Background: Chronic pain presents widespread challenges globally. Multidisciplinary team (MDT) interventions have emerged as comprehensive approaches involving specialists from various medical fields to address the complexities of chronic pain management. This systematic review aims to synthesize evidence about the efficacy of multidisciplinary approaches in the management of chronic non-specific musculoskeletal pain.
Methods: This systematic review included randomized controlled trials (RCTs) of adults with chronic non-specific musculoskeletal pain. Multidisciplinary treatments involve at least three of: psychotherapy, physiotherapy, relaxation techniques, medical treatment, patient education, or vocational therapy. Exclusions were specific pathological entities, non-English studies, and follow-up less than 1 month. Searches were conducted across Cochrane Evidence Library, PubMed, and EMBASE. Primary outcomes encompass pain intensity, quality of life, disability, and other functional measures.
Results: Of the 100 articles identified, 6 studies met the inclusion criteria. These RCTs were conducted in Western countries, published between 2008 and 2019, and their sample size ranged from 132 to 401. Their interventions included Comprehensive Symptom Management (CSM), Assistance with Pain Management (APT), physiotherapy, and telecare management. Two studies found significant improvements in pain intensity, while one demonstrated improved social functioning. However, no study found significant differences in disability scores or mental health outcomes. None of the studies assessed patient satisfaction with the interventions.
Conclusion: MDT interventions for chronic pain show promise in improving pain intensity, particularly with CSM and APT. To strengthen these findings and address study limitations, future research with larger sample sizes is necessary.
Key words: Keywords: Chronic pain, multidisciplinary approaches, outcome, Long-lasting pain, integrated care
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