Chronic noncancer pain rehabilitation with opioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission

Jeffrey D. Rome, Cynthia O. Townsend, Barbara K. Bruce, Christopher D. Sletten, Connie A. Luedtke, John E. Hodgson

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Objective: To study differences in treatment outcomes between patients with chronic noncancer pain taking vs those not taking maintenance opioids at admission to a pain rehabilitation program. Patients and Methods: A nonrandomized 2-group prepost design was used to compare 356 patients admitted to the Mayo Comprehensive Pain Rehabilitation Center from January 2002 to December 2002 at admission and discharge by opioid status at admission. Measures of pain severity, interference due to pain, perceived life control, affective distress, activity level, depression, and catastrophizing (an exaggerated negative mental set associated with actual or anticipated pain experiences) were used to compare opioid and nonopioid groups. The patients entered a 3-week intensive outpatient multidisciplinary pain rehabilitation program designed to improve adaptation to chronic noncancer pain. The program uses a cognitive-behavioral model and incorporates opioid withdrawal. Results: More than one third of patients (135/356) were taking opioids daily at admission. At completion of the program, all but 3 of the 135 patients had successfully discontinued pioid treatment. No significant pretreatment differences were found between the opioid and nonopioid group regarding demographics, pain duration, treatment completion, or all outcome variables, including pain severity. Significant improvement was noted at discharge for all outcome variables assessed regardless of opioid status at admission. Conclusion: Patients with symptomatically severe and disabling pain while taking maintenance opioid therapy can experience significant improvement in physical and emotional functioning while participating in a pain rehabilitation program that incorporates opioid withdrawal.

Original languageEnglish (US)
Pages (from-to)759-768
Number of pages10
JournalMayo Clinic Proceedings
Volume79
Issue number6
StatePublished - 2004
Externally publishedYes

Fingerprint

Chronic Pain
Opioid Analgesics
Rehabilitation
Pain
Maintenance
Catastrophization
Pain Clinics
Rehabilitation Centers
Outpatients
Therapeutics
Demography
Depression

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rome, J. D., Townsend, C. O., Bruce, B. K., Sletten, C. D., Luedtke, C. A., & Hodgson, J. E. (2004). Chronic noncancer pain rehabilitation with opioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission. Mayo Clinic Proceedings, 79(6), 759-768.

Chronic noncancer pain rehabilitation with opioid withdrawal : Comparison of treatment outcomes based on opioid use status at admission. / Rome, Jeffrey D.; Townsend, Cynthia O.; Bruce, Barbara K.; Sletten, Christopher D.; Luedtke, Connie A.; Hodgson, John E.

In: Mayo Clinic Proceedings, Vol. 79, No. 6, 2004, p. 759-768.

Research output: Contribution to journalArticle

Rome, JD, Townsend, CO, Bruce, BK, Sletten, CD, Luedtke, CA & Hodgson, JE 2004, 'Chronic noncancer pain rehabilitation with opioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission', Mayo Clinic Proceedings, vol. 79, no. 6, pp. 759-768.
Rome, Jeffrey D. ; Townsend, Cynthia O. ; Bruce, Barbara K. ; Sletten, Christopher D. ; Luedtke, Connie A. ; Hodgson, John E. / Chronic noncancer pain rehabilitation with opioid withdrawal : Comparison of treatment outcomes based on opioid use status at admission. In: Mayo Clinic Proceedings. 2004 ; Vol. 79, No. 6. pp. 759-768.
@article{c3715e2cd66e47af81ed92bad88ed467,
title = "Chronic noncancer pain rehabilitation with opioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission",
abstract = "Objective: To study differences in treatment outcomes between patients with chronic noncancer pain taking vs those not taking maintenance opioids at admission to a pain rehabilitation program. Patients and Methods: A nonrandomized 2-group prepost design was used to compare 356 patients admitted to the Mayo Comprehensive Pain Rehabilitation Center from January 2002 to December 2002 at admission and discharge by opioid status at admission. Measures of pain severity, interference due to pain, perceived life control, affective distress, activity level, depression, and catastrophizing (an exaggerated negative mental set associated with actual or anticipated pain experiences) were used to compare opioid and nonopioid groups. The patients entered a 3-week intensive outpatient multidisciplinary pain rehabilitation program designed to improve adaptation to chronic noncancer pain. The program uses a cognitive-behavioral model and incorporates opioid withdrawal. Results: More than one third of patients (135/356) were taking opioids daily at admission. At completion of the program, all but 3 of the 135 patients had successfully discontinued pioid treatment. No significant pretreatment differences were found between the opioid and nonopioid group regarding demographics, pain duration, treatment completion, or all outcome variables, including pain severity. Significant improvement was noted at discharge for all outcome variables assessed regardless of opioid status at admission. Conclusion: Patients with symptomatically severe and disabling pain while taking maintenance opioid therapy can experience significant improvement in physical and emotional functioning while participating in a pain rehabilitation program that incorporates opioid withdrawal.",
author = "Rome, {Jeffrey D.} and Townsend, {Cynthia O.} and Bruce, {Barbara K.} and Sletten, {Christopher D.} and Luedtke, {Connie A.} and Hodgson, {John E.}",
year = "2004",
language = "English (US)",
volume = "79",
pages = "759--768",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "6",

}

TY - JOUR

T1 - Chronic noncancer pain rehabilitation with opioid withdrawal

T2 - Comparison of treatment outcomes based on opioid use status at admission

AU - Rome, Jeffrey D.

AU - Townsend, Cynthia O.

AU - Bruce, Barbara K.

AU - Sletten, Christopher D.

AU - Luedtke, Connie A.

AU - Hodgson, John E.

PY - 2004

Y1 - 2004

N2 - Objective: To study differences in treatment outcomes between patients with chronic noncancer pain taking vs those not taking maintenance opioids at admission to a pain rehabilitation program. Patients and Methods: A nonrandomized 2-group prepost design was used to compare 356 patients admitted to the Mayo Comprehensive Pain Rehabilitation Center from January 2002 to December 2002 at admission and discharge by opioid status at admission. Measures of pain severity, interference due to pain, perceived life control, affective distress, activity level, depression, and catastrophizing (an exaggerated negative mental set associated with actual or anticipated pain experiences) were used to compare opioid and nonopioid groups. The patients entered a 3-week intensive outpatient multidisciplinary pain rehabilitation program designed to improve adaptation to chronic noncancer pain. The program uses a cognitive-behavioral model and incorporates opioid withdrawal. Results: More than one third of patients (135/356) were taking opioids daily at admission. At completion of the program, all but 3 of the 135 patients had successfully discontinued pioid treatment. No significant pretreatment differences were found between the opioid and nonopioid group regarding demographics, pain duration, treatment completion, or all outcome variables, including pain severity. Significant improvement was noted at discharge for all outcome variables assessed regardless of opioid status at admission. Conclusion: Patients with symptomatically severe and disabling pain while taking maintenance opioid therapy can experience significant improvement in physical and emotional functioning while participating in a pain rehabilitation program that incorporates opioid withdrawal.

AB - Objective: To study differences in treatment outcomes between patients with chronic noncancer pain taking vs those not taking maintenance opioids at admission to a pain rehabilitation program. Patients and Methods: A nonrandomized 2-group prepost design was used to compare 356 patients admitted to the Mayo Comprehensive Pain Rehabilitation Center from January 2002 to December 2002 at admission and discharge by opioid status at admission. Measures of pain severity, interference due to pain, perceived life control, affective distress, activity level, depression, and catastrophizing (an exaggerated negative mental set associated with actual or anticipated pain experiences) were used to compare opioid and nonopioid groups. The patients entered a 3-week intensive outpatient multidisciplinary pain rehabilitation program designed to improve adaptation to chronic noncancer pain. The program uses a cognitive-behavioral model and incorporates opioid withdrawal. Results: More than one third of patients (135/356) were taking opioids daily at admission. At completion of the program, all but 3 of the 135 patients had successfully discontinued pioid treatment. No significant pretreatment differences were found between the opioid and nonopioid group regarding demographics, pain duration, treatment completion, or all outcome variables, including pain severity. Significant improvement was noted at discharge for all outcome variables assessed regardless of opioid status at admission. Conclusion: Patients with symptomatically severe and disabling pain while taking maintenance opioid therapy can experience significant improvement in physical and emotional functioning while participating in a pain rehabilitation program that incorporates opioid withdrawal.

UR - http://www.scopus.com/inward/record.url?scp=2542506335&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2542506335&partnerID=8YFLogxK

M3 - Article

C2 - 15182090

AN - SCOPUS:2542506335

VL - 79

SP - 759

EP - 768

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 6

ER -