Epidemiology of Chronic Pain: A Population-Based Nationwide Study on Its Prevalence, Characteristics and Associated Disability in Portugal

Azevedo, Luís Filipe; Costa‐Pereira, Altamiro; Mendonça, Liliane; Dias, Cláudia Camila; Castro-Lopes, José Manuel

doi:10.1016/j.jpain.2012.05.012

Cited by 191 publications

(233 citation statements)

References 62 publications

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“…2 Response options ranged from ''daily'' to ''once per month or less'' 5,17,18 (Appendix, item 2). Responses of ''once per week'' and ''once per month or less'' were collapsed due to low cell counts.…”

Section: Data Collection Itemsmentioning

confidence: 99%

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Mann

Johnson

VanDenKerkhof

2016

Can J Anesth/J Can Anesth

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Purpose This study was designed to investigate the role of chronic pain in healthcare visits. The specific objectives were to document the frequency of healthcare visits and to identify characteristics associated with frequent visits. Methods This is a secondary analysis of data from a Canadian cross-sectional study on chronic pain. One thousand two hundred and ninety-four participants were screened for chronic pain, and 741 reported having ''pain or discomfort that had been experienced either all the time or intermittently for at least three months''. Data regarding sociodemographics, general health, and healthcare visits were also collected. The frequency of healthcare visits was defined as at or above the 90th percentile for the group. Frequency was calculated for each setting, i.e., physicians' offices (C 9), emergency departments (C 1), and other (C 15). Binary logistic regression analyses were conducted to identify factors associated with frequent visits.Results Chronic pain increased the frequency of visits to physicians (odds ratio [OR], 4.7; 95% confidence interval [CI], 2.8 to 7.9), emergency departments (OR, 1.4; 95% CI, 1.0 to 2.0), and ''other'' healthcare professionals (OR, 8.3; 95% CI, 4.5 to 15.5). Having C3 chronic conditions significantly increased the odds of frequent healthcare visits. Conclusion Interventions aimed at reducing healthcare costs for chronic pain should target individuals living with multiple chronic conditions. Research is needed to develop and test interventions that focus on the needs of these groups. Identifying the risk factors for high healthcare use and improving self-management may reduce healthcare visits. RésuméObjectif Cette étude a été conçue afin d'examiner le rô le de la douleur chronique dans les visites aux services de soins de santé. Les objectifs spécifiques de l'étude étaient de documenter la fréquence des visites et de déterminer les caractéristiques associées à des visites fréquentes. Méthode Cette étude est une analyse secondaire de données tirées d'une étude canadienne transversale sur la douleur chronique. Au total, 1094 patients ont été dépistés pour la douleur chronique, et 741 ont rapporté ressentir « des douleurs ou un inconfort perçus de façon continue ou intermittente pendant au moins trois mois ». Les données sociodémographiques ainsi que celles concernant la santé générale et les visites aux services de soins de santé ont également été colligées. La fréquence des visites aux services de soins de santé a été définie comme étant égale ou au-dessus du 90 e percentile pour le groupe et calculée pour chaque type de service, soit les docteurs et spécialistes (C 9), les départements d'urgence (C 1), et

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Section: Data Collection Itemsmentioning

confidence: 99%

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Mann

Johnson

VanDenKerkhof

2016

Can J Anesth/J Can Anesth

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“…Chronic pain is associated with significant disability in various domains of daily activity, which has been consistently documented in the medical literature [1,2,3]. In contrast, there is a relative paucity of reports (especially in the pain literature) regarding the prevalence and severity of sexual dysfunction (SD) in patients with chronic pain, which may be due to various reasons.…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction in Patients with Chronic Pain

Gruenwald¹

2017

UNOAJ

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Objective: Restricted normal activities associated with chronic pain are well documented. In contrast, there is a paucity of reports regarding the association between chronic pain patients and their sexual function. The aim of the present "snapshot" study was to evaluate the prevalence and severity of sexual dysfunction (SD) in a cohort of patients suffering from chronic pain.Methods: 709 patients with chronic pain completed questionnaires assessing demographics, pain-intensity, disability and severity of their SD. A subgroup also completed questionnaires relating to depression and anxiety as well as specific gender-related SD questionnaires.Results: 404 patients (58%) reported pain related SD. No differences in demographic parameters were found between those with and without SD. In contrast, patients with SD exhibited significantly higher scores in pain intensity (VAS), Short-form McGill Pain questionnaire and the Oswestry Disability Index. Patients with SD also consumed significantly higher doses of pain medications. On both numerical and categorical self-report scales of SD severity, women scored slightly but significantly higher than men. A significant correlation was found between pain intensity and SD severity (Pearson's test: r=0.349; p<0.001). The questionnaires completed by a sub-group of patients with SD revealed a mild degree of depression, a moderate anxiety level and a moderate degree of SD in both genders. Conclusion:A significant number of patients with chronic pain suffer from moderate to severe SD, which correlates with pain intensity. These findings are congruent with previous reports and highlight the importance of increased awareness to SD in patients with chronic pain.

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“…O envelhecimento biológico, que naturalmente provoca redução da eficácia de um conjunto de processos fisiológicos 22 , associado aos sinais e sintomas presentes na ES como a perda de força muscular geral e outras alterações musculoesqueléticas 6 parecem ser fatores determinantes para a diminuição da FPP, o que implicaria em alterações na capacidade de realizar tarefas diárias, como vestir-se, higienizar-se e alimentar-se. A FPP que era diminuída na fase pré intervenção fisioterapêutica do indivíduo estudado pode ter influenciado negativamente a QV do mesmo, sobretudo nos aspectos físicos.…”

Section: Discussionunclassified

Efeitos da cinesioterapia sobre a força de preensão palmar e a qualidade de vida de um idoso longevo com esclerose sistêmica: relato de caso

DeMarco

Myra

Jorge

et al. 2017

Rev. Ter. Ocup. Univ. São Paulo (Online)

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A esclerose sistêmica (ES) é uma patologia crônica e autoimune do tecido conjuntivo, que causa perda da mobilidade, da funcionalidade, da amplitude de movimento, da força muscular e do condicionamento cardiopulmonar, e prejuízo na qualidade de vida. Este estudo objetivou verificar os efeitos de um programa de intervenção fisioterapêutica na força de preensão palmar e na qualidade de vida de um idoso longevo portador de ES. Trata-se de um estudo de caso, longitudinal e intervencionista. O paciente foi atendido no Serviço de Fisioterapia Reumatológica da Universidade de Passo Fundo e o protocolo de intervenção foi baseado em um programa de intervenção cinesioterapêutica. Para a mensuração da força de preensão palmar foi utilizado o Dinamômetro Kratos® e, para avaliação da qualidade de vida utilizou-se o SF-36. Os resultados demonstraram melhora da força de preensão palmar bilateral quando se compara os resultados das avaliações pré e pós intervenção, especialmente no membro esquerdo. No que diz respeito à qualidade de vida, observou-se melhora geral nos domínios do questionário SF-36. A cinesioterapia mostrou-se um método eficaz na melhora da força de preensão palmar e da qualidade de vida de um idoso longevo com ES.

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Epidemiology of Chronic Pain: A Population-Based Nationwide Study on Its Prevalence, Characteristics and Associated Disability in Portugal

Cited by 191 publications

References 62 publications

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Sexual Dysfunction in Patients with Chronic Pain

Efeitos da cinesioterapia sobre a força de preensão palmar e a qualidade de vida de um idoso longevo com esclerose sistêmica: relato de caso

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