Evidence map›Paper›PMID 41328667›Full record

SynthesisEuropean journal of pain (London, England)2026

Assessing the Impact of Interdisciplinary Multimodal Pain Treatment on Health-Related Quality of Life in Chronic Pain: A Systematic Review and Meta-Analyses.

Alistair Turvill, Frances Maratos, David Sheffield

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of pain (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

3 authors.

Alistair TurvillInstitute of Education, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0002-8054-6606
Frances MaratosSchool of Psychology University of Derby, Derby, UK.ORCID https://orcid.org/0000-0001-5738-6491
David SheffieldSchool of Psychology University of Derby, Derby, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveChronic pain lowers health-related quality of life (HRQoL). This review presents the most complete examination to date of how Interdisciplinary Multimodal Pain Treatment (IMPT) affects domains of HRQoL in adults with chronic pain. We compared IMPT with treatment as usual (TAU) and active control groups (ACGs) at short, intermediate and long-term follow-up. DATABASES AND DATA TREATMENT: We searched EBSCO, Embase, Cochrane, Google Scholar, Web of Science, ASSIA, Dimensions and CORE from inception to December 2024. We included RCTs and quasi-RCTs of IMPTs reporting HRQoL outcomes. Pre- and post-intervention means were extracted; comparable subscales were combined into amalgamated domains. Random-effects meta-analyses of standardised mean differences were conducted. Risk of bias was assessed using Cochrane ROB 1, and evidence quality was rated using GRADE. Sensitivity analyses addressed heterogeneity and study quality.

resultsForty-one articles (N = 6613) informed 39 meta-analyses. Sample sizes ranged from n = 10 to n = 703. IMPTs showed small positive effects versus TAU for Physical Functioning at short and long follow-up, and for Pain, General Health and Emotional Functioning at all follow-up points. Exploratory analyses found benefits for Pain versus ACG at short and intermediate follow-up, Vitality versus TAU and Social Functioning versus both comparators. Heterogeneity was high and evidence quality was very low.

conclusionThis study adds support and novel evidence regarding the continued use of IMPTs to improve domains of HRQoL in chronic pain. Findings suggest broader benefits than previously reported. Future research should develop methodological designs to improve evidence quality and support deeper insights going forward. SIGNIFICANCE STATEMENT: This is the first review to compare Interprofessional Multimodal Pain Therapy (IMPT) with treatment-as-usual (TAU) and active control groups (ACG) across all Health-Related Quality of Life (HRQoL) domains for chronic pain, with short, intermediate and long-term follow-up, adjusting for intervention duration. Findings provide evidence of IMPT's superiority over TAU for physical and emotional functioning, pain and general health. Novel findings show benefits over both TAU and ACG for social functioning, over TAU for vitality and over ACG for pain.

Indexed as

Chronic PainPain ManagementQuality of LifeCombined Modality TherapyHumans

Identifiers

PMID41328667
PMCPMC12670346

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.