An Appraisal of the Evidence Behind the Use of the CHRODIS Plus Initiative for Chronic Pain: A Scoping Review

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Feb 10

PMID 38337380

Authors

Ross Lilley

Elaine Wainwright

Patrice Forget

Affiliations

Soon will be listed here.

Abstract

Chronic conditions, especially pain conditions, have a very significant impact on quality of life and on workplaces. Workplace interventions for chronic conditions are heterogenous, multidimensional, and sometimes poorly evidenced. The Joint Action for Chronic Disease Plus (CHRODIS Plus), including The CHRODIS Plus Workbox on Employment and Chronic Conditions (CPWEC), aimed to combat this, prevent chronic disease and multimorbidity, and influence policy in Europe. However, the supporting evidence behind CHRODIS Plus has not been formally assessed. A scoping review was carried out; Embase, MEDLINE, and CINAHL were searched for literature related to CHRODIS Plus and pain. Title and abstract and full-text screening were carried out in duplicate and independently. Additionally, CHRODIS Plus authors were approached for unpublished data. Secondly, the search was broadened to CHRODIS Plus and pain-causing conditions. Grey literature was also searched. Appropriateness appraisal was derived from the Trial Forge Guidance. Systematic reviews, on which CPWEC was based, were appraised using the A Measurement Tool to Assess systematic Reviews (AMSTAR) 2 tool. The initial search yielded two results, of which zero were suitable to be included in the scoping review. The second, broader search revealed 14 results; however, none were deemed suitable for inclusion. AMSTAR 2 scores revealed that the three systematic reviews influencing CPWEC were of varying quality (from critically low to moderate). CPWEC is based on heterogenous reviews of varying quality. However, comparable tools are designed using alternative forms of evidence. Further research evaluating the post-implementation efficacy of the tool is needed.

References

Scascighini L, Toma V, Dober-Spielmann S, Sprott H . Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes. Rheumatology (Oxford). 2008; 47(5):670-8. DOI: 10.1093/rheumatology/ken021. View

Treede R, Rief W, Barke A, Aziz Q, Bennett M, Benoliel R . A classification of chronic pain for ICD-11. Pain. 2015; 156(6):1003-1007. PMC: 4450869. DOI: 10.1097/j.pain.0000000000000160. View

Ma L, Wang Y, Yang Z, Huang D, Weng H, Zeng X . Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: what are they and which is better?. Mil Med Res. 2020; 7(1):7. PMC: 7049186. DOI: 10.1186/s40779-020-00238-8. View

Divo M, Martinez C, Mannino D . Ageing and the epidemiology of multimorbidity. Eur Respir J. 2014; 44(4):1055-68. PMC: 4918092. DOI: 10.1183/09031936.00059814. View

Munoz Alamo M, Ruiz Moral R, Perula de Torres L . Evaluation of a patient-centred approach in generalized musculoskeletal chronic pain/fibromyalgia patients in primary care. Patient Educ Couns. 2002; 48(1):23-31. DOI: 10.1016/s0738-3991(02)00095-2. View

Thommasen H, Zhang W . Impact of chronic disease on quality of life in the Bella Coola Valley. Rural Remote Health. 2006; 6(2):528. View

Whiting P, Savovic J, Higgins J, Caldwell D, Reeves B, Shea B . ROBIS: A new tool to assess risk of bias in systematic reviews was developed. J Clin Epidemiol. 2015; 69:225-34. PMC: 4687950. DOI: 10.1016/j.jclinepi.2015.06.005. View

Tricco A, Lillie E, Zarin W, OBrien K, Colquhoun H, Levac D . PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018; 169(7):467-473. DOI: 10.7326/M18-0850. View

Wegrzynek P, Wainwright E, Ravalier J . Return to work interventions for chronic pain: a systematic review. Occup Med (Lond). 2020; 70(4):268-277. DOI: 10.1093/occmed/kqaa066. View

10.

Murray C, Dellavalle R, Danaei G, Fahimi A, Flaxman D, Gabriel S . The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. 2013; 310(6):591-608. PMC: 5436627. DOI: 10.1001/jama.2013.13805. View

11.

. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396(10258):1204-1222. PMC: 7567026. DOI: 10.1016/S0140-6736(20)30925-9. View

12.

Nazarov S, Manuwald U, Leonardi M, Silvaggi F, Foucaud J, Lamore K . Chronic Diseases and Employment: Which Interventions Support the Maintenance of Work and Return to Work among Workers with Chronic Illnesses? A Systematic Review. Int J Environ Res Public Health. 2019; 16(10). PMC: 6572561. DOI: 10.3390/ijerph16101864. View

13.

Guyatt G, Oxman A, Vist G, Kunz R, Falck-Ytter Y, Alonso-Coello P . GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008; 336(7650):924-6. PMC: 2335261. DOI: 10.1136/bmj.39489.470347.AD. View

14.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71. PMC: 8005924. DOI: 10.1136/bmj.n71. View

15.

Vos T, Flaxman A, Naghavi M, Lozano R, Michaud C, Ezzati M . Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2163-96. PMC: 6350784. DOI: 10.1016/S0140-6736(12)61729-2. View

16.

Yang H, Haldeman S, Lu M, Baker D . Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey. J Manipulative Physiol Ther. 2016; 39(7):459-472. PMC: 5530370. DOI: 10.1016/j.jmpt.2016.07.004. View

17.

Shea B, Reeves B, Wells G, Thuku M, Hamel C, Moran J . AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017; 358:j4008. PMC: 5833365. DOI: 10.1136/bmj.j4008. View

18.

Proper K, van Oostrom S . The effectiveness of workplace health promotion interventions on physical and mental health outcomes - a systematic review of reviews. Scand J Work Environ Health. 2019; 45(6):546-559. DOI: 10.5271/sjweh.3833. View

19.

Treweek S, Bevan S, Bower P, Briel M, Campbell M, Christie J . Trial Forge Guidance 2: how to decide if a further Study Within A Trial (SWAT) is needed. Trials. 2020; 21(1):33. PMC: 6945587. DOI: 10.1186/s13063-019-3980-5. View

20.

Fouad A, Waheed A, Gamal A, Amer S, Abdellah R, Shebl F . Effect of Chronic Diseases on Work Productivity: A Propensity Score Analysis. J Occup Environ Med. 2017; 59(5):480-485. DOI: 10.1097/JOM.0000000000000981. View