PMID- 26814242
OWN - NLM
STAT- MEDLINE
DCOM- 20170127
LR  - 20220318
IS  - 1526-4637 (Electronic)
IS  - 1526-2375 (Linking)
VI  - 17
IP  - 4
DP  - 2016 Apr
TI  - At Completion of a Multidisciplinary Treatment Program, Are Psychophysical 
      Variables Associated with a VAS Improvement of 30% or More, a Minimal Clinically 
      Important Difference, or an Absolute VAS Score Improvement of 1.5 cm or More?
PG  - 781-9
LID - 10.1093/pm/pnv006 [doi]
AB  - OBJECTIVES: Objectives were to determine at completion of a multidisciplinary 
      pain program: 1) what percentage of chronic low back pain (CLBP) patients had 
      improved at 30% or more (minimal clinically important difference [MCID]) and by 
      1.5 cm or more (minimal important change [MIC]) on the visual analog scale (VAS) 
      and 2) whether that improvement is associated with pain matching (PM), pain 
      threshold (PTRE), and pain tolerance (PTOL) improvements. METHODS: One hundred 
      and six CLBP patients had admission and discharge scores for VAS, PM, PTRE, and 
      PTOL. Improvement was determined by absolute, MCID, and MIC VAS improvement. 
      Logistic regression analysis controlling for age, gender, race, education, 
      psychoactive substance dependence, and depression was utilized to develop models 
      for the dependent variables of improvement of overall VAS; of MCID of 50% or 
      more; and of MIC with PM, PTOL, and PTRE as independent variables. RESULTS: 
      Thirty-two percent and 35% of the CLBP patients were at MCID and MIC, 
      respectively, at discharge (68% and 65% not at MCID and MIC, respectively), and 
      54.7% were improved overall. Of the improved patients, 59% were at MCID and 63.7% 
      at MIC. PM was associated with overall VAS improvement, while PTRE and PM were 
      associated with MCID improvement. MIC and 50% or above models could not be 
      estimated. LIMITATIONS: The VAS was treated as a ratio scale. CONCLUSIONS: A 
      significant percentage of CLBP patients were at MCID and at MIC at completion of 
      multidisciplinary treatment. PM was associated with overall VAS improvement, 
      while PTRE and PM were associated with MCID.
CI  - (c) 2015 American Academy of Pain Medicine. All rights reserved. For permissions, 
      please e-mail: journals.permissions@oup.com.
FAU - Fishbain, David A
AU  - Fishbain DA
AD  - *University of Miami Miller School of Medicine, Miami, Florida; Departments of 
      Psychiatry and Behavioral Sciences; Neurological Surgery; Department of 
      Anesthesiology at University of Miami Miller School of Medicine, Miami, Florida; 
      Department of Psychiatry, Miami VA Medical Center, Miami, Florida; The Rosomoff 
      Comprehensive Pain Center, Miami, Florida; The Rosomoff Comprehensive Pain Center 
      of Miami Jewish Health Systems, Miami, Florida; d.fishbain@miami.edu.
FAU - Gao, Jinrun
AU  - Gao J
AD  - Wells Fargo Bank, Charlotte, North Carolina;
FAU - Lewis, John E
AU  - Lewis JE
AD  - *University of Miami Miller School of Medicine, Miami, Florida; Departments of 
      Psychiatry and Behavioral Sciences;
FAU - Zhang, Lei
AU  - Zhang L
AD  - *University of Miami Miller School of Medicine, Miami, Florida; Sylvester 
      Comprehensive Cancer Center, University of Miami Miller School of Medicine, 
      Miami, Florida, USA.
LA  - eng
PT  - Journal Article
DEP - 20151207
PL  - England
TA  - Pain Med
JT  - Pain medicine (Malden, Mass.)
JID - 100894201
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - *Low Back Pain/therapy
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Pain Measurement/*standards
MH  - Pain Threshold
MH  - Young Adult
OTO - NOTNLM
OT  - Chronic Low Back Pain
OT  - Minimal Clinically Important Difference
OT  - Pain Matching
OT  - Pain Threshold
OT  - Pain Tolerance
OT  - Psychophysical Testing
EDAT- 2016/01/28 06:00
MHDA- 2017/01/28 06:00
CRDT- 2016/01/28 06:00
PHST- 2015/01/29 00:00 [received]
PHST- 2015/09/05 00:00 [accepted]
PHST- 2016/01/28 06:00 [entrez]
PHST- 2016/01/28 06:00 [pubmed]
PHST- 2017/01/28 06:00 [medline]
AID - pnv006 [pii]
AID - 10.1093/pm/pnv006 [doi]
PST - ppublish
SO  - Pain Med. 2016 Apr;17(4):781-9. doi: 10.1093/pm/pnv006. Epub 2015 Dec 7.