Discussing prognosis with older people with musculoskeletal pain: a cross-sectional study in general practice

Mallen, Christian; Peat, George

doi:10.1186/1471-2296-10-50

Cited by 19 publications

(18 citation statements)

References 23 publications

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“…These results may have several clinical implications. First, prognosis is important for patients, and instead of promoting the idea that they should “get used to it because it's just going to get worse,” as one woman described her doctor's advice, clinicians might offer a more evidence‐based perspective on the future course of pain and emphasize its dynamic nature. Second, identifying and addressing modifiable risk factors might increase the likelihood of remission.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent study of 502 British adults aged 50 and older with musculoskeletal pain, 82% believed that receiving information about the prognosis of their pain was important, but only 33% reported discussing prognosis with their general practitioner . These individuals reported that a prognosis could help them to plan for future activity and to know for the sake of knowing.…”

mentioning

confidence: 99%

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Persistence and Remission of Musculoskeletal Pain in Community‐Dwelling Older Adults: Results from the Cardiovascular Health Study

Thielke

Whitson

Diehr

et al. 2012

J American Geriatrics Society

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OBJECTIVES To characterize longitudinal patterns of musculoskeletal pain in a community sample of older adults over a 6-year period and to identify factors associated with persistence of pain. DESIGN Secondary analysis of the Cardiovascular Health Study. SETTING Community-based cohort drawn from four U.S. counties. PARTICIPANTS Five thousand ninety-three men and women aged 65 and older. MEASUREMENTS Over a 6-year period, pain was assessed each year using a single question about the presence of pain in any bones or joints during the last year. If affirmative, participants were queried about pain in seven locations (hands, shoulders, neck, back, hips, knees, feet). Participants were categorized according to the percentage of time that pain was present and according to the intermittent or chronic pattern of pain. Factors associated with persistent pain during five remaining years of the study were identified. RESULTS Over 6 years, 32% of participants reported pain for three or more consecutive years, and 32% reported pain intermittently. Of those who reported pain the first year, 54% were pain free at least once during the follow-up period. Most of the pain at specific body locations was intermittent. Factors associated with remission of pain over 5 years included older age, male sex, better self-rated health, not being obese, taking fewer medications, and having fewer depressive symptoms. Approximately half of those with pain reported fewer pain locations the following year. CONCLUSION Musculoskeletal pain in older adults, despite high prevalence, is often intermittent. The findings refute the notion that pain is an inevitable, unremitting, or progressive consequence of aging.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Persistence and Remission of Musculoskeletal Pain in Community‐Dwelling Older Adults: Results from the Cardiovascular Health Study

Thielke

Whitson

Diehr

et al. 2012

J American Geriatrics Society

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“…Moreover, GPs can use this prognostic information to better manage and inform these patients. For example, in patients with musculoskeletal pain in general practice, only 33% had received prognostic information from their GP, whereas 82% thought that prognostic information was important (6).…”

Section: Introductionmentioning

confidence: 99%

Six‐year course and prognosis of nontraumatic knee symptoms in adults in general practice: A prospective cohort study

Kastelein¹,

Luijsterburg²,

Belo³

et al. 2011

Arthritis Care & Research

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Objective. To examine the 6-year course of nontraumatic knee symptoms in adults in general practice, to identify prognostic factors for unfavorable outcome, and to develop a clinical prediction rule. Methods. Adults (ages >35 years) with incident nontraumatic knee symptoms (n ‫؍‬ 549) were followed for 6 years. Multivariable logistic regression analysis was used to identify prognostic factors associated with an unfavorable outcome, the area under the receiver operating curve (AUC) was calculated to determine discriminative ability, and a clinical prediction rule was developed. Unfavorable outcome is defined as persistent knee symptoms at 6-year followup or having undergone knee replacement surgery during followup.

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“…In addition, patients with chronic pain wish to receive information about the prognosis of their pain. 26 The objective of this longitudinal study was to determine the prevalence and persistence of chronic musculoskeletal pain among Finnish community-dwelling persons aged 76 years or older. The additional aim was to identify factors related to persistence of chronic pain over a 3-year study period.…”

mentioning

confidence: 99%

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

Karttunen

Turunen²,

Ahonen³

et al. 2015

The Clinical Journal of Pain

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Discussing prognosis with older people with musculoskeletal pain: a cross-sectional study in general practice

Cited by 19 publications

References 23 publications

Persistence and Remission of Musculoskeletal Pain in Community‐Dwelling Older Adults: Results from the Cardiovascular Health Study

Persistence and Remission of Musculoskeletal Pain in Community‐Dwelling Older Adults: Results from the Cardiovascular Health Study

Six‐year course and prognosis of nontraumatic knee symptoms in adults in general practice: A prospective cohort study

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

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