ikemoto
Young-Chang P Arai
Masatoshi Nakata
Atsuko Miyazaki
Makoto Nishihara
Takashi Kawai
Noboru Hatakeyama
Setsuko Yamaguchi
Kazuhiro Shimo
Hirofumi Miyagawa
Tomomi Hasegawa
Hiroki Sakurai
Yoshinobu Hasegawa
Yusuke Ohmichi
Takahiro Ushida
Aichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain is a major problem because it can result in not only a reduction in activities of daily living and quality of life but also requires initiation of social assistance. Seeking only to eliminate pain itself would appear to be too narrow an objective, in addition to often being unachievable; therefore, a multifaceted, comprehensive approach with multiple objectives is needed.

objectiveTo describe the effects of a program (the 'Chronic Pain Class') offering cognitive behavioural therapy to small groups of individuals with refractory chronic pain in Japan. Exercise was an important feature of the program.

methodsA total of 46 patients who were experiencing treatment difficulties and decreased activity participated in the program. The programs were conducted in groups of five to seven patients who met weekly for nine weeks. Weekly sessions, which were approximately 2 h in duration, combined lectures with exercise. Several measures related to pain and physical function were administered at the beginning and the conclusion of the program.

resultsNine patients dropped out during the program. A number of measures (eg, pain intensity, disability, catastrophizing thoughts) showed significant improvements after intervention (P<0.002 after Bonferroni correction). Furthermore, most measures of physical function showed substantial improvement, especially seated forward bends, zig-zag walking, self-care and 6 min walk test (P<0.001).

conclusionThe results of the present study provide evidence that a combination of cognitive behavioural therapy and exercise should be recommended to patients with refractory chronic pain.

Indexed as

AdultAgedAged, 80 and overChronic PainCognitive Behavioral TherapyExercise TherapyFemaleHumansJapanMaleMiddle Aged

Identifiers

PMID24992454
PMCPMC4273708
OpenAlexW2259657511

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.