在跨学科治疗或未指定的干预中患有慢性疼痛的患者中,缺病和残疾养老金
Riccardo LoMartire1, Per Johansson2, Paolo Frumento3
1Center for Clinical Research Dalarna, Uppsala University, Falun, Region Dalarna, Sweden.
The journal of pain
|June 22, 2023
概括
慢性疼痛的跨学科治疗可能会增加病假和残疾养老金 (SA/DP) 的总体日数. 然而,它降低了最大SA/DP天的风险,有利于那些缺席时间最长的人.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
背景情况:
- 跨学科的治疗是常见的慢性疼痛患者.
- 一个关键的目标是降低社会保险成本.
- 它在减少病假和残疾养老金 (SA/DP) 的有效性受到争议.
研究的目的:
- 将接受跨学科治疗的患者和接受未指定的干预的患者之间的SA/DP进行比较.
- 分析跨学科治疗对工作年龄慢性疼痛患者SA/DP的影响.
主要方法:
- 这是一项基于登记的观察性研究,对7752名瑞典专业医疗保健患者进行了观察.
- 分析了三年内总净SA/DP日数.
- 用于统计分析的零-一膨胀β模型,对混因素进行调整.
主要成果:
- 跨学科治疗与未指定的干预措施相比,平均增加了50个SA/DP天.
- 在没有SA/DP天的患者中观察到13.0%的减少.
- 在最大SA/DP天的患者中发现1.5%的减少.
结论:
- 跨学科治疗可能会增加SA/DP总体相比较少密集的干预措施.
- 对于缺席率最高的患者来说,这似乎是有利的,因为它减少了最大的缺席日数.
- 需要改进患者选择和方案调整,以更好地针对SA/DP减少.
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