Browsing by Author "Steffenburg, Sandra"

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Evidence for education and advice in patients with chronic pain - A Systematic and analytic literature study
(2020-09-22) Steffenburg, Sandra; University of Gothenburg / Institute of Medicine; Göteborgs universitet / Institutionen för medicin
Background In Europe approximately 20 % of the population suffers from chronic pain. Chronic pain affects both individuals and society negatively. Multimodal rehabilitation (MMR) is effective as treatment for chronic pain and understanding the separate effect of the individual interventions included in MMR is of great value. Education and advice are often a part of the rehabilitation process. Aim To investigate the current evidence for education and advice as treatment for chronic pain. Methods Systematic searches were conducted in five databases. Limitations for the searched was conducted according to the PICO model: Patient (chronic pain, ≥18 years) , Intervention (education and/or advice), Comparison (to other interventions or no intervention), Outcome (pain, psychological function, physical function, daily life activity, disability, quality of life, sick-leave, health in general). Systematic reviews and meta-analysis, evaluating the effect of education/advise, were assessed for their quality by a modified model from The Swedish Agency for Health Technology Assessment and Assessment of Social Services. Results Eleven systematic reviews were included in the final report, eight were qualified as high quality and six included meta-analysis. There is limited-low evidence for education/advice as stand-alone treatment for reducing pain and low-moderate evidence for education/advice as stand-alone treatment for reducing disability in patients with chronic pain. Conclusion Pain Neuroscience education (PNE) in combination with another intervention seems to be most effective for reducing pain and disability in patients with chronic pain.