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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...

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Autores principales: Johnson, Alisa, Booker, Staja, Cardoso, Josue, Goodin, Burel, Sibille, Kimberly, Fillingim, Roger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
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.
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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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