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Inpatient vs. outpatient pain management: results of a randomised controlled trial
Abstract
Inpatient and outpatient cognitive behavioural pain management programmes for mixed chronic pain patients were compared. Patients were randomly allocated to the 4 week inpatient programme or to the 8 half day per week outpatient programme, or to a waiting list control group. Staff, teaching materials, and setting were the same for the two treatment groups. Patients were assessed pre-treatment, and at 1 month after discharge, and treated patients also at 6 months and 1 year after discharge, by assessors blind to treatment group; assessments included physical, functional and psychological measures, and medication use. In total, 121 mixed chronic pain patients (mean age 50 years; mean chronicity 8.1 years) were included in the study, following medical examination to ensure that no further medical treatment was appropriate. There was no change in the control group; inpatients and outpatients, comparable before treatment, both made significant improvements in physical performance and psychological function, and reduced medication use. Inpatients made greater gains, and maintained them better at 1 year; they also used less health care than outpatients. There were no outstanding predictors of improvement other than treatment group.
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“In Analysis 2.2, heterogeneity of 61% was reduced to 54% by the removal of one positive outlier (Williams 1996), but results were essentially unchanged.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Williams 1996
In the citing paper
“In Analysis 3.2, heterogeneity was reduced to 55% by the removal of one positive outlier (Williams 1996), without affecting the overall significant result.”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2012) · cites this paper as Williams 1996
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Metadata
- Authors
- de Williams, C. A. C., Richardson, P. H., Nicholas, M. K., Pither, C. E., Harding, V. R., Ridout, K. L., Ralphs, J. A., Richardson, I. H., Justins, D. M., & Chamberlain, J. H.
- Affiliations
- Guy's Hospital (GB)
- Royal North Shore Hospital (AU)
- St Thomas' Hospital (GB)
- ORCID
- Nicholas, M. K.
- Venue
- Pain
- Published
- 1996-07
- Volume
- 66
- Issue
- 1
- Pages
- 13-22
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2035426342
- Cited by
- 199
- References
- 46
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 2 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 8 · 2014: 3 · 2013: 9 · 2012: 3
- FWCI
- 8.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- chronic pain, cognitive behavioral therapy, inpatient pain management, outpatient pain management, physical function, psychological functioning, analgesic use, health care utilization, maintenance of treatment effects
- MeSH terms
- Ambulatory Care, Female, Hospitalization, Humans, Male, Middle Aged, Palliative Care, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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