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The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health.
Clin J Pain. 2014 Dec; 30(12):1015-22.CJ

Abstract

OBJECTIVES

The buprenorphine transdermal delivery system (BTDS) is indicated for reduction of pain in moderate to severe chronic low back pain (CLBP), which can affect patients' ability to perform routine activities of daily living (ADLs). This post hoc analysis of clinical trial data examines the impact of BTDS treatment on CLBP patients' ability to perform ADLs that relate to functioning with low back pain.

METHODS

Data are drawn from a multicenter, enriched enrollment, randomized, placebo-controlled, double-blind 12-week trial of BTDS for pain control among opioid-naive patients with moderate to severe CLBP. The 23 selected ADLs are those that (1) appear in the Low Back Pain Core Set of the International Classification of Functioning, Disability and Health and (2) link to the content of 3 patient-reported outcome instruments administered during the trial. Logistic regression models estimated the odds ratios (ORs) of BTDS patients' ability to perform each ADL at 12 weeks, controlling for baseline ability, relative to placebo.

RESULTS

The ORs for 10 ADLs related to sleeping, lifting, bending, and working reached multiplicity-adjusted statistical significance and indicated a greater ability to perform ADLs among BTDS users than among the placebo group. These 10 ORs ranged from 1.9 (no physical health-related restrictions on the kind of work performed) to 2.4 (being able to sleep undisturbed by pain).

DISCUSSION

These results suggest that for patients with moderate to severe CLBP, 12 weeks use of BTDS improves the ability to carry out certain ADLs related to sleeping, lifting, bending, and working.

Authors+Show Affiliations

*Optum, Lincoln, RI †Purdue Pharma LP, Stamford, CT ‡Department of Medicine, Johns Hopkins University, Baltimore, MD §Department of Anesthesiology, Georgetown University School of Medicine, Washington, DC ∥Department of Pharmacology, Temple University School of Medicine ¶Department of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia, PA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

24394747

Citation

Miller, Kate, et al. "The Impact of Buprenorphine Transdermal Delivery System On Activities of Daily Living Among Patients With Chronic Low Back Pain: an Application of the International Classification of Functioning, Disability and Health." The Clinical Journal of Pain, vol. 30, no. 12, 2014, pp. 1015-22.
Miller K, Yarlas A, Wen W, et al. The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health. Clin J Pain. 2014;30(12):1015-22.
Miller, K., Yarlas, A., Wen, W., Dain, B., Lynch, S. Y., Ripa, S. R., Pergolizzi, J. V., & Raffa, R. (2014). The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health. The Clinical Journal of Pain, 30(12), 1015-22. https://doi.org/10.1097/AJP.0000000000000068
Miller K, et al. The Impact of Buprenorphine Transdermal Delivery System On Activities of Daily Living Among Patients With Chronic Low Back Pain: an Application of the International Classification of Functioning, Disability and Health. Clin J Pain. 2014;30(12):1015-22. PubMed PMID: 24394747.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health. AU - Miller,Kate, AU - Yarlas,Aaron, AU - Wen,Warren, AU - Dain,Bradley, AU - Lynch,Shau Yu, AU - Ripa,Steven R, AU - Pergolizzi,Joseph V,Jr AU - Raffa,Robert, PY - 2014/1/8/entrez PY - 2014/1/8/pubmed PY - 2015/6/30/medline SP - 1015 EP - 22 JF - The Clinical journal of pain JO - Clin J Pain VL - 30 IS - 12 N2 - OBJECTIVES: The buprenorphine transdermal delivery system (BTDS) is indicated for reduction of pain in moderate to severe chronic low back pain (CLBP), which can affect patients' ability to perform routine activities of daily living (ADLs). This post hoc analysis of clinical trial data examines the impact of BTDS treatment on CLBP patients' ability to perform ADLs that relate to functioning with low back pain. METHODS: Data are drawn from a multicenter, enriched enrollment, randomized, placebo-controlled, double-blind 12-week trial of BTDS for pain control among opioid-naive patients with moderate to severe CLBP. The 23 selected ADLs are those that (1) appear in the Low Back Pain Core Set of the International Classification of Functioning, Disability and Health and (2) link to the content of 3 patient-reported outcome instruments administered during the trial. Logistic regression models estimated the odds ratios (ORs) of BTDS patients' ability to perform each ADL at 12 weeks, controlling for baseline ability, relative to placebo. RESULTS: The ORs for 10 ADLs related to sleeping, lifting, bending, and working reached multiplicity-adjusted statistical significance and indicated a greater ability to perform ADLs among BTDS users than among the placebo group. These 10 ORs ranged from 1.9 (no physical health-related restrictions on the kind of work performed) to 2.4 (being able to sleep undisturbed by pain). DISCUSSION: These results suggest that for patients with moderate to severe CLBP, 12 weeks use of BTDS improves the ability to carry out certain ADLs related to sleeping, lifting, bending, and working. SN - 1536-5409 UR - https://www.unboundmedicine.com/medline/citation/24394747/The_impact_of_buprenorphine_transdermal_delivery_system_on_activities_of_daily_living_among_patients_with_chronic_low_back_pain:_an_application_of_the_international_classification_of_functioning_disability_and_health_ L2 - http://dx.doi.org/10.1097/AJP.0000000000000068 DB - PRIME DP - Unbound Medicine ER -