Dutch Dataset Ache Rehabilitation in day by day observe: Content material, affected person traits and reference information.
Eur J Ache. 2017 Mar;21(three):434-444
Authors: Köke AJ, Smeets RJ, Schreurs KM, van Baalen B, de Haan P, Remerie SC, Schiphorst Preuper HR, Reneman MF
BACKGROUND: No core set of measurement instruments exists to gather information inside scientific observe. Such information might be helpful as reference information to information remedy selections and to check affected person traits or remedy outcomes inside particular remedy settings.
METHODS: The Dutch Dataset Ache Rehabilitation was developed which included the six domains of the IMMPACT core set and three new domains related within the discipline of rehabilitation (medical consumption, patient-specific objectives and actions/participation). Between 2010 and 2013 the core set was applied in 32 rehabilitation amenities all through the Netherlands.
RESULTS: A complete of 8200 grownup sufferers with continual ache accomplished the core set at first session with the rehabilitation doctor. Grownup sufferers (18-90 years) affected by an extended historical past of ache (38% >5 years) have been referred. Sufferers had excessive medical consumption and fewer than half have been working. Though sufferers have been referred with prognosis of low again ache or neck or shoulder ache, a big group (85%) had multisite ache (39% 2-5 painful physique areas; 46% >5 painful physique areas). Scores on psychosocial questionnaires have been excessive, indicating excessive case complexity of referred sufferers. Reference information for subgroups primarily based on gender, ache severity, ache places and on ache period are offered.
CONCLUSIONS: The information from this scientific core set can be utilized to check affected person traits of sufferers of different remedy setting and/or scientific publications. As remedy success would possibly rely upon case complexity, which is excessive within the referred sufferers, the benefits of earlier referral to complete multidisciplinary remedy have been mentioned.
SIGNIFICANCE: An in depth description of case complexity of sufferers with continual ache referred for ache rehabilitation. Perception in case complexity of sufferers inside subgroups on the idea of gender, ache period, ache severity and ache location. These descriptions can be utilized as reference information for day by day observe within the discipline of ache rehabilitation and can be utilized to judge, monitor and enhance rehabilitation care in care settings nationwide in addition to internationally.
PMID: 27634023 [PubMed – indexed for MEDLINE]