Evidence map›Paper›PMID 33496787›Full record

Observational studyPain medicine (Malden, Mass.)2021

The Resurrection of Interdisciplinary Pain Rehabilitation: Outcomes Across a Veterans Affairs Collaborative.

Jennifer L Murphy, Sarah A Palyo, Zachary S Schmidt, Lauren N Hollrah, Evangelia Banou, Cynthia P Van Keuren, Irina A Strigo

Abstract readObservational Study
In one paragraph

Observational study in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Continuity of pain clinic care among rural and urban veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  7. Article
  8. Article
  9. Observational
  10. Patient and Support Person Satisfaction Following a Whole Health-Informed Interdisciplinary Pain Team Meeting.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Flipping the hidden curriculum to transform pain education and culture.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
  19. Article
  20. 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

7 authors.

Jennifer L MurphyJames A. Haley Veterans' Hospital, Tampa, Florida, USA.
Sarah A PalyoSan Francisco VA Health Care System, San Francisco, California, USA.
Zachary S SchmidtNew Mexico VA Health Care System, Albuquerque, New Mexico, USA.
Lauren N HollrahVA Puget Sound Health Care System, Tacoma, Washington, USA.
Evangelia BanouJames A. Haley Veterans' Hospital, Tampa, Florida, USA.
Cynthia P Van KeurenVA Northeast Ohio Healthcare System, Cleveland, Ohio, USA.
Irina A StrigoSan Francisco VA Health Care System, San Francisco, California, USA.

Funding

UCSF Core Center for Patient-centric Mechanistic Phenotyping in Chronic Low Back PainU19AR076737 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2019 to 2023
$34.1M
Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH2AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2019 to 2019
$514k
Examination of mu opioid mediated pain vulnerability in combat mild Traumatic Brain InjuryI01CX001652 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI STRIGO, IRINA A · 2019 to 2022
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CSRD VA I01 CX000816CSRD VA I01 CX001652NIAMS NIH HHS U19 AR076737NIAMS NIH HHS UH2 AR076724
6 · The paper itself

Abstract

objectiveDespite empirical support for interdisciplinary pain rehabilitation programs improving functioning and quality of life, access to this treatment approach has decreased dramatically over the last 20 years within the United States but has grown significantly in the Department of Veterans Affairs (VA). Between 2009 and 2019, VA pain rehabilitation programs accredited by the Commission on Accreditation of Rehabilitation Facilities increased 10-fold in the VA, expanding from two to 20. The aim of this collaborative observational evaluation was to examine patient outcomes across a subset of six programs at five sites.

methodsOutcomes were assessed using agreed-upon measures of patient-reported pain intensity, pain interference across various domains, pain catastrophizing, and sleep.

resultsA total of 931 patients enrolled in the selected VA interdisciplinary pain programs, with 84.1% of participants completing the full course of treatment. Overall, all programs showed significant improvements from pretreatment to posttreatment in nearly all patient-reported outcomes. The effect sizes ranged from medium to large. Notably, the results demonstrate that positive outcomes were typical despite differences in structure and resources across programs.

conclusionsThe adverse impacts of opioid use have highlighted the importance of chronic pain treatment approaches that emphasize team-based care focused on functional improvements. This study represents the first and largest analysis of outcomes across chronic pain rehabilitation programs and demonstrates the need for increased access to similar comprehensive approaches to pain management across the health care system. Further, it suggests that a variety of structures may be effective, encouraging flexibility in adopting this interdisciplinary approach.

Indexed as

Chronic PainVeteransHumansPain ManagementQuality of LifeUnited StatesUnited States Department of Veterans AffairsChronic PainInterdisciplinaryMultidisciplinaryPain ProgramVeterans

Identifiers

PMID33496787
PMCPMC8599775

What OpenQuestion holds

Textmetadata
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.