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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...

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Autores principales: Fujiwara, Aki, Ida, Mitsuru, Watanabe, Keisuke, Kawanishi, Hideaki, Kimoto, Katsuhiro, Yoshimura, Kie, Shinohara, Kozue, Kawaguchi, Masahiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
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.
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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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