Alcohol, Tobacco and Psychotropic Drugs Use Among a Population with Chronic Pain in Southern Spain. A Cross-Sectional Study

Cáceres-Matos, Rocío; Gil‐García, Eugenia; Vázquez-Santiago, Soledad; Cabrera-León, Andrés

doi:10.1016/j.pmn.2021.10.006

Cited by 2 publications

(2 citation statements)

References 42 publications

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“…reported that tobacco use was associated with limited SCS response, with smokers demonstrating higher pain levels at long‐term follow up compared to nonsmokers 56,77 . Importantly, chronic tobacco use has been associated with maladaptive pain behaviors, such as inactivity, reliance on medical management, higher emotional distress, chronic opioid use, pain catastrophizing behavior, psychotropic drugs, and alcohol use in the chronic pain population 78–80 . In addition to tobacco use, a coexisting history of substance abuse, including alcohol has been associated with negative SCS outcomes, and alcohol abstinence has been shown to result in positive outcomes 36,41,42 .…”

Section: Discussionmentioning

confidence: 99%

“…56,77 Importantly, chronic tobacco use has been associated with maladaptive pain behaviors, such as inactivity, reliance on medical management, higher emotional distress, chronic opioid use, pain catastrophizing behavior, psychotropic drugs, and alcohol use in the chronic pain population. [78][79][80] In addition to tobacco use, a coexisting history of substance abuse, including alcohol has been associated with negative SCS outcomes, and alcohol abstinence has been shown to result in positive outcomes. 36,41,42 The overall body of evidence seems to favor a negative association of SCS treatment efficacy with tobacco use, however, further studies are needed in the meantime, continued counseling on smoking cessation and patient education of the possible negative impacts of tobacco and polysubstance use is recommended.…”

Section: Alcohol and Tobacco Usementioning

confidence: 99%

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Variables associated with nonresponders to high‐frequency (10 kHz) spinal cord stimulation

Tieppo Francio,

Alm,

Leavitt

et al. 2023

Pain Practice

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IntroductionThe use of spinal cord stimulation (SCS) therapy to treat chronic pain continues to rise. Optimal patient selection remains one of the most important factors for SCS success. However, despite increased utilization and the existence of general indications, predicting which patients will benefit from neuromodulation remains one of the main challenges for this therapy. Therefore, this study aims to identify the variables that may correlate with nonresponders to high‐frequency (10 kHz) SCS to distinguish the subset of patients less likely to benefit from this intervention.Materials and MethodsThis was a retrospective single‐center observational study of patients who underwent 10 kHz SCS implant. Patients were divided into nonresponders and responders groups. Demographic data and clinical outcomes were collected at baseline and statistical analysis was performed for all continuous and categorical variables between the two groups to calculate statistically significant differences.ResultsThe study population comprised of 237 patients, of which 67.51% were responders and 32.49% were nonresponders. There was a statistically significant difference of high levels of kinesiophobia, high self‐perceived disability, greater pain intensity, and clinically relevant pain catastrophizing at baseline in the nonresponders compared to the responders. A few variables deemed potentially relevant, such as age, gender, history of spinal surgery, diabetes, alcohol use, tobacco use, psychiatric illness, and opioid utilization at baseline were not statistically significant.ConclusionOur study is the first in the neuromodulation literature to raise awareness to the association of high levels of kinesiophobia preoperatively in nonresponders to 10 kHz SCS therapy. We also found statistically significant differences with greater pain intensity, higher self‐perceived disability, and clinically relevant pain catastrophizing at baseline in the nonresponders relative to responders. It may be appropriate to screen for these factors preoperatively to identify patients who are less likely to respond to SCS. If these modifiable risk factors are present, it might be prudent to consider a pre‐rehabilitation program with pain neuroscience education to address these factors prior to SCS therapy, to enhance successful outcomes in neuromodulation.

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Section: Discussionmentioning

confidence: 99%

Section: Alcohol and Tobacco Usementioning

confidence: 99%

Variables associated with nonresponders to high‐frequency (10 kHz) spinal cord stimulation

Tieppo Francio,

Alm,

Leavitt

et al. 2023

Pain Practice

View full text Add to dashboard Cite

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The use of healthcare services and disabling chronic pain: results from the cross-sectional population-based Andalusian Health Survey

Cáceres-Matos,

Gil-García,

Vázquez-Santiago

et al. 2024

European Journal of Public Health

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Background Several factors seem to be related to the use of healthcare services, and chronic pain (CP) is among these characteristics. The objective is to describe the number of visits to a doctor’s surgery or emergency rooms, and the periods of hospitalization; to identify characteristics associated with frequent healthcare use, including disabling chronic pain (DCP) and non-disabling chronic pain (n-DCP). Methods Representative population-based cross-sectional study of 6569 people older than 16 years from southern Spain was collected. The frequency of visits to a doctor’s surgery or emergency rooms and periods of hospitalization were defined as at or above the 90th percentile. Binary logistic regression analyses were conducted separately on women and men to identify characteristics associated with being frequent visitors. Results People with DCP are more frequent visitors to a doctor’s surgery and emergency rooms and endure longer periods of hospitalization compared to people with n-DCP and without pain. In logistic regression models, people with DCP are twice as likely to over-visit a doctor’s surgery; to endure longer periods of hospitalization and more visits to an emergency room service. No relationship was found in n-DCP. Conclusions Disability seems to modulate a greater use of health services among the population with CP, doubling it when compared to n-DCP and n-CP, both in women and men. Understanding the role of disability in the use of healthcare services for individuals with CP allows for the identification of needs and strategies to optimize resources.

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Alcohol, Tobacco and Psychotropic Drugs Use Among a Population with Chronic Pain in Southern Spain. A Cross-Sectional Study

Cited by 2 publications

References 42 publications

Variables associated with nonresponders to high‐frequency (10 kHz) spinal cord stimulation

Variables associated with nonresponders to high‐frequency (10 kHz) spinal cord stimulation

The use of healthcare services and disabling chronic pain: results from the cross-sectional population-based Andalusian Health Survey

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