Chronic pain in primary care. German figures from 1991 and 2006

Frießem, Christine H; Willweber-Strumpf, A.; Zenz, M.

doi:10.1186/1471-2458-9-299

Cited by 41 publications

(33 citation statements)

References 42 publications

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“…Dabei handelte es sich um die gleichen Praxen wie in der Studie von Willweber-Strumpf et al [10,26].…”

Section: Studiendesign Und Untersuchungsmethodenunclassified

“…Trotz vieler Maßnahmen zur Verbesserung der Diagnostik und Therapie von Schmerzen in den letzten Jahrzehnten hat es keine signifikanten Veränderungen in der Prävalenz chronischer Schmerzen (1991: 36,4% vs. 2006: 40%) gegeben. Im Gegenteil: Die psychosoziale, alltägliche und berufliche Beeinträchtigung durch chronischen Schmerz nimmt mit der Rate an Chronifizierung zu [10,26]. Ein Viertel der chronischen Schmerzpatienten werten die durchgeführten Therapiemaßnah-men als subjektiv ineffektiv.…”

Section: Diskussionunclassified

“…Die Autoren bewerten diese Zahl als beträchtlich. Die hier vorliegende Untersuchung zeigt, dass das Angebot schmerztherapeutischer Einrichtungen im Vergleich zu 1991 zwar häufiger genutzt [10] wurde, aber nur jeder zehnte Patient aus dem niedergelassenen Bereich eine solche Einrichtung aufgesucht hat. Bei dem ermittelten hohen Leidensdruck wären bei gleichzeitig bestehender Unzufriedenheit mit den durchgeführten Therapiemaßnahmen weit höhere Zahlen zu erwarten gewesen.…”

Section: Tab 2 Durchgeführte Therapiemaßnahmen Getrennt Nach Facharunclassified

“…Ein Anstieg an dringend behandlungsbedürftigen Schmerzen in Arztpraxen seit 1991 im gleichen regionalen Umfeld bei gleichzeitig vermehrter Inanspruchnahme unterschiedlicher Behandlungskonzepte pro Patient [2,7,10,18,26] lässt zwangsläufig auf einen erhöhten Grad an Chronifizierung schließen. Prävention durch frühzeitige spezielle Schmerztherapie verhindert nicht nur die Chronifizierung an sich und damit die Beeinträchtigung der Lebensqualität der Patienten [4], sondern zeigt sich möglicherweise kostengünstiger als sozioökonomische Folgekosten wie Frühbe-rentung und Ausfallzeiten [21,24].…”

Section: Tab 2 Durchgeführte Therapiemaßnahmen Getrennt Nach Facharunclassified

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Chronische Schmerzen in deutschen Facharztpraxen

Frießem

Willweber-Strumpf

Zenz

2010

Schmerz

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“…Dabei handelte es sich um die gleichen Praxen wie in der Studie von Willweber-Strumpf et al [10,26].…”

Section: Studiendesign Und Untersuchungsmethodenunclassified

Section: Diskussionunclassified

Section: Tab 2 Durchgeführte Therapiemaßnahmen Getrennt Nach Facharunclassified

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Chronische Schmerzen in deutschen Facharztpraxen

Frießem

Willweber-Strumpf

Zenz

2010

Schmerz

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“…5 The fact that research is limited suggests that chronic pain might be neglected in the primary healthcare context. 6,7 Previous studies have shown that the high intensity of chronic pain experienced by patients has a negative impact on their quality of life. 8 No published data are available on the prevalence and intensity of chronic pain in the South African primary healthcare context.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of chronic pain in patients attending primary healthcare facilities in south-west Tshwane

Rauf

Meyer

Marcus

et al. 2013

South African Family Practice

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Objectives: Despite the significant biopsychosocial impact of chronic pain on the health and quality of life of an individual, as well as on healthcare utilisation, no published data are available on the prevalence of chronic pain in the South African primary healthcare context. The aim of this study was to investigate the prevalence and intensity of chronic pain in patients attending primary healthcare facilities in south-west Tshwane.Design and setting: A prospective, cross-sectional study was carried out in four primary healthcare clinics, situated in south-west Tshwane. Subjects:The study was conducted on 1 066 adult patients, aged 18 years or older, over a nine-week period between October and December 2010.Outcome measures: The prevalence and intensity of chronic pain was determined.Results: Chronic pain prevalence was 41%. The confidence interval (CI) was 37.2-45.6. Chronic pain was most frequently experienced as lower back pain [prevalence 30.83% (CI: 19.56-42.09)] and joint pains [prevalence 23.48% (CI: 7.58-39.38)]. Chronic pain was significantly more prevalent with advancing age (p-value = 0.0014), in women than in men (p-value = 0.019), and in widowed and divorced patients, than in married and single patients (p-value = 0.0062). Patients with chronic pain reported their pain intensity over the previous month as maximum pain intensity (mean: 7.69 ± 0.99), minimum pain intensity (mean 2.54 ± 0.89), and average pain intensity (mean 4.57 ± 0.62).Conclusion: Chronic pain was highly prevalent in patients who attended primary healthcare facilities in south-west Tshwane. The intensity of pain was high in a significant proportion of patients.Peer reviewed.

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Pain thresholds and intensities of CRPS type I and neuropathic pain in respect to sex

Meyer-Frießem

Attal

Baron

et al. 2020

European Journal of Pain

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Background and Aims Healthy women have generally been found to have increased experimental pain perception and chronic pain has a higher prevalence in female as compared to male patients. However, no study has investigated whether pain intensity and pain perception thresholds are distinct or similar between sexes within various chronic pain entities. We investigated whether average pain intensities and pain thresholds assessed using quantitative sensory testing (QST) differed between women and men suffering from three distinct chronic pain conditions: Complex Regional Pain Syndrome (CRPS type I), peripheral nerve injury (PNI) or polyneuropathy (PNP), as compared to paired healthy volunteers. Methods QST data of 1,252 patients (669 female, 583 male) with PNI (n = 342), PNP (n = 571) or CRPS (n = 339), and average pain intensity reports from previously published studies were included. Absolute and z‐values (adjusted for age and body region) of cold, heat, pressure (PPT) and pinprick pain thresholds were compared in generalized linear models with aetiology, duration of underlying pain disease and average pain intensity as fixed effects. Results Average pain intensity during the past four weeks did not differ between women and men, in both mean and range. In women absolute pain thresholds for cold, heat and pinprick were lower than in males across all diagnoses (p < .05). However, after z‐transformation these differences disappeared except for PPT in CRPS (p = .001). Discussion Pain thresholds in patients show only minor sex differences. However, these differences mimic those observed in healthy subjects and do not seem to be linked to specific pathophysiological processes. Significance Female healthy participants and female patients with neuropathic pain conditions or CRPS I report lower pain thresholds compared to males, but pain intensity is similar and there is no sex difference in the extent to which the thresholds are altered in neuropathic pain or CRPS. Thus, the sex differences observed in various chronic pain conditions mimic those obtained in healthy participants, indicating that these differences are not linked to specific pathophysiological processes and are of minor clinical relevance.

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Chronic pain in primary care. German figures from 1991 and 2006

Cited by 41 publications

References 42 publications

Chronische Schmerzen in deutschen Facharztpraxen

Chronische Schmerzen in deutschen Facharztpraxen

Prevalence of chronic pain in patients attending primary healthcare facilities in south-west Tshwane

Pain thresholds and intensities of CRPS type I and neuropathic pain in respect to sex

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