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Prevalence and associated factors of disability in patients with chronic pain: An observational study
The primary treatment goal of patients experiencing chronic pain has shifted from pain reduction to functional status improvement. However, the prevalence of disability and its associated factors in patients with chronic pain remain unknown. Individuals aged ≥50 years who visited the Pain Center at...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500618/ https://www.ncbi.nlm.nih.gov/pubmed/34622878 http://dx.doi.org/10.1097/MD.0000000000027482 |
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author | Fujiwara, Aki Ida, Mitsuru Watanabe, Keisuke Kawanishi, Hideaki Kimoto, Katsuhiro Yoshimura, Kie Shinohara, Kozue Kawaguchi, Masahiko |
author_facet | Fujiwara, Aki Ida, Mitsuru Watanabe, Keisuke Kawanishi, Hideaki Kimoto, Katsuhiro Yoshimura, Kie Shinohara, Kozue Kawaguchi, Masahiko |
author_sort | Fujiwara, Aki |
collection | PubMed |
description | The primary treatment goal of patients experiencing chronic pain has shifted from pain reduction to functional status improvement. However, the prevalence of disability and its associated factors in patients with chronic pain remain unknown. Individuals aged ≥50 years who visited the Pain Center at Nara Medical University with chronic pain from June 2019 to May 2020 were eligible for enrollment. Patients were asked to complete the Japanese version of the 12-item World Health Organization Disability Assessment Schedule 2.0. Patient demographics, pain intensity, level of catastrophizing, anxiety, depression, and exercise habits were assessed. Multivariate logistic regression analysis was used to identify the factors associated with disability. Of the 551 patients with a median age of 73 years, 51.5% experienced disability. Fixed factors such as age (odds ratio [OR], 1.03; 95% confidence interval [CI] 1.01–1.06, P = .002) and lumbar and lower limb pain (OR, 3.10; 95% CI, 1.83–5.24, P < .001) and some modifiable factors, including anxiety (OR, 2.06; 95% CI, 1.06–3.98, P = .03), depression (OR, 3.62; 95% CI, 1.92–6.82, P < .001), pain catastrophizer (OR, 2.94; 95% CI, 1.88–4.61, P < .001), numeric rating scale at the most painful site (OR, 1.29; 95% CI, 1.18–1.42, P < .001), exercise habits (walking (OR, 0.52; 95% CI, 0.33–0.83, P = .006) and working out (OR, 0.58; 95% CI, 0.34–0.99, P = .046), were found to be independently associated with disability. This cross-sectional study revealed a high prevalence of disability in patients with chronic pain and identified the factors associated with disability. |
format | Online Article Text |
id | pubmed-8500618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-85006182021-10-12 Prevalence and associated factors of disability in patients with chronic pain: An observational study Fujiwara, Aki Ida, Mitsuru Watanabe, Keisuke Kawanishi, Hideaki Kimoto, Katsuhiro Yoshimura, Kie Shinohara, Kozue Kawaguchi, Masahiko Medicine (Baltimore) 3300 The primary treatment goal of patients experiencing chronic pain has shifted from pain reduction to functional status improvement. However, the prevalence of disability and its associated factors in patients with chronic pain remain unknown. Individuals aged ≥50 years who visited the Pain Center at Nara Medical University with chronic pain from June 2019 to May 2020 were eligible for enrollment. Patients were asked to complete the Japanese version of the 12-item World Health Organization Disability Assessment Schedule 2.0. Patient demographics, pain intensity, level of catastrophizing, anxiety, depression, and exercise habits were assessed. Multivariate logistic regression analysis was used to identify the factors associated with disability. Of the 551 patients with a median age of 73 years, 51.5% experienced disability. Fixed factors such as age (odds ratio [OR], 1.03; 95% confidence interval [CI] 1.01–1.06, P = .002) and lumbar and lower limb pain (OR, 3.10; 95% CI, 1.83–5.24, P < .001) and some modifiable factors, including anxiety (OR, 2.06; 95% CI, 1.06–3.98, P = .03), depression (OR, 3.62; 95% CI, 1.92–6.82, P < .001), pain catastrophizer (OR, 2.94; 95% CI, 1.88–4.61, P < .001), numeric rating scale at the most painful site (OR, 1.29; 95% CI, 1.18–1.42, P < .001), exercise habits (walking (OR, 0.52; 95% CI, 0.33–0.83, P = .006) and working out (OR, 0.58; 95% CI, 0.34–0.99, P = .046), were found to be independently associated with disability. This cross-sectional study revealed a high prevalence of disability in patients with chronic pain and identified the factors associated with disability. Lippincott Williams & Wilkins 2021-10-08 /pmc/articles/PMC8500618/ /pubmed/34622878 http://dx.doi.org/10.1097/MD.0000000000027482 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 3300 Fujiwara, Aki Ida, Mitsuru Watanabe, Keisuke Kawanishi, Hideaki Kimoto, Katsuhiro Yoshimura, Kie Shinohara, Kozue Kawaguchi, Masahiko Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title | Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title_full | Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title_fullStr | Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title_full_unstemmed | Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title_short | Prevalence and associated factors of disability in patients with chronic pain: An observational study |
title_sort | prevalence and associated factors of disability in patients with chronic pain: an observational study |
topic | 3300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500618/ https://www.ncbi.nlm.nih.gov/pubmed/34622878 http://dx.doi.org/10.1097/MD.0000000000027482 |
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