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Romeyke T, Noehammer E, Stummer H. Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases. Glob Adv Health Med. 2020;9:2164956120948811doi: 10.1177/2164956120948811.
Romeyke, T., Noehammer, E., & Stummer, H. (2020). Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases. Global advances in health and medicine, 92164956120948811. https://doi.org/10.1177/2164956120948811
Romeyke, Tobias, et al. "Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases." Global advances in health and medicine vol. 9 (2020): 2164956120948811. doi: https://doi.org/10.1177/2164956120948811
Romeyke T, Noehammer E, Stummer H. Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases. Glob Adv Health Med. 2020 Aug 20;9:2164956120948811. doi: 10.1177/2164956120948811. eCollection 2020. PMID: 32913669; PMCID: PMC7444101.
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Glob Adv Health Med. 2020 Aug 20;9:2164956120948811. doi: 10.1177/2164956120948811. eCollection 2020.

Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases.

Global advances in health and medicine

Tobias Romeyke, Elisabeth Noehammer, Harald Stummer

Affiliations

  1. Institute for Management and Economics in Health Care, UMIT-Private University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
  2. Waldhausklinik, Acute Hospital for Internal Medicine, Pain Therapy, Complementary and Individualized Patient Centred Medicine, Deuringen, Germany.

PMID: 32913669 PMCID: PMC7444101 DOI: 10.1177/2164956120948811

Abstract

INTRODUCTION: Musculoskeletal disorders may cause chronic pain, which is associated with deterioration in physical well-being, functions, and quality of life. There are worldwide shortfalls in the care that is provided to the affected patients. Holistic, interdisciplinary care is rare. Monomodal therapeutic approaches dominate when health-care resources are scarce. In this study, we test the patient-relevant outcomes of multimodal treatment for rheumatic diseases that are associated with pain and check for remuneration.

METHODS: We performed a retrospective data analysis of an inpatient multimodal treatment. The target parameter was the patient perspective, which we assessed by means of Patient-Reported Outcomes (PRO). We applied the Visual Analogue Scale (mental and physical condition), the Heidelberg Short Early Risk Assessment Questionnaire, the Pain Disability Index, and the pain grading according to Kohlmann/Raspe (N = 375 patients). We also investigated compensation for inpatient treatments with and without multimodal treatments. Moreover, we compared Diagnosis-Related Group remuneration with and without complex treatment.

RESULTS: After implementing a multimodal treatment, improved mental (mood) status was significantly better (Wilcoxon signed-rank test,

CONCLUSION: PROs regarding mood, pain, and perceived impairments improved following the multimodal complex treatment. Compensation of hospitals should take into account additional performance requirements of holistic treatments, whereby the promotion and further studies of PROs are recommended.

© The Author(s) 2020.

Keywords: health policy; holistic care; multimodal; pain; patient satisfaction; patient-reported outcome

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