Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study

Kawai, Kosuke; Kawai, Alison Tse; Wollan, Peter C.; Yawn, Barbara P.

doi:10.1093/fampra/cmx034

Cited by 134 publications

(121 citation statements)

References 19 publications

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“…Our findings also showed that pain-related hindrance to ADLs was significantly associated with negative impact on patients' work performance and assurance of job security. The impact of chronic pain on the biopsychosocial effects of patients is well-established [41][42][43][44]. Therefore, physicians are encouraged to adopt the biopsychosocial model to assess and treat CNCP [16,45,46].…”

Section: Discussionmentioning

confidence: 99%

Inadequate Management of Chronic Non-cancer Pain and Treatment-Related Adverse Events in Asia: Perspectives from Patients from 10 Countries/Regions

Cheung

Choo

Kim

et al. 2019

SN Compr. Clin. Med.

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Findings from the published ACHEON study revealed inadequate pain relief for chronic non-cancer pain (CNCP) across 10 Asian countries/regions. Hence, we performed additional analyses on the survey data to understand management practices for relieving CNCP and treatment-related adverse events (AEs). Descriptive statistics were used to summarize patients' profile, prescribed treatments, and associated AEs. Two-sample t test was used to compare pain levels between treatment groups. Univariate analyses were conducted to identify factors associated with pain intensity, presence of any common AEs, perceived treatment adequacy, patient-physician interaction, and employment status. Of 1305 patients surveyed, the median duration of CNCP was 24 (interquartile range, 39) months. The majority of patients (89.3%) reported having moderate (44.4%) or severe pain (44.9%). Most patients (80.1%) were prescribed non-opioids, while 16.2% of patients were untreated for pain. Although over half of the treated patients (53.8%) experienced AEs while receiving pain treatment, two-fifths were prescribed medications to manage these AEs. High pain levels, presence of AEs, and employment status influenced patients' perception of treatment adequacy. Patients were more willing to inform their physicians when pain levels were higher and when they perceived sufficient time with physicians. These findings revealed inadequate treatment of CNCP in patients from the participating countries/regions. CNCP management may be improved through increased physician-patient interaction time and adopting a biopsychosocial model for treatment. A proactive and multidimensional approach is required to manage CNCP and potential treatment-related AEs so as to provide optimal care for patients experiencing CNCP.

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Section: Discussionmentioning

confidence: 99%

Inadequate Management of Chronic Non-cancer Pain and Treatment-Related Adverse Events in Asia: Perspectives from Patients from 10 Countries/Regions

Cheung

Choo

Kim

et al. 2019

SN Compr. Clin. Med.

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“…The Centers for Disease Control and Prevention (CDC) estimated that 20% of adults in the United States were affected by chronic pain in 2016, which translates to about 50 million Americans, and the World Health Organization has reported worldwide estimates of prevalence to range from 5% to 33%, with an average of 21.5% . Surveys have found that patients with chronic pain often report incomplete pain relief from available treatments, and a significant proportion of patients report impacts on their general activity, mood, and enjoyment of life, as well as their ability to walk, work, or sleep …”

Section: Introductionmentioning

confidence: 99%

“…3 Surveys have found that patients with chronic pain often report incomplete pain relief from available treatments, and a significant proportion of patients report impacts on their general activity, mood, and enjoyment of life, as well as their ability to walk, work, or sleep. 4,5 Because of the ubiquity of chronic pain in our society, safe and effective treatments are needed in order to manage these conditions. There are several interventions available for treating chronic pain, including nerve blocks, surgeries, implantable drug delivery systems, and nerve stimulators; however, the first line of treatment for pain is most often oral analgesics, including acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids.…”

Section: Introductionmentioning

confidence: 99%

Opioid‐sparing effects of 10 kHz spinal cord stimulation: a review of clinical evidence

Al‐Kaisy

Buyten

Amirdelfan³

et al. 2019

Annals of the New York Academy of Sciences

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Chronic pain is a common condition that affects the physical, emotional, and mental well‐being of patients and can significantly diminish their quality of life. Due to growing concerns about the substantial risks of long‐term opioid use, both governmental agencies and professional societies have recommended prioritizing the use of nonpharmacologic treatments, when suitable, in order to reduce or eliminate the need for opioid use. The use of 10 kHz spinal cord stimulation (10 kHz SCS) is one such nonpharmacologic alternative for the treatment of chronic, intractable pain of the trunk and limbs. This review examines published clinical data regarding the efficacy of 10 kHz SCS for decreasing chronic pain in patients and its potential to reduce or eliminate opioid usage. Multiple prospective and retrospective studies in patients with intractable pain demonstrated that 10 kHz SCS treatment provided ≥50% pain relief in >70% patients after at least 1 year of treatment. Pain relief with 10 kHz SCS therapy ranged from 54% to 87% in the studies. More importantly, the mean daily dose of opioids required by patients in these studies was reduced after 10 kHz SCS treatment, and on average over 60% patients in studies either reduced or eliminated opioids at the last follow‐up.

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“…Negative effects on the quality of life of almost all types of pain with or without (such as arthritis, neuropathic, somatic, psychogenic or visceral) malignancy have been demonstrated. 13,14 The relationship between duration of the pain and the quality of life When the quality of life of patients with acute pain and chronic pain was compared, patients with chronic pain had lower scores in all dimensions of quality of life compared to those who suffered from acute pain or had no pain. 15,16 The relationship between severity of the pain and the quality of life There is a dose-response relationship between pain and quality of life; one increases, the other decreases proportionally.…”

Section: The Relationship Between the Type Of Pain And The Quality Ofmentioning

confidence: 99%

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2019

IJFCM

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Quality of Life is a term commonly used as well-being of individuals and societies including life satisfaction and happiness. World Health Organization Quality of Life (WHOQOL) group defines quality of life as "individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns". 1,2 So this term is not a quantitative measurement assessed by medical techniques or laboratory procedures, but an attribution experienced subjectively by individuals. The main objective is to determine the extent to which people are satisfied with their physical, psychological and social functions and to what extent they are uncomfortable with the presence or absence of features related to these aspects of their lives. The definition of the WHOQOL on the quality of life includes six domains: physical domain, psychological domain, level of independence, social relationships, environment and spirituality beliefs. 1-3 In general, the list of domains that make up the quality of life of WHOQOL is an indication that quality of life is a broad multidimensional concept, and confirms the nature of the quality of life affected by all these domains (Table 1).

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Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study

Abstract: Chronic pain, particularly multisite pain and neuropathic pain, significantly affected physical and psychological health. Chronic pain is a multifaceted health condition that requires a multidisciplinary treatment approach.

Cited by 134 publications

References 19 publications

Inadequate Management of Chronic Non-cancer Pain and Treatment-Related Adverse Events in Asia: Perspectives from Patients from 10 Countries/Regions

Inadequate Management of Chronic Non-cancer Pain and Treatment-Related Adverse Events in Asia: Perspectives from Patients from 10 Countries/Regions

Opioid‐sparing effects of 10 kHz spinal cord stimulation: a review of clinical evidence

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