Development and course of chronic pain over 4 years in the general population: The HUNT pain study

Landmark, Tormod; Dale, Ola; Romundstad, Pål Richard; Woodhouse, Astrid; Kaasa, Stein; Borchgrevink, Petter Chr.

doi:10.1002/ejp.1243

Cited by 51 publications

(53 citation statements)

References 32 publications

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“…among men, and that the prevalence increased with age (43). A random sample of participants were followed with annual measures over 4 years (44). Here, pain intensity ranging from no pain to very mild, mild, moderate, severe and very severe pain was included to identify clinically important pain.…”

Section: Discussionmentioning

confidence: 99%

Symptoms in the general Norwegian adult population - prevalence and associated factors

Krogstad

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Grotmol

et al. 2020

Preprint

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Background: Patients´ own perceptions and evaluations of symptoms, functioning and other health-related factors, i.e. Patient Reported Outcomes (PROs), are important elements for providing good patient care. Symptoms are subjective and best elicited by the patient orally or by using PRO measures (PROMs), be it on paper, or as electronic assessment tools. Reference values on frequently used PROMs facilitate the interpretation of scores for use in clinics and research settings, by comparing patient data with relevant samples from the general population. Study objectives were to (1) present reference values for the M.D. Anderson Symptom Inventory (MDASI) (2) examine the occurrence and intensity of symptoms assessed by the MDASI in a general Norwegian adult population sample, and (3) examine factors associated with higher symptom burden defined as the sum score of all symptoms, and factors associated with symptoms` interference on functions.Methods: In 2015, MDASI was sent by mail as part of a larger survey, to a representative sample of the general Norwegian adult population (N = 6165). Medical comorbidities were assessed by the Self-Administered Comorbidity Questionnaire. Depression was self-reported on the Patient Health Questionnaire 9 (PHQ-9). Linear multivariable regression analysis was used to examine for factors associated with MDASI sum score and factors associated with symptoms’ interference on functions. Results: The response rate was 36%. More women (54%) than men (46%) responded. Mean age was 55 years (SD 14). The most frequent symptoms were fatigue (59.7%), drowsiness (56.2%) and pain (56.1%). Fatigue, pain and disturbed sleep had the highest mean scores. The presence of one or more comorbidities, increasing PHQ-9 score and lower level of education were associated with higher MDASI sum score (p<0.001). The MDASI sum score and the PHQ-9 score were positively associated with all interference items (p<0.001) except for walking (p=0.22). Conclusion: This study provides the first Norwegian reference values for MDASI. The presence of one or more comorbidities, higher level of depressive symptoms and lower level of education were significantly associated with higher MDASI sum score. These covariates must be controlled for when using the reference values.

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Section: Discussionmentioning

confidence: 99%

Symptoms in the general Norwegian adult population - prevalence and associated factors

Krogstad

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Grotmol

et al. 2020

Preprint

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“…The prevalence increases with age [2] and is more common and more severe amongst those of lower socioeconomic status [3]. Although people may recover from chronic pain, the prognosis is poor after several years, with psychosocial factors implicated strongly [4]. Therefore, chronic pain is a major health problem associated with impaired function and poor quality of life [5].…”

Section: Trial Registration: Study No Isrctn30094062mentioning

confidence: 99%

Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study)

Holmes

Stanescu

Linaker

et al. 2020

Pilot Feasibility Stud

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Background: Individual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as a forerunner to a pilot trial (In STEP), we investigated the barriers and facilitators to carrying out a future randomised controlled trial of IPS set in primary care amongst people unemployed with chronic pain. Methods: Semi-structured interviews and focus groups were conducted with: unemployed people with health conditions receiving IPS (clients), Employment Support Workers (ESWs) delivering IPS for people with chronic health conditions and primary healthcare professionals. Interviews and focus groups were transcribed verbatim and analysed with field notes using thematic analysis.(Continued on next page)

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“…Es ist durch Studien gut belegt, dass einer der wichtigsten Faktoren der Chronifizierung von Schmerzen die psychische Verfassung der Patienten ist [6]. Zu wenige Patienten in Deutschland erhalten eine adäquate Therapie, die auch ihre psychosozialen Probleme einbezieht, soziale Strukturen werden nicht ausreichend berücksichtigt.…”

Section: Der Schmerz 3 • 2019 183unclassified

Chronischer Schmerz und Gesellschaft

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Wenn man einen Blick in die aktuellen politischen Schlagzeilen wirft, scheint es, als ob sich die Welt gerade in viele unterschiedliche Lager aufteilt. Was uns jedoch alle vereint, ist die Fähigkeit, Schmerzen zu empfinden. Schmerz ist also etwas sehr Demokratisches, Schmerz betrifft Menschen in allen Gesellschaftsschichten, Weltregionen und Religionen. Dennoch wird Schmerz in den verschiedenen Gesellschaften unterschiedlich beachtet, verarbeitet und behandelt. Die wechselseitigen Kräfte, die zwischen Gesellschaft und Schmerz herrschen, sind komplex. Viel beschrieben und erforscht, unter anderem auch durch die Deutsche Schmerzgesellschaft, sind die Auswirkungen chronischer Schmerzen auf die Gesellschaft. Aktuell sind circa 23 Mio. Menschen in Deutschland von chronischen Schmerzen betroffen. Ungefähr 70 % dieser Patienten sind in ärztlicher Behandlung. Fast ein Viertel, nämlich 24 % der Patienten, sind der Ansicht, dass ihre Schmerzen nicht adäquat behandelt werden [4]. Während 61 % der Patienten angeben, dass sich die Schmerzen auf ihre professionelle Beschäftigung auswirken, sind sogar 19 % aufgrund ihrer chronischen Schmerzen nicht in der Lage ihrem Beruf nachzugehen. In ökonomischer Hinsicht verursachen allein chronische Rückenschmerzen in Deutschland daher Kosten von ungefähr 12,2 Mrd. €, ein Großteil davon wird für Krankengeld und Frühberentungen benötigt [9]. Die gesellschaftlichen Auswirkungen von chronischen Schmerzen sind also enorm. Umso wichtiger ist es, die reziproken Auswirkungen von Schmerz und Gesellschaft zu untersuchen. Dies tun Koesling et al. in ihrem Artikel in dieser Ausgaben von Der Schmerz

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Development and course of chronic pain over 4 years in the general population: The HUNT pain study

Cited by 51 publications

References 32 publications

Symptoms in the general Norwegian adult population - prevalence and associated factors

Symptoms in the general Norwegian adult population - prevalence and associated factors

Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study)

Chronischer Schmerz und Gesellschaft

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