A Pain Unit in a Developing Country: Epidemiology of Chronic Pain in Maputo, Mozambique

Ferreira, Karen dos Santos; Schwalbach, Maria Teresa; Schwalbach, João; Speciali, José Geraldo

doi:10.1111/pme.12544

Cited by 2 publications

(4 citation statements)

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“…Most pain was lower back pain, consistent with previous studies. 25 Our sample's pain prevalence rates mimic previously published surveys of pain point prevalence in Nepal. 37 Both countries share a high rate of exposure to traumatic events, [38][39][40] which are linked to chronic pain.…”

Section: Discussionsupporting

confidence: 64%

“…This differs from the 78% of patients at the Maputo Pain Clinic who report pain interfering with daily activities and from previously reported studies where pain sufferers in 15 countries had activity limitations. 7,25,26,48 However, 22.6% of respondents reported trouble standing for more than 30 minutes, which is significant interference with activities. Furthermore, the 88% of respondents who sought treatment for pain suggests a higher degree of disability than reported.…”

Section: Discussionmentioning

confidence: 99%

“…A significant number of patients (78%) reported pain interfering with activities. 25,26 The primary objective of this study was to determine pain prevalence among a pilot population in Maputo, the capital of Mozambique, with the goal of expanding this data set to the whole country in the future.…”

Section: Introductionmentioning

confidence: 99%

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Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Walters

Schwalbach

Sevene

et al. 2018

British Journal of Pain

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Introduction: Studies estimate that 20% of adults suffer from chronic pain. A meta-analysis in low-and middle-income countries (LMICs) found 34% had chronic pain. There are few studies on pain prevalence gathered in Africa. This study surveyed the capital city of Mozambique. Methods: This was a cross-sectional study employed in a community setting. The Vanderbilt Global Pain Survey comprised questions on the behaviour and attitudes of respondents regarding pain, including previously validated metrics: the Pain Catastrophizing Scale, the World Health Organization Disability Assessment Schedule, the Brief Pain Inventory, Widespread Pain Index and Symptom Severity Score, and the Michigan Body Map. Results: Ninety-seven surveys were completed out of 100. Pain every day lasting for more than 6 months in their lifetime was reported as 39.2% (CI: 29.4-49.6), and 52% of respondents had pain the day of the interview. However, the pain resulted in little difficulty with activities of daily living and maintaining relationships (61%-89%). Although none reported mental health disorders, 53.6% had experienced a traumatic event in their life, with 45.2% having related nightmares, anxiety, or fear. Most respondents (99%) would take oral medication if it helped their pain, with a large proportion willing to spend significant money for these (49% would pay >US$40) and willing to travel long distances to get help (55.2% would travel >40 kilometer). Conclusion: The prevalence of chronic pain in Maputo, Mozambique is similar to the average for LMICs. Trends in high-income countries suggest that multimodal pain management and multidisciplinary treatments may improve optimal pain control in LMICs.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Walters

Schwalbach

Sevene

et al. 2018

British Journal of Pain

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“…Of 118 patients interviewed, 79 (66.9%) were women and mean patient age was 52.4 years. Lumbar pain was the most frequent site of pain (36.4%) 13 . In the present study, headache was the main site of pain, whereas most world studies have detected low back pain as the main pain topography.…”

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confidence: 99%

Epidemiology of chronic pain in the office of a pain specialist neurologist

Ferreira

Speciali

2015

Arq. Neuro-Psiquiatr.

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The world prevalence of chronic pain is approximately 40%, generating enormous financial and social damage 1,2,3,4,5 . There still is a severe shortage of professionals working in this area. Thus, over the last few years, the training of health professionals in the pain area has been gaining space in Brazil 1 . Among the new specialties acting in this area, Neurology was approved by the Brazilian Federal Council of Medicine in 2002 (resolution no. 1634) as an area of activity in pain 6 . Over the last few years, the medical residency program for Neurologists working with Pain has been implemented at some institutions, resulting in the first group of neurologists completing this program with this type of training. The objectives of qualifying neurologists for work in the Pain area were based on their theoretical knowledge of the mechanisms of chronic pain, headaches, neuropathic pain, low back pain, rheumatological pain, palliative care, as well as their work with invasive procedures (peripheral nerve blockade) and anesthesiology procedures of medium complexity. Since then, some questions have arisen: what kind of working experience have these neurologists had? Who are the patients who effectively look for a neurologist for treatment and how are they approached?Within this context, in an attempt to answer these questions, the objective of the present study was to describe the one-year prevalence of chronic pain in the office of a Pain Specialist Neurologist who concluded a medical residency program at the University Hospital, Faculty of Medicine at Ribeirão Preto, University of São Paulo (FMRP-USP). ABSTRACT Objective: The objective of the present report was to describe the working experience of a pain specialist neurologist after concluding a medical residency program on neurology, area of concentration pain. Method: A retrospective study was conducted for one year in the office of a pain specialist neurologist. Patients older than 18 years with chronic pain according to the criteria of the International Association for the Study of Pain, were included. Demographic data, chronic pain data and the treatments instituted were investigated. Results: A total of 241 medical records were reviewed, mean patient age was 52.4 years and 79 (66.9%) were women, and the mean score on a numeric pain scale was 8.69. The diagnoses were headaches (74.6%), neuropathic pain (17%) and ostheomuscular pain (8.2%). We did not detect cancer pain. Patients received medication and procedures of anesthetic blockade. Conclusion: This data can guide new medical residency programs on Neurology, area of concentration pain, to plan activities and studies.Keywords: chronic pain, neurology, medical residency. RESUMOObjetivo: O objetivo do presente estudo foi descrever a experiência de trabalho de um neurologista especialista em dor, após concluir um programa de residência médica em neurologia, área de concentração: dor. Método: Um estudo retrospectivo foi realizado por 1 ano no consultório de um neurologista especialista em dor. Pacientes com mai...

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A Pain Unit in a Developing Country: Epidemiology of Chronic Pain in Maputo, Mozambique

Cited by 2 publications

References 7 publications

Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Epidemiology of chronic pain in the office of a pain specialist neurologist

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