Abstract

Background

There is significant evidence that patient expectations can impact their treatment outcomes. The hypothesis of this systematic review was then the following. There will be significant consistent evidence as specified by the Agency for Health Care Policy and Research (AHCPR) guidelines that chronic pain patient (CPP) expectations for returning to work documented before, during, or at the end of treatment will predict actual return to work post-treatment.

Methods

Of 316 references, 12 studies fulfilled inclusion criteria. These studies analyzed expectations of returning to work documented before, during, or at the end of treatment and utilized these for predicting return to work post-treatment. Relevant aspects of these studies were abstracted into tabular form for numerical analysis. All studies were rated independently by two reviewers for quality. The percentage of the 12 studies supporting the hypothesis was determined. This was then utilized to determine an AHCPR guideline rating for consistency.

Results

No studies had a rejection quality score. All studies were type 4. The hypothesis was supported by 91.6% of the studies. According to the AHCPR guidelines, this translated into an A rating: consistent findings from multiple type 4 studies.

Conclusions

CPP expectations of returning to work as documented before, during, or at the end of treatment may predict actual return to work post-treatment.

中文翻译：

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患者在治疗前，治疗中或治疗结束时对恢复工作的期望能否记录在治疗后的实际恢复工作中？基于证据的结构化系统评价。

摘要

背景

有大量证据表明患者的期望会影响他们的治疗效果。那么，这种系统评价的假设如下。根据卫生保健政策与研究机构（AHCPR）指南的规定，将有大量一致的证据表明，慢性疼痛患者（CPP）对治疗前，治疗中或治疗结束时恢复工作的期望将预测实际的工作恢复后处理。

方法

在316篇参考文献中，有12项研究符合纳入标准。这些研究分析了治疗前，治疗中或治疗结束时记录的恢复工作的期望，并利用这些期望来预测治疗后的恢复工作。这些研究的相关方面被抽象成表格形式以进行数值分析。所有研究均由两名评价员独立评估其质量。确定了支持该假设的12项研究的百分比。然后将其用于确定AHCPR指南的一致性等级。

结果

没有研究具有排斥质量得分。所有研究均为4型。这一假设得到91.6％的研究的支持。根据AHCPR指南，这转化为A级：来自多个4型研究的一致发现。

结论

CPP对治疗前，治疗中或治疗后恢复工作的期望可以预测治疗后的实际恢复工作。