Characteristics of pain and comorbidities in geriatric subjects in Indonesia: A hospital-based national clinical survey

Abstract

Background. Pain is one of the most common health problems often experienced by the elderly. Research on pain and its comorbidities in elderly are crucial, because it relates to disability and impairment in quality of life. Unfortunately research related to pain in the elderly and co morbidities are still limited in Indonesia, better understanding about pain can be a vital consideration of treatment and drug consideration. This study was conducted to provide an overview of pain and its comorbidities in elderly. Materials and methods. This was an observational cross sectional study to 949 subjects. Subjects were recruited from outpatients neurology department in 10 big cities Hospitals in Indonesia. Data obtained from subjects who completed the self-made pain questionnaire and medical records. Subjects were characterized based on type of pain, location of pain, properties of pain, time of exacerbation, and comorbidities. All data were processed descriptively. Results and conclusion. A total of 949 subjects met the inclusion criteria. The subjects consist of 476 (50.16%) female and 473 (49.84%) male, with common age group between 60-74 years (80.08%). The Most common pain characteristic are mild pain intensity (46.79%), mixed type of pain (44.68%), chronic pain (64.59%), multiple site pain location (45.42%) and uncertain time pain exacerbation (37.40%). Six hundred and eighteen (65.12%) subjects have comorbidity and 331 (34.88%) without comorbidity. The most common comorbidity found were hypertension (41.31%) and diabetes (14.23%), with 561 (90.78%) subjects have 1 comorbidity. These study provide the overview of the geriatric problems especially in pain and the comorbidities so that the clinician can provide a comprehensive management of pain problems in geriatric.

Bridging the gap of knowledge and skills for diagnosis and treatment of painful neuropathy: Development and evaluation of pain education project for clinicians in primary care settings

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“…[6] National prospective survey in Indonesia reported that from 8000 participants with pain complaints, 21% had at least 1 symptom of neuropathic pain. [1]…”

“…A previous national survey from the Indonesian Neurological Association showed that neuropathic pain was mostly associated with low back pain (28.6%), carpal tunnel syndrome (19.3%), and diabetic neuropathy (9.6%). [1] A local survey from our hospital in Yogyakarta revealed that most geriatric patients with a complaint of neuromuscular pain in their visit had mixed type pain (86%) with neuropathic pain component. [2] A study from a large tertiary hospital in Bandung reported that the prevalence of neuropathic pain was relatively high (31.6%).…”

Williams Flexion Exercises Dan Core Stability Exercises Menurunkan Tingkat Disabilitas Punggung Bawah Pembatik Dengan Myogenic Low Back Pain

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“…Prevalensi LBP pada tahun 2017 diperkirakan sekitar 7,5% dari populasi global, atau sekitar 577,0 juta orang (Tamrakar et al, 2021). Sebuah studi di Indonesia menunjukkan bahwa prevalensi nyeri punggung bawah terdapat pada 21,8% dari 8.160 partisipan dari 13 kota di Indonesia (Purwata et al, 2015). Berdasarkan hasil penelitian yang dilakukan terhadap 270 mahasiswa kedokteran dan dokter magang di Faridpur Medical College, Bangladesh pada tahun 2020 didapatkan prevalensi kejadian LBP dalam 6 bulan adalah 46,9% (Sany et al, 2021).…”