Evidence map›Paper›PMID 33111034›Full record

ArticleBMC rheumatology2020

The association between waiting time and multidisciplinary pain treatment outcomes in patients with rheumatic conditions.

Simon Deslauriers, Jean-Sébastien Roy, Sasha Bernatsky, Debbie E Feldman, Anne Marie Pinard, François Desmeules, Mary-Ann Fitzcharles, Kadija Perreault

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  9. Decreasing waiting time for new patients at a community pain clinic.Proceedings (Baylor University. Medical Center) · 2022
    Article
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  11. 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

8 authors at 4 institutions in 1 country.

Simon DeslauriersCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), 525, boulevard W.-Hamel, Quebec, QC G1M 2S8 Canada.
Jean-Sébastien RoyCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), 525, boulevard W.-Hamel, Quebec, QC G1M 2S8 Canada.
Sasha BernatskyMcGill University Health Centre (MUHC), 1650 Cedar Ave, Montreal, QC H3G 1A4 Canada.
Debbie E FeldmanFaculty of medicine, Université de Montréal, Montreal, Canada.
Anne Marie PinardCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), 525, boulevard W.-Hamel, Quebec, QC G1M 2S8 Canada.
François DesmeulesFaculty of medicine, Université de Montréal, Montreal, Canada.
Mary-Ann FitzcharlesMcGill University Health Centre (MUHC), 1650 Cedar Ave, Montreal, QC H3G 1A4 Canada.
Kadija PerreaultCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), 525, boulevard W.-Hamel, Quebec, QC G1M 2S8 Canada.ORCID 0000-0002-8608-9661
Centre for Interdisciplinary Research in Rehabilitation · CAMcGill University Health Centre · CACentre hospitalier universitaire de Québec · CAHôpital Maisonneuve-Rosemont · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to multidisciplinary pain treatment facilities (MPTF) is limited by extensive waiting time in many countries. However, there is a lack of knowledge about the impact of waiting time on clinical outcomes, particularly for patients with rheumatic conditions. This study examined the association between waiting time for MPTF and clinical outcomes in patients with rheumatic conditions.

methodsData were extracted from the Quebec Pain Registry, a large database of patients who received services in MPTF. The associations between waiting time (classified as < 2 months, 2-6 months and >  6 months) and change in pain interference, pain intensity and health-related quality of life, from the initial visit at the MPTF to the 6-month follow-up, were tested using generalized estimating equations.

resultsA total of 3230 patients with rheumatic conditions (mean age: 55.8 ± 14.0 years; 66% were women) were included in the analysis. Small significant differences in improvement between waiting time groups were revealed, with patients waiting less than 2 months having a larger improvement in all clinical outcomes compared to patients who waited 2-6 months or over 6 months before their initial visit (adjusted time X group effect

conclusionsLonger delays experienced by patients before receiving services in MPTF were associated with statistically significant smaller improvements in pain interference, pain intensity and health-related quality of life; these differences were, however, not clinically significant. Based on these results, we advise that strategies are developed not only to reduce waiting times and mitigate their impacts on patients with rheumatic conditions, but also to improve treatment effectiveness in MPTF.

Indexed as

Chronic painClinical outcomesMultidisciplinary pain treatment facilitiesRheumatic conditionsWaiting time

Identifiers

PMID33111034
PMCPMC7583241
OpenAlexW3094055931

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.