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This study examines whether higher scores on musculoskeletal pain measures are associated with selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content>, and whether this differs across gender.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A clinical population of 262 male and 589 female patients was recruited consecutively during 3 years, 2007\u20132010. The patients were referred from primary care to a pain rehabilitation clinic in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orthern <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>weden for assessment and selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content>. Register\u2010based data on self\u2010reported pain were linked to patients' records where outcome (<jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content> or not) was stated. We modelled odds ratios for selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content> by higher scores on validated pain measures (pain severity, interference with daily life, pain sites and localized pain vs. varying pain location). Covariates were age, educational level and multiple pain measures. Anxiety and depression (Hospital, Anxiety and Depression Scale) and working status were used in sensitivity tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher scores of self\u2010reported pain were not associated with selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content> in multivariate models. Among women, higher scores on pain severity, pain sites and varying pain location (localized pain\u2009=\u2009reference) were negatively associated with selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content>. After adjustment for multiple pain measures, the negative odds ratio for varying location persisted (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20090.59, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20090.39\u20130.89).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher scores on self\u2010reported pain did not guide selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content> and a negative trend was found among women. Studies of referral patterns and decision processes may contribute to a better understanding of the clinical practice that decides selection to <jats:styled-content style=\"fixed-case\">MMR<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.609","type":"journal-article","created":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T07:37:34Z","timestamp":1415086654000},"page":"826-833","source":"Crossref","is-referenced-by-count":18,"title":["Does pain severity guide selection to multimodal pain rehabilitation across gender?"],"prefix":"10.1002","volume":"19","author":[{"given":"I.","family":"Haukenes","sequence":"first","affiliation":[{"name":"Department of Public Mental Health Division of Mental Health Norwegian Institute of Public Health  Bergen Norway"},{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Hensing","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Public Health The Sahlgrenska Academy University of Gothenburg  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.M.","family":"St\u00e5lnacke","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Rehabilitation Rehabilitation Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hammarstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Public Mental Health Division of Mental Health Norwegian Institute of Public Health  Bergen Norway"},{"name":"Ume\u00e5 Centre for Gender Studies in Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Act of Health and Health Care(1982)Svensk f\u00f6rfattningssamling (SFS). 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