Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia

Objective: To analyze opioid intake interference with psychological, well-being, and functional outcomes and medication tapering in patients with fibromyalgia admitted to the Mayo Clinic Pain Rehabilitation Program (MCPRP) in Florida. Patients and Methods: A retrospective study on MCPRP outcomes was...

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Autores principales:	Erica Engelberg-Cook, DVM, PhD, CCRP, Danqing Hu, MD, PhD, Svetlana Kurklinsky, PhD, Anwar Mack, MD, Christopher D. Sletten, PhD, LP, Wenchun Qu, MD, PhD, Michael D. Osborne, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/588fe2857cbf4d6ab9e8593d0c9d3e25
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spelling	oai:doaj.org-article:588fe2857cbf4d6ab9e8593d0c9d3e252021-11-12T04:44:22ZOutcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia2542-454810.1016/j.mayocpiqo.2021.08.008https://doaj.org/article/588fe2857cbf4d6ab9e8593d0c9d3e252021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2542454821001272https://doaj.org/toc/2542-4548Objective: To analyze opioid intake interference with psychological, well-being, and functional outcomes and medication tapering in patients with fibromyalgia admitted to the Mayo Clinic Pain Rehabilitation Program (MCPRP) in Florida. Patients and Methods: A retrospective study on MCPRP outcomes was conducted. We reviewed the health records of 150 patients with fibromyalgia who participated in the program from May 1, 2014, to May 1, 2015. All patients were asked to fill out a survey at admission to and dismissal from the program. Surveys contained questions from the numeric pain score, Multidimensional Pain Inventory (perceived life control and interference of pain subscales), Center for Epidemiological Studies–Depression Scale, Pain Catastrophizing Scale, 36-Item Short-Form Health Status Survey (general health perceptions subscale), and Pain Self-Efficacy Questionnaire. A medical record review identified categories and number of medications at program admission and dismissal. Patients were divided in 2 groups: those whose concomitant medication did not include opioids at admission (no opioids group) and those whose concomitant medication included opioids at admission (opioids group). Results: By dismissal from the MCPRP, patients with fibromyalgia in the no opioids group had a significant (P<.05) improvement in all the self-reported scores. Medication, including opioids, were effectively tapered at a substantially higher percentage in the opioids group. Conclusion: Benefit of the comprehensive pain rehabilitation program in patients with fibromyalgia was indicated by clinical improvements in pain severity, physical and emotional health, and functional capacity while successfully tapering medication. Opioid intake at admission may modify the program outcomes.Erica Engelberg-Cook, DVM, PhD, CCRPDanqing Hu, MD, PhDSvetlana Kurklinsky, PhDAnwar Mack, MDChristopher D. Sletten, PhD, LPWenchun Qu, MD, PhDMichael D. Osborne, MDElsevierarticleMedicine (General)R5-920ENMayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 5, Iss 6, Pp 1056-1065 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Erica Engelberg-Cook, DVM, PhD, CCRP Danqing Hu, MD, PhD Svetlana Kurklinsky, PhD Anwar Mack, MD Christopher D. Sletten, PhD, LP Wenchun Qu, MD, PhD Michael D. Osborne, MD Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
description	Objective: To analyze opioid intake interference with psychological, well-being, and functional outcomes and medication tapering in patients with fibromyalgia admitted to the Mayo Clinic Pain Rehabilitation Program (MCPRP) in Florida. Patients and Methods: A retrospective study on MCPRP outcomes was conducted. We reviewed the health records of 150 patients with fibromyalgia who participated in the program from May 1, 2014, to May 1, 2015. All patients were asked to fill out a survey at admission to and dismissal from the program. Surveys contained questions from the numeric pain score, Multidimensional Pain Inventory (perceived life control and interference of pain subscales), Center for Epidemiological Studies–Depression Scale, Pain Catastrophizing Scale, 36-Item Short-Form Health Status Survey (general health perceptions subscale), and Pain Self-Efficacy Questionnaire. A medical record review identified categories and number of medications at program admission and dismissal. Patients were divided in 2 groups: those whose concomitant medication did not include opioids at admission (no opioids group) and those whose concomitant medication included opioids at admission (opioids group). Results: By dismissal from the MCPRP, patients with fibromyalgia in the no opioids group had a significant (P<.05) improvement in all the self-reported scores. Medication, including opioids, were effectively tapered at a substantially higher percentage in the opioids group. Conclusion: Benefit of the comprehensive pain rehabilitation program in patients with fibromyalgia was indicated by clinical improvements in pain severity, physical and emotional health, and functional capacity while successfully tapering medication. Opioid intake at admission may modify the program outcomes.
format	article
author	Erica Engelberg-Cook, DVM, PhD, CCRP Danqing Hu, MD, PhD Svetlana Kurklinsky, PhD Anwar Mack, MD Christopher D. Sletten, PhD, LP Wenchun Qu, MD, PhD Michael D. Osborne, MD
author_facet	Erica Engelberg-Cook, DVM, PhD, CCRP Danqing Hu, MD, PhD Svetlana Kurklinsky, PhD Anwar Mack, MD Christopher D. Sletten, PhD, LP Wenchun Qu, MD, PhD Michael D. Osborne, MD
author_sort	Erica Engelberg-Cook, DVM, PhD, CCRP
title	Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
title_short	Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
title_full	Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
title_fullStr	Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
title_full_unstemmed	Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
title_sort	outcomes of a comprehensive pain rehabilitation program for patients with fibromyalgia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/588fe2857cbf4d6ab9e8593d0c9d3e25
work_keys_str_mv	AT ericaengelbergcookdvmphdccrp outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT danqinghumdphd outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT svetlanakurklinskyphd outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT anwarmackmd outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT christopherdslettenphdlp outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT wenchunqumdphd outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia AT michaeldosbornemd outcomesofacomprehensivepainrehabilitationprogramforpatientswithfibromyalgia
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Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia

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