Prognostic variability among chronic pain patients: Implications for study design, interpretation, and reporting

R. A. Deyo, J. E. Bass, N. E. Walsh, L. S. Schoenfeld, S. Ramamurthy

Research output: Contribution to journalArticle

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Abstract

Chronic pain patients share many characteristics, but there is important prognostic variability among them. By selecting for certain characteristics, different recruitment methods and entry criteria for clinical or research programs may influence the likelihood of success regardless of treatment efficacy. This was demonstrated when subjects (n = 55) were recruited through lay publicity for a clinical trial of therapy for chronic back pain. In comparison to routine pain clinic patients (n = 61), subjects in the clinical trial were better educated, were more often employed, had more favorable personality profiles, and were less likely to have had surgery or narcotic use (all p<0.004). Pain relief was significantly better for clinical trial subjects, apparently due to baseline prognostic differences rather than uniquely efficacious therapy. We conclude that chronic pain patients vary in prognostically important ways; that recruitment methods and criteria strongly influence these characteristics; and that greater attention to these details is needed when interpreting and reporting clinical research.

Original languageEnglish (US)
Pages (from-to)174-178
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume69
Issue number3 I
StatePublished - Jan 1 1988

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ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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