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Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis
Knee osteoarthritis (KOA) is a leading cause of mobility disability that is characterized by chronic pain among older adults. Non-Hispanic Blacks (NHBs) suffer disproportionately from non-Hispanic Whites (NHWs), reporting higher pain intensity and disability. It is unclear how these differences in s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740784/ http://dx.doi.org/10.1093/geroni/igaa057.659 |
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author | Johnson, Alisa Booker, Staja Cardoso, Josue Goodin, Burel Sibille, Kimberly Fillingim, Roger |
author_facet | Johnson, Alisa Booker, Staja Cardoso, Josue Goodin, Burel Sibille, Kimberly Fillingim, Roger |
author_sort | Johnson, Alisa |
collection | PubMed |
description | Knee osteoarthritis (KOA) is a leading cause of mobility disability that is characterized by chronic pain among older adults. Non-Hispanic Blacks (NHBs) suffer disproportionately from non-Hispanic Whites (NHWs), reporting higher pain intensity and disability. It is unclear how these differences in symptomatology translate into different patterns of utilization for self-management (SM) of pain, and if such patterns are associated with underlying biological pain mechanisms. This multisite observational study examined (1) use of self-management strategies among older NHB and NHW adults with/at risk for KOA and (2) associations among self-management strategies, clinical and experimental pain. After approval from institutional IRBs, NHB and NHW older adults (N= 202) with knee pain completed the McGill Pain Questionnaire-Short Form, questions on treatment strategies (e.g., massage, ice, heat, medications), and quantitative sensory testing. Covariates included study site and education. On average, participants reported using 2 ± 1.65 SM strategies, with 79% endorsing at least one SM strategy. Analysis of covariance revealed that clinical pain differed by race/ethnicity and use of SM and/or medical treatments (p’s < 0.01). SM use did not differ by race/ethnicity, p = 0.15, but did differ significantly by gender, p < 0.05. Multiple linear regression demonstrated significant positive associations between SM and heat pain sensitivity for both NHBs and NHWs, (p < 0.05). SM is an important component of OA management for NHBs and NHWs. Our study is one of the first to show that SM use is significantly associated with pain mechanisms. Improved understanding will facilitate better mechanism-targeted pain management. |
format | Online Article Text |
id | pubmed-7740784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77407842020-12-21 Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis Johnson, Alisa Booker, Staja Cardoso, Josue Goodin, Burel Sibille, Kimberly Fillingim, Roger Innov Aging Abstracts Knee osteoarthritis (KOA) is a leading cause of mobility disability that is characterized by chronic pain among older adults. Non-Hispanic Blacks (NHBs) suffer disproportionately from non-Hispanic Whites (NHWs), reporting higher pain intensity and disability. It is unclear how these differences in symptomatology translate into different patterns of utilization for self-management (SM) of pain, and if such patterns are associated with underlying biological pain mechanisms. This multisite observational study examined (1) use of self-management strategies among older NHB and NHW adults with/at risk for KOA and (2) associations among self-management strategies, clinical and experimental pain. After approval from institutional IRBs, NHB and NHW older adults (N= 202) with knee pain completed the McGill Pain Questionnaire-Short Form, questions on treatment strategies (e.g., massage, ice, heat, medications), and quantitative sensory testing. Covariates included study site and education. On average, participants reported using 2 ± 1.65 SM strategies, with 79% endorsing at least one SM strategy. Analysis of covariance revealed that clinical pain differed by race/ethnicity and use of SM and/or medical treatments (p’s < 0.01). SM use did not differ by race/ethnicity, p = 0.15, but did differ significantly by gender, p < 0.05. Multiple linear regression demonstrated significant positive associations between SM and heat pain sensitivity for both NHBs and NHWs, (p < 0.05). SM is an important component of OA management for NHBs and NHWs. Our study is one of the first to show that SM use is significantly associated with pain mechanisms. Improved understanding will facilitate better mechanism-targeted pain management. Oxford University Press 2020-12-16 /pmc/articles/PMC7740784/ http://dx.doi.org/10.1093/geroni/igaa057.659 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstracts Johnson, Alisa Booker, Staja Cardoso, Josue Goodin, Burel Sibille, Kimberly Fillingim, Roger Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title | Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title_full | Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title_fullStr | Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title_full_unstemmed | Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title_short | Pain and Its Management: Strategies and Outcomes in Older Adults With or at Risk for Knee Osteoarthritis |
title_sort | pain and its management: strategies and outcomes in older adults with or at risk for knee osteoarthritis |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740784/ http://dx.doi.org/10.1093/geroni/igaa057.659 |
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