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Skelly AC, Chou R, Dettori JR, et al. Integrated and Comprehensive Pain Management Programs: Effectiveness and Harms [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2021 Oct. (Comparative Effectiveness Review, No. 251.)

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Integrated and Comprehensive Pain Management Programs: Effectiveness and Harms [Internet].

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Table B-2Study and population characteristics for trials addressing KQ1 by type of program and comparator

Weighted Means or Proportionsa

IPMP

All Comparisons

IPMP

Vs. UC/WL

IPMP

Vs. PT, Psychological Therapyb

CPMP

All Comparisons

CPMP

Vs. UC/WL

CPMP

Vs. PA Alone

CPMP

Vs. Psychological Therapy Alone

CPMP

Vs. Pharmacologic Therapy Alone

CPMP

Vs. PA + Pharmacologic Therapy

N population 24842263397582327062363531311116
# of unique RCTs 771412315552
# publications 101025830216133
# RCTs conducted in United States 440331100
Mean age (years) (n trials) b 56.7 (6)56.8 (6)63.445.4 (35)45.8 (19)43.8 (11)45.5 (4)47.0 (4)47.3 (1)
% Male (n trials) 48% (7)50% (7)27%40% (40)36% (21)47% (14)38% (4)29% (4)0% (1)
% Disabled (n trials) 33% (6)36% (6)6%57% (19)71% (6)66% (7)62% (3)10% (2)23% (1)
% Nonwhite (n trials) 31% (4)31% (4)43%6% (8)7% (5)NR (0)NR (0)2% (1)NR (0)
Mean pain/disease duration, months (n trials) 153 (3)153 (3)NR (0)110 (23)123 (14)46 (6)95 (5)102 (4)196 (1)
Mean baseline pain score (0-10) (n trials) 5.3 (4)5.3 (4)NR (0)5.5 (25)4.9 (13)4.4 (7)5.4 (3)6.6 (3)4.5 (2)
% LBP 30%33%0%52%38%69%25%57%47%
% OA, RA 34%37%100%7%16%0%0%0%0%
% FM, CWP 18%10%0%16%21%7%0%43%53%
% Neck, shoulder pain 0%0%0%0%0%0%0%0%0%
% Mixed/multiple pain conditions 19%21%0%22%20%22%75%0%0%
% Other 0%0%0%3%7%18%0%0%0%
% Depression diagnosis (n trials) 18% (1)18% (1)0%20% (7)20% (6)18% (3)11% (1)NR (0)NR (0)
% Anxiety diagnosis (n trials) 13% (1)13% (1)0%32% (4)35% (5)22% (1)22% (1)NR (0)NR (0)
% PTSD diagnosis (n trials) 17% (1)17% (1)0%NR (0)NR (0)NR (0)NR (0)NR (0)NR (0)
% Overweight, obese (n trials) 56% (1)56% (1)0%77% (1)NR (0)NR (0)NR (0)NR (0)NR (0)
% SUD (n trials) NR (0)NR (0)NR (0)NR (0)NR (0)9% (1)14% (1)NR (0)NR (0)
% Suicidal ideation (n trials) NR (0)NR (0)NR (0)5% (2)9% (3)NR (0)NR (0)0% (1)0% (1)
% Smoking (n trials) NRNRNR34% (8)41% (3)45% (3)NR5% (2)NR (0)
# Fair-quality RCTs (% of total) 6 (86%)6 (86%)1 (100%)29 (71%)15 (65%)13 (87%)3 (60%)3 (60%)1 (50%)
# Poor-quality RCTs (% of total) 1 (14%)1 (14%)NA12 (29%)8 (35%)2 (13%)2 (40%)2 (40%)1 (50%)

CPMP = comprehensive pain management program; CWP = chronic widespread pain; FM = fibromyalgia; IPMP = Integrated Pain Management Programs; LBP = low back pain; NA = not applicable; NR = Not reported; OA = osteoarthritis; PTSD = post-traumatic stress disorder; RA = rheumatoid arthritis; SUD = substance use disorder

a

Some trials did not report the baseline demographic/characteristics listed. The weighted mean or proportion was calculated from the number of trials (i.e., n trials) that did report that variable

b

Data are for one trial with three arms

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