Evidence map›Paper›PMID 39666956›Full record

Observational studyPain medicine (Malden, Mass.)2025

The efficacy of an interdisciplinary pain management program for complex regional pain syndrome compared to low back pain and chronic widespread pain: an observational study.

Debbie J Bean, Natalie L Tuck, Nico Magni, Tipu Aamir, Catherine Pollard, Gwyn N Lewis

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Debbie J BeanThe Centre for Person Centred Research, Auckland University of Technology, Auckland 0627, New Zealand.ORCID 0000-0002-0606-8749
Natalie L TuckThe Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland 0627, New Zealand.ORCID 0000-0002-2739-6389
Nico MagniThe Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland 0627, New Zealand.ORCID 0000-0001-8140-3001
Tipu AamirThe Auckland Regional Pain Service, Te Toka Tumai, Te Whatu Ora 1010, New Zealand.
Catherine PollardThe Auckland Regional Pain Service, Te Toka Tumai, Te Whatu Ora 1010, New Zealand.
Gwyn N LewisThe Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland 0627, New Zealand.ORCID 0000-0001-9324-0940

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle research has assessed the efficacy of interdisciplinary pain management programs (IPMPs) for complex regional pain syndrome (CRPS), whereas evidence shows that IPMPs are effective for low back pain (LBP) and chronic widespread pain (CWP). This study aimed to determine whether outcomes following an IPMP differ for people with CRPS compared to LBP and CWP. In addition, we determined whether it is possible to predict IPMP outcomes using baseline characteristics.

methodsPeople with CRPS (N = 66) who had completed a 3-week IPMP were compared with age- and gender- matched controls with LBP (N = 66) and CWP (N = 66). Measures of pain intensity, pain interference and psychological factors were extracted for pre- and post-program, and at 1, 6, and 12 months. Latent class analysis identified recovery trajectories for pain intensity and pain interference, and χ2 analyses assessed differences between diagnostic groups in recovery trajectories. Machine learning models were implemented to predict recovery trajectories from baseline scores.

resultsTwo recovery trajectories for each dependent variable (pain interference and for pain intensity) were identified: Good responders and poorer responders. Following IPMPs, 37% of people belonged to a good responder recovery trajectory for pain interference, and 11% belonged to a good responder recovery trajectory for pain intensity. Recovery trajectories were similar across the three diagnostic groups (CRPS, LBP, CWP) for pain interference (χ2 = 1.8, P = .4) and intensity (χ = 0.2, P = .9). Modeling to predict outcomes correctly classified 69% of cases for pain interference and 88% of cases for pain intensity recovery trajectories using baseline scores.

conclusionPeople with CRPS, LBP, and CWP experience similar benefits following an IPMP. This supports the use of IPMPs for people with CRPS.

Indexed as

Chronic PainComplex Regional Pain SyndromesLow Back PainPain ManagementAdultFemaleHumansMaleMiddle AgedPain MeasurementTreatment Outcomechronic widespread paincognitive behavioral therapycomplex regional pain syndromefibromyalgiainterdisciplinary pain management programlow back painrehabilitation

Identifiers

PMID39666956
PMCPMC11967180

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Registered trials

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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.