Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Lowe, Dianne; Taylor, Michael J.; Hill, Sophie

doi:10.1186/s12891-017-1496-2

Cited by 17 publications

(18 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Clinically, patients with LBP and a more complex clinical picture are known to get inadequate care [ 80 – 82 ]. This suggests a need for better guidance in clinical care and a move from single-site guidelines [ 83 ] to recommendations that cover multi-care pathways for people with persistent LBP including their concomitant conditions [ 84 ]. However, this requires prioritising and investment by health authorities, not only to acquire the knowledge base needed to inform healthcare personnel, but also to empower patients to better self-manage if the goal is to decrease disability and costs [ 85 ].…”

Section: Discussionmentioning

confidence: 99%

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Øverås

Johansson

Campos

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Co-occurring musculoskeletal pain is common among people with persistent low back pain (LBP) and associated with more negative consequences than LBP alone. The distribution and prevalence of musculoskeletal pain co-occurring with persistent LBP has not been systematically described, which hence was the aim of this review. Methods Literature searches were performed in MEDLINE, Embase, CINAHL and Scopus. We considered observational studies from clinical settings or based on cohorts of the general or working populations involving adults 18 years or older with persistent LBP (≥4 wks) and co-occurring musculoskeletal pain for eligibility. Study selection, data extraction and risk of bias assessment were carried out by independent reviewers. Results are presented according to study population, distribution and location(s) of co-occurring pain. Results Nineteen studies out of 5744 unique records met the inclusion criteria. Studies were from high-income countries in Europe, USA and Japan. A total of 34,492 people with persistent LBP were included in our evidence synthesis. Methods for assessing and categorizing co-occurring pain varied considerably between studies, but based on the available data from observational studies, we identified three main categories of co-occurring pain – these were axial pain (18 to 58%), extremity pain (6 to 50%), and multi-site musculoskeletal pain (10 to 89%). Persistent LBP with co-occurring pain was reported more often by females than males, and co-occurring pain was reported more often in patients with more disability. Conclusions People with persistent LBP often report co-occurring neck pain, extremity pain or multi-site pain. Assessment of co-occurring pain alongside persistent LBP vary considerable between studies and there is a need for harmonisation of measurement methods to advance our understanding of how pain in different body regions occur alongside persistent LBP. Systematic review registration PROSPERO CRD42017068807.

show abstract

Section: Discussionmentioning

confidence: 99%

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Øverås

Johansson

Campos

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…This is an important gap in current knowledge as people of lower socioeconomic status tend to experience a higher incidence of a variety health problems, multi-morbidity, pain and disability [ 17 ], making their conditions more difficult to manage effectively and increasing the burden of treatment receipt [ 18 , 19 ]. Indeed, there is strong evidence to suggest that lower socioeconomic status negatively affects treatment outcomes [ 20 ], and that treatment burden results in non-adherence and ineffective resource use [ 21 ]. Greater understanding of the associations between social determinants of health and foot pain could facilitate the identification of clinically challenging patient groups who may be less likely to respond to contemporary management strategies.…”

Section: Introductionmentioning

confidence: 99%

Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey

Hendry

Fenocchi

Woodburn

et al. 2018

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

BackgroundFoot pain is common amongst the general population and impacts negatively on physical function and quality of life. Associations between personal health characteristics, lifestyle/behaviour factors and foot pain have been studied; however, the role of wider determinants of health on foot pain have received relatively little attention. Objectives of this study are i) to describe foot pain and foot health characteristics in an educated population of adults; ii) to explore associations between moderate-to-severe foot pain and a variety of factors including gender, age, medical conditions/co-morbidity/multi-morbidity, key indicators of general health, foot pathologies, and social determinants of health; and iii) to evaluate associations between moderate-to-severe foot pain and foot function, foot health and health-related quality-of-life.MethodsBetween February and March 2018, Glasgow Caledonian University Alumni with a working email address were invited to participate in the cross-sectional electronic survey (anonymously) by email via the Glasgow Caledonian University Alumni Office. The survey was constructed using the REDCap secure web online survey application and sought information on presence/absence of moderate-to-severe foot pain, patient characteristics (age, body mass index, socioeconomic status, occupation class, comorbidities, and foot pathologies). Prevalence data were expressed as absolute frequencies and percentages. Multivariate logistic and linear regressions were undertaken to identify associations 1) between independent variables and moderate-to-severe foot pain, and 2) between moderate-to-severe foot pain and foot function, foot health and health-related quality of life.ResultsOf 50,228 invitations distributed, there were 7707 unique views and 593 valid completions (median age [inter-quartile range] 42 [31–52], 67.3% female) of the survey (7.7% response rate). The sample was comprised predominantly of white Scottish/British (89.4%) working age adults (95%), the majority of whom were overweight or obese (57.9%), and in either full-time or part-time employment (82.5%) as professionals (72.5%). Over two-thirds (68.5%) of the sample were classified in the highest 6 deciles (most affluent) of social deprivation. Moderate-to-severe foot pain affected 236/593 respondents (39.8%). High body mass index, presence of bunions, back pain, rheumatoid arthritis, hip pain and lower occupation class were included in the final multivariate model and all were significantly and independently associated with moderate-to-severe foot pain (p < 0.05), except for rheumatoid arthritis (p = 0.057). Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p < 0.05).ConclusionsModerate-to-severe foot pain was highly prevalent in a university-educated population and was independently associated with female gender, high body mass index, bunions, back pain, hip pain and ...

show abstract

“…The prevalence of gout in Australia is 1.6% of patients attending general practices, and this is increasing, reflecting a world‐wide phenomenon in both developed and developing nations . In the 2007–08 National Health Survey, 4.7% of working age Australians self‐reported gout . In a 2015 South Australian population survey, gout prevalence was reported to be 6.8% .…”

Section: About Goutmentioning

confidence: 99%

Management of gout in older people

Day

Lau

Stocker

et al. 2019

Pharmacy Practice and Res

View full text Add to dashboard Cite

Gout is an inflammatory musculoskeletal disorder with a prevalence of 1.6–6.8% in Australia. Gout is characterised by acute attacks of severe joint pain secondary to raised serum concentrations of uric acid and joint deposits of monosodium urate crystals. Recurrent attacks can affect quality of life and lead to irreversible joint damage. The prevalence of gout is increased in older people, and age‐related renal impairment, altered drug distribution and increased prevalence of comorbidities have significant consequences for safe and effective gout pharmacotherapy. For treatment of acute attacks in older people, dose reduction of colchicine may be needed due to renal impairment, and potential drug interactions require consideration. Use of non‐steroidal anti‐inflammatory drugs is limited by peptic ulceration, ischaemic heart disease, hypertension and renal impairment. Short courses of oral glucocorticoids may be preferable. For long‐term urate‐lowering therapy, allopurinol, probenecid and febuxostat are available in Australia. Lower starting doses of allopurinol are recommended in patients with renal impairment, but dose escalation to achieve target urate should follow. Concerns regarding increased cardiovascular risk with febuxostat are relevant to older patients. Despite the availability of effective therapy, gout remains undertreated, with maintenance of urate‐lowering therapy a major challenge. Education of patients and health professionals is essential to improve adherence to therapy.

show abstract

Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Cited by 17 publications

References 54 publications

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey

Management of gout in older people

Contact Info

Product

Resources

About