Evidence map›Paper›PMID 33885132›Full record

Observational studyMilitary medicine2023

Pattern of Cumulative Treatment Hours on Pain Impact and PROMIS Outcomes.

Hongjin Li, Diane M Flynn, Krista B Highland, Larisa A Burke, Honor M Mcquinn, Alana D Steffen, Ardith Z Doorenbos

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Military medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. 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 at 3 institutions in 1 country.

Hongjin LiDepartment of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, USA.ORCID 0000-0002-5466-1192
Diane M FlynnDepartment of Rehabilitative Medicine, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Krista B HighlandDepartment of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, USA.
Larisa A BurkeOffice of Research Facilitation, College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, USA.
Honor M McquinnDepartment of Rehabilitative Medicine, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Alana D SteffenDepartment of Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, USA.
Ardith Z DoorenbosDepartment of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, USA.ORCID 0000-0002-3899-8238
University of Illinois Chicago · USMadigan Army Medical Center · USHenry M. Jackson Foundation · US

Funding

Applying Technology to Problems in Pain and Symptom ManagementK24NR015340 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2014 to 2018
$842k
National Institute of Nursing Research of the National Institutes of Health K24NR015340NINR NIH HHS K24 NR015340
6 · The paper itself

Abstract

introductionParticipation in interdisciplinary treatments is associated with improvement in pain intensity, physical function, and additional pain-related outcome domains. However, the effect of cumulative treatment hours on outcomes remains unknown among military patients. The present analysis examined the relationship between cumulative interdisciplinary treatment hours and pain management outcomes at a single interdisciplinary pain management center (IPMC). MATERIALS AND

methodsThis is a retrospective observational study of data previously collected as standard of care at the Madigan Army Medical Center, approved by the Institutional Review Board. We included patients who received treatment at the IPMC and completed at least two self-report assessment batteries: one at baseline and at least one between 90 and 180 days after baseline (n = 882). The primary outcome was pain impact. Secondary outcomes included fatigue, depression, anxiety, and sleep-related impairment.

resultsGeneralized additive models indicated that cumulative treatment hours were significantly associated with improvement in pain impact, fatigue, and depression. Patients who had higher baseline pain impact, who had mild or no depressive symptoms, and who were >40 years of age had greater improvements in pain impact following treatment, relative to those with lower pain impact, moderate-to-severe depressive symptoms, and were 40 years of age or younger, respectively. Additional research is needed to elucidate the effect of different therapies and additional patient factors in understanding the "therapeutic dose" of interdisciplinary pain management.

conclusionsA higher number of cumulative treatment hours was associated with improvement of pain impact, fatigue, and depression among military personnel receiving interdisciplinary pain treatment. At least 30 hours of sustained interdisciplinary treatment appears to be the threshold for improvement in pain impact and related outcomes.

Indexed as

FatiguePain ManagementAdultAnxietyHumansPainPain Measurement

Identifiers

PMID33885132
PMCPMC10040935
OpenAlexW3154849441

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.