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Cullens M, James C, Liu M, Vydyanathan A, Shaparin N, Schatman M, Hascalovici J. Defining Personas of People Living with Chronic Pain: An Ethnographic Research Study. J Pain Res 2023; 16:2803-2816. [PMID: 37600078 PMCID: PMC10438436 DOI: 10.2147/jpr.s420742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 08/05/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction Pain is the leading reason for which people seek medical care in the United States, and chronic pain (CP) affects approximately 50 million people in the US Pain perception is deeply personal, is highly correlated with behavioral and emotional disorders, and is greatly influenced by physiological and environmental factors. The patient-provider relationship can have profound implications for clinical outcomes within the context of treating CP. However, limited access to pain specialists, the complex nature of many CP-causing conditions, the absence of instruments for objective pain measurement, and the need to foster a trust-based patient-provider relationship throughout treatment pose unique challenges. Objective To support a more optimal CP care delivery system that leverages a healthy therapeutic patient-provider relationship, we systematically gathered deeper knowledge of the behaviors, interpersonal dynamics, home environment, values, and mindsets of people who experience CP. Methods We employed ethnographic research methods to collect and analyze data on views, habits, strategies, attitudes, and life circumstances of a range of participants living with CP. We aggregated, analyzed, and summarized participant data to identify trends and similarities. Results Our findings suggest that patients can be broadly categorized into five predominant pain typologies, or "personas", which are characterized by respective symptom durations, care management preferences, values, communication styles, and behaviors. Conclusion Identifying CP personas may enhance the ability to personalize CP care and help foster more robust therapeutic relationships, which may lead to greater trust, improved patient satisfaction, and better clinical outcomes.
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Affiliation(s)
| | - Cyan James
- Clearing Relief Labs Inc., New York City, NY, USA
| | - Meran Liu
- Clearing Relief Labs Inc., New York City, NY, USA
| | - Amaresh Vydyanathan
- Relief Medical Group P.A, New York City, NY, USA
- Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY, USA
- Multidisciplinary Pain Program, Montefiore Medical Center, Bronx, NY, USA
| | - Naum Shaparin
- Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY, USA
- Multidisciplinary Pain Program, Montefiore Medical Center, Bronx, NY, USA
- The Arthur S. Abramson Department of Physical Medicine and Rehabilitation, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Michael Schatman
- Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Grossman School of Medicine, New York City, NY, USA
- Department of Population Health – Division of Medical Ethics, NYU Grossman School of Medicine, New York City, NY, USA
| | - Jacob Hascalovici
- Relief Medical Group P.A, New York City, NY, USA
- Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY, USA
- The Arthur S. Abramson Department of Physical Medicine and Rehabilitation, Albert Einstein College of Medicine, Bronx, NY, USA
- Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA
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Ferreira ACL, Pereira DS, da Silva SLA, Carvalho GA, Pereira LSM. Validity and reliability of the short form brief pain inventory in older adults with nociceptive, neuropathic and nociplastic pain. Geriatr Nurs 2023; 52:16-23. [PMID: 37192570 DOI: 10.1016/j.gerinurse.2023.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 04/14/2023] [Accepted: 04/17/2023] [Indexed: 05/18/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate the validity and reliability of the Short Form Brief Pain Inventory (SF-BPI) for community-dwelling Brazilian older adults with chronic neuropathic, nociceptive and nociplastic pain. METHODS Cross-sectional psychometric testing was conducted in a convenience sample, n=114 (66.5 ± 4.9 years). RESULTS The 2-factor structure of the SF-BPI was ratified by confirmatory factor analysis. Convergent validity was found between the SF-BPI and the Present Pain Intensity (PPI). There was good overall internal consistency (Cronbach's α: 0.87). Test-retest reliability was excellent for pain intensity and interference scores of the SF-BPI (ICC: 0.90 and 0.96, respectively), as well as inter-rater reliability for both dimensions (ICC: 0.77). CONCLUSION The findings support the validity and reliability of the SF-BPI for community-dwelling older adults with chronic pain and may contribute to health professionals having a brief multidimensional assessment for more effective therapeutic approaches in this population.
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Affiliation(s)
- Ana Carolina Lopes Ferreira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil; Sarah Network of Rehabilitation Hospitals, Avenida Amazonas, 5953, Gameleira, Belo Horizonte, Minas Gerais, CEP 30180-001, Brazil.
| | - Daniele Sirineu Pereira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil
| | - Silvia Lanziotti Azevedo da Silva
- Department of Collective Health/School of Medicine, Federal University of Juiz de Fora, Av. Eugênio do nascimento s/n°, Dom Bosco, Juiz de Fora, Minas Gerais, CEP 36038-330, Brazil
| | - Guilherme Almeida Carvalho
- Sarah Network of Rehabilitation Hospitals, Avenida Amazonas, 5953, Gameleira, Belo Horizonte, Minas Gerais, CEP 30180-001, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil
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Santiago BVM, Oliveira ABGD, Silva GMRD, Silva MDFD, Bergamo PE, Parise M, Villela NR. Prevalence of chronic pain in Brazil: A systematic review and meta-analysis. Clinics (Sao Paulo) 2023; 78:100209. [PMID: 37201302 DOI: 10.1016/j.clinsp.2023.100209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 04/01/2023] [Accepted: 04/18/2023] [Indexed: 05/20/2023] Open
Abstract
OBJECTIVE This review synthesized existing studies on the prevalence of chronic pain in Brazil and its associated factors to produce a recent estimation to guide public health politics. METHODS A search was carried out in the Ovid Medline, Embase, Web of Science, and BVS Regional/Lilacs databases to identify population-based cross-sectional studies from 2005 to 2020, which reported the prevalence of benign chronic pain in Brazil (more than three months). The risk of bias was assessed using design, sample size determination, and random selection as essential issues. Pooled prevalence estimates were calculated for chronic pain in the general and elderly populations. The protocol was registered on Prospero (CRD42021249678). RESULTS Of the 682 identified, 15 macheted the authors' inclusion criteria. Chronic pain prevalence in the general adult population ranged from 23.02% to 41.4% (pooled estimate 35.70%, 95% Cis 30.42 to 41.17) and was described as moderate to intense. It was associated with female sex, old age, lower education, intense professional activity, excessive alcohol consumption, smoking, central obesity, mood disorder, and sedentarism. The Southeastern and Southern regions presented a higher prevalence. The prevalence in the elderly population ranged from 29.3% to 76.2% (pooled estimate 47.32%, 95% Cis 33.73 to 61.11). In addition, this population visited doctors more frequently, had more sleep disorders, and was more dependent on daily living activities. Almost fifty percent of both populations with chronic pain reported pain-induced disability. CONCLUSION Chronic Pain is highly prevalent in Brazil and associated with significant distress, disability, and poorly controlled.
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Affiliation(s)
| | | | | | - Maxuel de Freitas da Silva
- Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
| | - Pedro Ernandes Bergamo
- Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
| | - Maud Parise
- Departamento de Especialidades Cirúrgicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
| | - Nivaldo Ribeiro Villela
- Departamento de Especialidades Cirúrgicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
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Liñeiro MG, Santos Garcia JB, Narváez Tamayo MA, Gómez López MP, Martineau DB, Castroman PJ, Molina-Muñiz HG, Del Villar BM. Map of Pain Education in Latin America: current state and perspectives. Pain Manag 2023; 13:193-199. [PMID: 36970884 DOI: 10.2217/pmt-2022-0102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
The Latin American Map of Pain Education initiative has developed steadily in recent years. A recent survey yields important new data on the current state and allows outlining of the next steps to improve pain education in Latin American countries. A survey conducted by Federación Latinoamericana de Asociaciones para el Estudio del Dolor (FEDELAT) with data from 19 Latin American countries showed that a generally observed barrier is the lack of adequately trained pain professionals and the insufficient number of pain centers. There is a need for formal programs of pain education and palliative care in undergraduate and graduate programs. These programs should be accessible not only to physicians but to all types of healthcare professionals involved in the management of pain patients. The article includes some recommendations that will certainly be helpful in improving pain education over the next decade in Latin America.
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Determining the association of perceived health status among united states older adults with self-reported pain. AGING AND HEALTH RESEARCH 2022. [DOI: 10.1016/j.ahr.2021.100051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
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Bąk E, Młynarska A, Marcisz C, Kadłubowska M, Marcisz-Dyla E, Sternal D, Młynarski R, Krzemińska S. Kinesiophobia in Elderly Polish Patients After Ischemic Stroke, Including Frailty Syndrome. Neuropsychiatr Dis Treat 2022; 18:707-715. [PMID: 35387207 PMCID: PMC8979513 DOI: 10.2147/ndt.s352151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 02/22/2022] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION In patients after stroke, the relationship between the occurrence of kinesiophobia and the accompanying frailty syndrome, as well as the acceptance of the disease and the level of mood, has not been recognized so far. The aim of this study was to determine the prevalence of kinesiophobia in elderly Polish people after ischemic stroke, including the frailty syndrome and the associations between the prevalence of kinesiophobia and feelings of anxiety and degree of the illness acceptance. METHODS A cross-sectional study was used to achieve the study objectives. The study involved 152 hospitalized patients aged of minimum 60 (mean age 63), qualified for post-stroke rehabilitation, including 76 women and 76 men. The patients were divided into two groups, with kinesiophobia (119 persons) and without kinesiophobia (33 persons). The Tampa Scale of Kinesiophobia (TSK), the Tilburg Frailty Indicator (TFI), the Hospital Anxiety Depression Scale (HADS) and the Acceptance of Illness Scale (AIS) were used. Study results were calculated using MedCalc Software. RESULTS Kinesiophobia has been demonstrated in 78% of people after ischemic stroke. The values of TFI and HADS were higher in the patients with kinesiophobia (p<0.001). In patients with ischemic stroke, it was shown that the level of kinesiophobia increased with higher anxiety (p<0.001), higher total TFI score, (p<0.05), and a lower level of illness acceptance (p<0.001). CONCLUSION The occurrence of kinesiophobia in elderly Polish people after ischemic stroke is common and the determinants of its development are the coexistence of the frailty syndrome, anxiety and a low level of illness acceptance. In post-stroke patients, the presence of kinesiophobia should be considered, especially in the situation of comorbid frailty syndrome. The issue of kinesiophobia in patients after stroke requires further in-depth research, especially in the field of cognitive-behavioral prevention aimed at ways to reduce this phenomenon.
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Affiliation(s)
- Ewelina Bąk
- Faculty of Health Sciences, University of Bielsko-Biala, Bielsko-Biala, Poland
| | - Agnieszka Młynarska
- Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Czesław Marcisz
- Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Monika Kadłubowska
- Faculty of Health Sciences, University of Bielsko-Biala, Bielsko-Biala, Poland
| | - Ewa Marcisz-Dyla
- Faculty of Management, Psychology, Katowice Business University, Katowice, Poland
| | - Danuta Sternal
- Faculty of Health Sciences, University of Bielsko-Biala, Bielsko-Biala, Poland
| | - Rafał Młynarski
- Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Sylwia Krzemińska
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
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Sato EM, Magalhães MO, Jenkins BC, da Silva Ferreira L, da Silva HAR, Farias Furtado PR, Soares Ferreira EG, dos Santos ECS, Callegari B, Pasqual Marques A. Low Back Pain in Elderly from Belém-Pa, Brazil: Prevalence and Association with Functional Disability. Healthcare (Basel) 2021; 9:1658. [PMID: 34946384 PMCID: PMC8702051 DOI: 10.3390/healthcare9121658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND This cross-sectional study aimed to determine the prevalence of low back pain (LBP) in the elderly population living in Belém-Pará and to assess the spectrum of problems related to these diseases including the demographic, socioeconomic, occupational characteristics and disability in this population. METHODS Three structured questionnaires were applied in a randomly selected representative sample of 512 elderly people aged ≥60 years. RESULTS LBP prevalence in the elderly population was 55.7%. Among then, 56.1% had pain at the time of the interview (punctual prevalence), 91.7% had LBP in the last 365 days (prevalence in the last year), and 85.3% at some point in life (prevalence at some point in life). Overall, most studies are above average. LBP was positively associated with hypertension and the influence of the physical and mental health on their social activities ranged from slightly to extreme. LBP was negatively associated with characteristics, such as education (over 11 years), class A or B income, physical activity, high satisfaction with previous work, and excellent self-perceived health, corroborating to the literature. CONCLUSIONS Greater intensity of pain and functional disability were associated with the presence of comorbidities, smoking habits, and low physical activity. LBP prevalence was high, above the national average, mainly affecting the underprivileged classes related to several modifiable factors, highlighting the importance of preventive and interventionist actions for healthy aging.
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Affiliation(s)
- Elaine Miyuka Sato
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
- Laboratory of Human Motricity Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil;
| | - Mauricio Oliveira Magalhães
- Master’s Program in Human Movement Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil; (M.O.M.); (L.d.S.F.)
| | - Beatriz Coelho Jenkins
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
| | - Lays da Silva Ferreira
- Master’s Program in Human Movement Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil; (M.O.M.); (L.d.S.F.)
| | - Hallyson Andrey Raposo da Silva
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
| | - Paulo Renan Farias Furtado
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
| | - Eder Gabriel Soares Ferreira
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
| | - Emmanuele Celina Souza dos Santos
- Faculty of Physical and Occupational Therapy, Institute of Health Sciences, Federal University of Pará, Belém-Pará 66075-110, Brazil; (B.C.J.); (H.A.R.d.S.); (P.R.F.F.); (E.G.S.F.); (E.C.S.d.S.)
| | - Bianca Callegari
- Laboratory of Human Motricity Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil;
- Master’s Program in Human Movement Sciences, Federal University of Pará, Belém-Pará 66050-160, Brazil; (M.O.M.); (L.d.S.F.)
| | - Amélia Pasqual Marques
- Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo 05508-060, Brazil;
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Li X, Zhu W, Li J, Huang C, Yang F. Prevalence and characteristics of chronic Pain in the Chinese community-dwelling elderly: a cross-sectional study. BMC Geriatr 2021; 21:534. [PMID: 34620105 PMCID: PMC8499479 DOI: 10.1186/s12877-021-02432-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 07/20/2021] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Chronic pain adversely affects health and daily life in the elderly. Gaining insight into chronic pain that affects the community-dwelling elderly is crucial for pain management in China, which possesses the largest elderly population in the world. METHODS This is a cross-sectional design study that followed the STROBE Guideline. A randomized cluster sampling method was used to recruit participants in the Sichuan Province from Dec 2018 to May 2019. In addition, face-to-face interviews were conducted to collect socio-demographic data, characteristics and health-seeking behaviors of chronic pain through a self-designed questionnaire. RESULTS A total of 1381 older adults participated in this study. Among these participants, 791 (57.3%) had chronic pain. Here, prevalence and pain intensity were both found to increase from the 60-69 group to the 70-79 group, which then decreased in the ≥80 group with no significant differences in sex (p > 0.05). The most common pain locations were observed in the legs/feet (53.5%), head (23.6) and abdomen/pelvis (21.1%). Among the elderly suffering from chronic pain, 29.4% sought medical help, 59.2% received medication and 59.7% adopted non-drug therapy. CONCLUSION Chronic pain is a common health concern in the Chinese community-dwelling elderly, which possesses different characteristics than other countries' populations. Therefore, easier access to medication assistance and provision of scientific guidance for non-drug therapy may serve as satisfactory approaches in improving pain management.
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Affiliation(s)
- Xiahui Li
- West China School of Nursing, Sichuan University, Chengdu City, Sichuan Province, China.,West China Hospital, Sichuan University, Chengdu City, 610041, Sichuan Province, China.,School of Nursing, Chengdu University, Chengdu City, Sichuan Province, China
| | - Wei Zhu
- West China Hospital, Sichuan University, Chengdu City, 610041, Sichuan Province, China.
| | - Jiping Li
- West China Hospital, Sichuan University, Chengdu City, 610041, Sichuan Province, China.
| | - Chan Huang
- School of Nursing, Chengdu University, Chengdu City, Sichuan Province, China
| | - Fan Yang
- West China Second Hospital, Sichuan University, Chengdu City, Sichuan Province, China
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de Souza LF, Fontanela LC, Gonçalves C, Mendrano AL, Freitas MA, Danielewicz AL, de Avelar NCP. Cognitive and behavioral factors associated to probable sarcopenia in community-dwelling older adults. Exp Aging Res 2021; 48:150-163. [PMID: 34170210 DOI: 10.1080/0361073x.2021.1939564] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Background: Sarcopenia has a high prevalence in older adults and is associated with chronic aggravations to health, so therefore it is important to identify older adults who are affected by sarcopenia in order to establish preventative strategies or early interventions.Objective: To estimate the prevalence of probable sarcopenia and verify its association with cognitive impairment, fear of falling, depressive symptoms and health self-perception in community-dwelling older adults.Methods: A cross-sectional study with simple random sampling including 306 older adults of both genders. The outcome variable was probable sarcopenia evaluated by the Five times sit-to-stand test (5XSST) considering probable sarcopenia when the measured time was > 15 seconds, following the recommendation of the European Working Group on Sarcopenia in Older People. The predictor variables were cognitive impairment, fear of falling, depressive symptoms and self-perception of health. Multivariate Logistic Regression was performed to verify associations between the variables.Results: The prevalence of probable sarcopenia was 50.00%. The older adults had significantly higher chances of presenting probable sarcopenia when displaying cognitive impairment (OR 2.49; 95%CI 1.46-4.24), fear of falls (OR 4.23; 95%CI 2.51-7.12), depressive symptoms (OR 2.20; 95%CI 1.32-3.67), poor (OR 2.48; 95%CI 1.19-5.16) and fair self-perception of health (OR 2.11; 95%CI 1.22-3.63) when compared to those who did not have the same conditions.Conclusion: The prevalence of probable sarcopenia in this study was 50.00%, and was associated with the presence of depressive symptoms, cognitive impairment, fear of falls and negative self-perception of health.
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Affiliation(s)
- Larissa Franciny de Souza
- Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Laís Coan Fontanela
- Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Camila Gonçalves
- Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Amanda Lena Mendrano
- Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Mariana Alves Freitas
- Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Ana Lúcia Danielewicz
- Public Health and Teacher at Federal University of Santa Catarina - UFSC, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
| | - Núbia Carelli Pereira de Avelar
- Physiological Sciences and Teacher at Federal University of Santa Catarina - UFSC, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil
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Axon DR, Le D. Predictors of pain severity among community-dwelling older adults with pain in the United States: Findings from a cross-sectional, retrospective study using 2017 Medical Expenditure Panel Survey. Medicine (Baltimore) 2021; 100:e26011. [PMID: 34011100 PMCID: PMC8137030 DOI: 10.1097/md.0000000000026011] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/20/2021] [Accepted: 04/30/2021] [Indexed: 01/05/2023] Open
Abstract
ABSTRACT The purpose of this study was to determine predictors of pain severity among older United States (US) adults with pain.This cross-sectional, retrospective study utilized 2017 Medical Expenditure Panel Survey data. Eligible participants were alive for the calendar year, aged ≥50 years, and reported pain in the past 4 weeks. Hierarchical logistic regression models, adjusting for the survey design, were used to identify significant predictors of pain severity (i.e., extreme/quite a bit or moderate/little pain).An estimated 14,250,534 adults aged ≥50 with pain reported extreme/quite a bit of pain. Many variables were associated with extreme/quite a bit of pain, including: age 50 to 64 vs ≥65 years (adjusted odds ratio [AOR] = 1.49, 95% confidence interval [95% CI] = 1.22-1.82); males vs females (AOR = 0.80, 95% CI = 0.67-0.95); white race vs others (AOR = 0.75, 95% CI = 0.61-0.92); married vs other marital status (AOR = 1.31, 95% CI = 1.08-1.57); income <200% vs ≥200% federal poverty level (AOR = 1.30, 95% CI = 1.06-1.60); employed vs unemployed (AOR = 0.47, 95% CI = 0.37-0.60); limitation vs no limitation (AOR = 2.64, 95% CI = 2.09-3.33); 0, 1, 3, or 4 vs ≥5 chronic conditions (AOR ranged from 0.39 for 0 conditions to 0.77 for 4 conditions); excellent/very good or good vs fair/poor perceived physical health status (AOR ranged from 0.28 for excellent/very good to 0.40 for good); smokers vs non-smokers (AOR = 1.56, 95% CI = 1.27-1.93); exercise versus no exercise (AOR = 0.74, 95% CI = 0.62-0.88); and South vs West census region (AOR = 1.34, 95% CI = 1.04-1.74).This study found several characteristics could predict pain severity among older US adults who reported extreme/quite a bit of pain. These characteristics may guide specific areas of focus to improve patients' pain management.
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Affiliation(s)
- David R. Axon
- Department of Pharmacy Practice & Science
- Center for Health Outcomes and Pharmacoeconomic Research, University of Arizona College of Pharmacy, Tucson, Arizona
| | - Darlena Le
- Department of Pharmacy Practice & Science
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de Amorim JSC, Rocha VTM, Lustosa LP, Pereira LSM. Use of healthcare services and therapeutic measures associated with new episodes of acute low back pain-related disability among elderly people: a cross-sectional study on the Back Complaints in the Elders - Brazil cohort. SAO PAULO MED J 2021; 139:137-143. [PMID: 33825772 PMCID: PMC9632518 DOI: 10.1590/1516-3180.2020.0414.r1.0712020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 12/03/2020] [Accepted: 12/07/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Patients with low back pain frequently undergo a variety of diagnostic and therapeutic interventions, but some of these have uncertain effectiveness. This highlights the importance of the association of healthcare services and therapeutic measures relating to disability. OBJECTIVE To analyze the use of healthcare services and therapeutic measures among Brazilian older adults with disability-related low back pain. DESIGN AND SETTING Observational cross-sectional study on baseline assessment data from the Back Complaints in the Elders - Brazil (BACE-B) cohort. METHODS The main analyses were based on a consecutive sample of 602 older adult participants in BACE-B (60 years of age and over). The main outcome measurement for disability-related low back pain was defined as a score of 14 points or more in the Roland Morris Questionnaire. RESULTS Visits to doctors in the previous six weeks (odds ratio, OR = 1.82; 95% confidence interval, CI 1.22-2.71) and use of analgesics in the previous three months (OR = 1.57; 95% CI 1.07-2.31) showed statistically significant associations with disability-related low back pain. The probability of disability-related low back pain had an additive effect to the combination of use of healthcare services and therapeutic measures (OR = 2.57; 95% CI 1.52-4.36). The analyses showed that this association was significant among women, but not among men. CONCLUSIONS Occurrence of the combined of consultations and medication use was correlated with higher chance of severe disability among these elderly people with nonspecific low back pain. This suggested that overuse and "crowding-in" effects were present in medical services for elderly people.
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Affiliation(s)
- Juleimar Soares Coelho de Amorim
- PhD. Physiotherapist and Associate Professor, Physical Therapy Course, Instituto Federal de Educação Ciência e Tecnologia do Rio de Janeiro (IFRJ), Rio de Janeiro (RJ), Brazil.
| | - Vitor Tigre Martins Rocha
- MD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Lygia Paccini Lustosa
- PhD. Physiotherapist and Associate Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Leani Souza Máximo Pereira
- PhD. Physiotherapist and Associate Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
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Maia LO, Daldegan-Bueno D, Fischer B. Opioid use, regulation, and harms in Brazil: a comprehensive narrative overview of available data and indicators. Subst Abuse Treat Prev Policy 2021; 16:12. [PMID: 33499891 PMCID: PMC7836143 DOI: 10.1186/s13011-021-00348-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2021] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Global opioid consumption increased multifold post-2000, disproportionately in high-income countries, with severe mortality/morbidity consequences. Latin America features comparatively low opioid availability; Brazil, the region's most populous country, makes an interesting case study concerning opioid use/harms. In this comprehensive overview, we aimed to identify and summarize medical and non-medical data and indicators of opioid availability and use, regulation/control, and harm outcomes in Brazil since 2000. METHODS We searched multiple scientific databases to identify relevant publications and conducted additional 'grey' literature searches to identify other pertinent information. RESULTS Despite some essential indicators, opioid-related data are limited for Brazil. Data indicate that population-level availability of prescription opioids represents only a small fraction of use in comparison to high-income countries. However, within Latin America, Brazil ranks mid-level for opioid consumption, indicating relatively moderate consumption compared to neighboring jurisdictions. Brazil has implemented restrictive regulations to opioid prescribing and is considered 'highly restricted' for opioid access. Codeine remains the major opioid analgesic utilized, but stronger opioids such as oxycodone are becoming more common. Professional knowledge regarding medical opioid use and effects appears limited. National surveys indicate increases in non-medical use of prescription opioids, albeit lower than observed in North America, while illicit opioids (e.g., heroin) are highly uncommon. CONCLUSIONS Overall population-level opioid availability and corresponding levels of opioid-related harms in Brazil remain substantially lower than rates reported for North America. However, the available surveillance and analytical data on opioid use, policy/practice, and harms in Brazil are limited and insufficient. Since existing and acute (e.g., pain-related) needs for improved opioid utilization and practice appear to be substantiated, improved indicators for and understanding of opioid use, practice, and harms in Brazil are required.
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Affiliation(s)
- Lucas O. Maia
- Centre for Applied Research in Mental Health and Addiction, SFU Faculty of Health Sciences, Simon Fraser University, 515 W. Hastings Street, V6B 5K3 Vancouver, BC Canada
| | - Dimitri Daldegan-Bueno
- Schools of Population Health and Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Rd, 1023 Grafton, Auckland New Zealand
| | - Benedikt Fischer
- Centre for Applied Research in Mental Health and Addiction, SFU Faculty of Health Sciences, Simon Fraser University, 515 W. Hastings Street, V6B 5K3 Vancouver, BC Canada
- Schools of Population Health and Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Rd, 1023 Grafton, Auckland New Zealand
- Department of Psychiatry, University of Toronto, 250 College Street, 8th floor, M5T 1R8 Toronto, ON Canada
- Department of Psychiatry, Federal University of São Paulo, R. Dr. Ovídio Pires de Campos, 785, 05403-903 São Paulo, Brazil
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Terassi M, Rossetti ES, Luchesi BM, Gramani-Say K, Hortense P, Pavarini SCI. Factors associated with depressive symptoms in elderly caregivers with chronic pain. Rev Bras Enferm 2020; 73:e20170782. [PMID: 31994674 DOI: 10.1590/0034-7167-2017-0782] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 06/08/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to identify factors associated with depressive symptoms in elderly caregivers with chronic pain. METHOD the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression. RESULTS most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use. CONCLUSION factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
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Affiliation(s)
- Marielli Terassi
- Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil
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14
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de Souza IMB, Sakaguchi TF, Yuan SLK, Matsutani LA, do Espírito-Santo ADS, Pereira CADB, Marques AP. Prevalence of low back pain in the elderly population: a systematic review. Clinics (Sao Paulo) 2019; 74:e789. [PMID: 31664424 PMCID: PMC6807687 DOI: 10.6061/clinics/2019/e789] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Accepted: 08/14/2019] [Indexed: 12/18/2022] Open
Abstract
The aim of this study was to estimate the prevalence of low-back pain (LBP) and to identify the level of functional disability in elderly individuals in different populations. From January 1985 to October 2018, a search was performed using the following databases: Embase, LILACS, SciELO, Scopus, Medline, and the Web of Science. The descriptors were low-back pain, back pain, lower-back pain, prevalence, and elderly in Portuguese and English. Two independent reviewers conducted a search for studies and evaluated their methodological quality. The search strategy returned 2186 titles, and 35 were included in this review. The studies evaluated 135,059 elderly individuals aged between 60 and 102 years, and the prevalence of LBP ranged from 21% to 75%. The levels of functional disability, as well as functional difficulties, activities of daily living, and physical capacity, were identified in 60% of the studies. This review indicated a high prevalence of LBP in elderly individuals and functional disability that affects factors important for independence. However, the studies used different methodologies, suggesting that more studies be conducted with scientific accuracy, methodological quality, and low risk of bias to contribute to the proposal of preventive actions for elderly populations.
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Affiliation(s)
- Ingred Merllin Batista de Souza
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Tina Fujii Sakaguchi
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Susan Lee King Yuan
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Luciana Akemi Matsutani
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | | | | | - Amélia Pasqual Marques
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
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Kirubakaran S, Dongre AR. Chronic musculoskeletal pain among elderly in rural Tamil Nadu: Mixed-method study. J Family Med Prim Care 2019; 8:77-85. [PMID: 30911484 PMCID: PMC6396588 DOI: 10.4103/jfmpc.jfmpc_290_17] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objectives (1) To determine the prevalence of chronic pain of musculoskeletal origin at different body sites among elderly (≥60 years). (2) To study the determinants of chronic pain and the healthcare seeking behavior among elderly with chronic pain. (3) To explore the perceptions of chronic pain among elderly. Materials and Methods This study was done in 55 field practice villages of the Rural Health Training Centre (RHTC) of the Department of Community Medicine, SMVMCH, Puducherry. An Exploratory Mixed-Method study design, where a qualitative phase (in-depth interviews [IDI]) followed the quantitative phase (Survey). A representative sample of 850 respondents was selected by two-stage cluster sampling. A trained investigator did a house-to-house visit and interviewed selected elderly respondents by using predesigned and pretested questionnaire. The intensity of chronic pain was measured using the Functional Rating Scale and Numeric Rating Scale. The manual content analysis was done for qualitative data. Multiple logistic regression was performed on quantitative data. Results Qualitative data were described under two broad themes: (1) perceptions of elderly people about chronic pain and 2) healthcare seeking and coping mechanisms. Prevalence of chronic pain among the elderly respondents was found to be 47.6%. Most common site for chronic pain was knee joint (64.5%) followed by a low backache (21.7%). Most of the older people with chronic pain had mild-to-moderate and tolerable pain. Two predictors for chronic pain were the age of the respondent (adjusted OR -1.03, 95% CI = 1.01-1.05) and the presence of at least one chronic morbidity (adjusted OR -1.37, 95% CI = 1.03-1.82). Conclusions and Recommendations Since the chronic pain was found to be associated with aging and the presence of at least one of the chronic morbidities, it is crucial for treating community physicians to consider the comorbid conditions while managing chronic pain in elderly. Considering the complex nature of chronic pain in old age, the primary care physician should be trained in drug and context-specific nondrug interventions to address the biomedical causes and other cognitive-behavior factors, respectively, through active support from their family and neighborhood.
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Affiliation(s)
- S Kirubakaran
- Department of Community Medicine, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India
| | - Amol R Dongre
- Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
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García CA, Santos Garcia JB, Rosario Berenguel Cook MD, Colimon F, Flores Cantisani JA, Guerrero C, Rocío Guillén Núnez MD, Hernández Castro JJ, Kraychete DC, Lara-Solares A, Lech O, Rico Pazos MA, Gallegos MS, Marcondes LP. Undertreatment of pain and low use of opioids in Latin America. Pain Manag 2018; 8:181-196. [PMID: 29774774 DOI: 10.2217/pmt-2017-0043] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Pain is highly prevalent among the adult Latin American population. However, many patients with moderate to severe pain do not have access to effective pain management with opioids due to limited access to healthcare, overuse of nonopioid analgesics, regulatory barriers and lack of appropriate information about opioids. There is scarce training on use of opioids among physicians and other healthcare providers, which leads to misconceptions, mainly related to a fear of prescribing opioids. Although opioids are safe and effective drugs for the treatment of moderate to severe chronic pain, the use of opioids in Latin American nations is clearly below standards compared with developed countries.
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Affiliation(s)
| | | | | | - Frantz Colimon
- Centro Oncológico de Antioquia, Medellín, Antioquia, Colombia
| | | | - Carlos Guerrero
- Hospital Universitario Fundación Santa Fe, Bogotá. Universidad de los Andes, Colombia
| | | | | | - Durval Campos Kraychete
- Federal University of Bahia, Coordinator of the Pain Outpatient Clinic, Brazilian Society for the Study of Pain, Brazil
| | - Argelia Lara-Solares
- Department of Pain Medicine & Palliative Care, Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico
| | - Osvandré Lech
- Orthopaedic Residency Program, UFFS-HSVP-IOT, Passo Fundo, Brazil
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Castro EM, Asencio G, Quinn GP, Brandon T, Gwede CK, Vadaparampil S, Simmons V, McIntyre J, Jiménez J. Importance of and Satisfaction with Psychosocial Support among Cancer Patients and Survivors in Puerto Rico: Gender, Health Status, and Quality of Life Associations. PUERTO RICO HEALTH SCIENCES JOURNAL 2017; 36:205-211. [PMID: 29220064 PMCID: PMC5859307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To assess needs perceptions regarding the importance of and satisfaction with psychosocial support among cancer patients and survivors in Puerto Rico. METHODS A cross-sectional study was conducted in 181 participants (70 men and 111 women) who were either undergoing cancer treatment (patients) or had completed cancer treatment (survivors). Participants completed a sociodemographic and clinical characteristics questionnaire, and the Psychosocial Needs Inventory (PNI). RESULTS The participants reported having or having had prostate (36%) or breast (32%) cancer or some other cancer type (32%). Of the 149 participants reporting cancer type, 130 were classified as having a high perceived level of health and quality of life, and 19 were classified as having a low perceived level of health and quality of life. In terms of perceived needs, the highest level of importance were assigned to the Support Network (e.g. family, friends, neighbors, care professionals; M = 2.88, SD = 0.43) and Health Professional (e.g., patient-health professional relationship, etc.; M = 2.80, SD = 0.50) categories, and the Emotional and Spiritual category was given the lowest importance (e.g., help managing negative emotions and spiritual counseling, etc.; M = 2.62, SD = 0.66). These perceptions varied by gender, perceived health status, and date of diagnosis. Women assigned more importance to the Health Professional and Information categories. CONCLUSION The results reflect the importance of considering psychosocial needs when providing psychosocial support to cancer patients and survivors. These findings are anticipated to inform services provided by psychosocial oncology support programs in Puerto Rico.
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Affiliation(s)
- Eida M. Castro
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute
- Department of Psychiatry, Ponce Health Sciences University, Ponce Research Institute
| | - Gloria Asencio
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute
| | - Gwendolyn P. Quinn
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Thomas Brandon
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Clement K. Gwede
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Susan Vadaparampil
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Vani Simmons
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Jessica McIntyre
- Health Outcomes and Behaviour Program, Moffitt Cancer Center, Tampa, Florida
| | - Julio Jiménez
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute
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Prevalence of Chronic Pain, Treatments, Perception, and Interference on Life Activities: Brazilian Population-Based Survey. Pain Res Manag 2017; 2017:4643830. [PMID: 29081680 PMCID: PMC5634600 DOI: 10.1155/2017/4643830] [Citation(s) in RCA: 56] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 06/14/2017] [Accepted: 08/08/2017] [Indexed: 11/21/2022]
Abstract
Background and Objectives Chronic pain affects between 30% and 50% of the world population. Our objective was to estimate the prevalence of chronic pain in Brazil, describe and compare differences between pain types and characteristics, and identify the types of therapies adopted and the impact of pain on daily life. Methods Cross-sectional study of a population-based survey with randomized sample from a private database. The interviews were conducted by phone. 78% of the respondents aged 18 years or more agreed to be interviewed, for a total of 723 respondents distributed throughout the country. Independent variables were demographic data, pain and treatment characteristics, and impact of pain on daily life. Comparative and associative statistical analyses were conducted to select variables for nonhierarchical logistic regression. Results Chronic pain prevalence was 39% and mean age was 41 years with predominance of females (56%). We found higher prevalence of chronic pain in the Southern and Southeastern regions. Pain treatment was not specific to gender. Dissatisfaction with chronic pain management was reported by 49% of participants. Conclusion 39% of interviewed participants reported chronic pain, with prevalence of females. Gender-associated differences were found in intensity perception and interference of pain on daily life activities.
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Abdurahman AA, Khorrami-Nezhad L, Mirzaei K. Vitamin D (FokI) Receptor Gene Polymorphism is associated with Vitamin D Deficiency and Chronic Musculoskeletal Pain. A meta-analysis. INT J VITAM NUTR RES 2017; 87:219-232. [PMID: 31084485 DOI: 10.1024/0300-9831/a000569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Background: Musculoskeletal pain is the most common chronic pain experienced by older adults. The aim of this study is to explore the associations between vitamin D (FOKI) receptor gene polymorphism (VDR) and vitamin D deficiency (VDD) and chronic musculoskeletal pain. Methods: Cross-sectional studies published in English from January 2000 to January 2015which reported prevalence of chronic pain (CP) and chronic musculoskeletal pain (CMP) were included in this systematic review and meta-analysis. A heat map was used to visualize and observe the correlation between VDR and CMP, CP and VDD. Results: 20 studies (N = 216,365) were included in the analysis, which showed an overall pooled prevalence estimate of CMP and CP as 30.6 per 100 (95 % CI: 30.59, 30.69) and 27.9 per 100 (95 % CI: 27.68, 28.24) respectively. The heat map clustering analysis visualizes the similarity between CP and CMP. Moreover, a direct correlation was observed between the three disease conditions (namely CMP, CP, and VDD) and FokI VDR polymorphism (FF). Spearman's correlation analyses with adjusted r2 revealed that there is a statistically significant interaction effect of the FF genotype and VDD on CMP (r2 = 0.19, p = 0.03), a marginally significant interaction effect of the ff genotype and VDD on CMP (r2 = 0.11, p = 0.08). VDD was also associated with increased CMP (r2 = 0.19, p = 0.028). The pooled estimates of the prevalence of CMP in this review were found to be high. Conclusion: FokI VDR gene polymorphism (FF) plays an important role in the relationship between VDD and CMP.
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Affiliation(s)
- Ahmed Abdulahi Abdurahman
- 1 Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran, University of Medical Sciences, Tehran, Iran.,2 Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences International Campus, Tehran, Iran
| | - Leila Khorrami-Nezhad
- 3 Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Khadijeh Mirzaei
- 3 Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
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Moura CDC, Chaves EDCL, Souza VHS, Iunes DH, Ribeiro CRG, Paraizo CMS, Fava SMCL, Dazio EMR. Impactos da dor crônica na vida das pessoas e a assistência de enfermagem no processo. AVANCES EN ENFERMERÍA 2017. [DOI: 10.15446/av.enferm.v35n1.61006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: Reflexionar sobre el impacto del dolor crónico en la vida de las personas y en los cuidados de enfermería en el proceso.Metodología: Ensayo reflexivo, el cual se fundamentó en una revisión teórica. El estudio se realizó entre los meses de mayo de 2015 a julio de 2016. Los datos se analizaron y luego se organizaron en los siguientes ejes temáticos: El impacto del dolor crónico sobre la calidad de vida de las personas, El dolor como quinta señal vital: la importancia de su evaluación y Cuidados de enfermería a los pacientes con dolor crónico.Resultados: El dolor impacta de varias formas en la vida de las personas y, cuando este síntoma se vuelve crónico, repercute más intensamente en la calidad de vida. Por lo tanto, se hace indispensable realizar una evaluación completa, holística y multiprofesional de la persona que padece algún dolor, de manera que el enfermero, al establecer el proceso de enfermería, desempeñe un papel fundamental en el reconocimiento y control de esta condición con la implementación de diagnósticos precisos y de intervenciones efectivas.Conclusión: El dolor crónico requiere de una atención especial por parte del enfermero para que la evaluación y el tratamiento sean lo más completos posible, con el fin de minimizar el impacto negativo del dolor sobre la vida de las personas.
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Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatr 2016; 16:128. [PMID: 27387557 PMCID: PMC4936054 DOI: 10.1186/s12877-016-0302-6] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 06/14/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The contribution of kinesiophobia (fear of movement) to the pain experience among older adults has been poorly evaluated. The aim of this study was to study prevalence at baseline, development over a 12-month period and cognitive-affective variables of kinesiophobia in a population-based sample of older adults with chronic pain. METHODS The study included 433 older adults (+65 years) with chronic pain (mean age 74.8 years) randomly selected using a Swedish register of inhabitants. Kinesiophobia was measured at baseline and 12-month follow-up with the 11-item version of the Tampa Scale of Kinesiophobia (TSK-11). Associations of demographic-, cognitive affective - and pain-related variables to kinesiophobia were analysed with linear regression analyses. RESULTS The mean level of kinesiophobia was low. Worsening and recovering from kinesiophobia occurred over time, but the mean level of kinesiophobia remained unchanged (p = 0.972). High levels of kinesiophobia (TSK ≥35) were found among frailer and older adults predominately living in care homes, but not dependent on sex. Poor self-perceived health (OR = 8.84) and high pain intensity (OR = 1.22) were significantly associated with kinesiophobia. CONCLUSION Results indicate that potential interventions regarding kinesiophobia among older adults should aim to decrease pain intensity and strengthen health beliefs.
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Affiliation(s)
- Caroline Larsson
- Center for Primary Health Care Research, Faculty of Medicine, Clinical Research Centre (CRC), Lund University, Skåne University Hospital, Building 28, floor 11, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden.
| | | | - Kristina Sundquist
- Center for Primary Health Care Research, Faculty of Medicine, Clinical Research Centre (CRC), Lund University, Skåne University Hospital, Building 28, floor 11, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden.,Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Ulf Jakobsson
- Center for Primary Health Care Research, Faculty of Medicine, Clinical Research Centre (CRC), Lund University, Skåne University Hospital, Building 28, floor 11, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden
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Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, Oliveira VC. Prevalência de lombalgia na população idosa brasileira: revisão sistemática com metanálise. REVISTA BRASILEIRA DE REUMATOLOGIA 2016. [DOI: 10.1016/j.rbr.2016.01.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, Oliveira VC. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. REVISTA BRASILEIRA DE REUMATOLOGIA 2016; 56:258-69. [PMID: 27267645 DOI: 10.1016/j.rbre.2016.03.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2015] [Accepted: 01/29/2016] [Indexed: 10/21/2022] Open
Abstract
INTRODUCTION Prevalence of low back pain (LBP) is expected to increase worldwide with aging of the population but its prevalence in older people is not clear, mainly in developing countries. OBJECTIVE To estimate the prevalence of LBP in older Brazilians. METHODS Electronic searches on SciELO, LILACS, MEDLINE, EMBASE and CINAHL, as well as hand-searching identified studies investigating prevalence of LBP in older Brazilians aged 60 years or over. Two independent reviewers selected studies fulfilling the inclusion criteria, assessed risk of bias for each included study and extracted relevant data. Meta-analysis was conducted when enough homogeneity allowed and the GRADE system was used to summarize the overall quality of the evidence. RESULTS Sixteen studies were included with a total of 28,448 participants. Data from point- and period-prevalence of LBP were obtained. Meta-analysis was conducted for 13 studies reporting point-prevalence. Pooled point-prevalence of LBP was 25.0% (95% CI 18.0-32.0). Other three studies investigated period-prevalence: one-week prevalence=15.0% (95% CI 13.0-18.0); six-month prevalence=43.0% (95% CI 42.0-44.0); and 12-month prevalence=13.0% (95% CI 11.0-16.0). Sensitivity analyses were performed for point-prevalence and exclusion of studies with poorer methodological quality tended to increase the estimated prevalence of LBP. CONCLUSION Moderate-quality evidence showed that at any point in time one in four older Brazilians suffers from LBP. This was the first systematic review investigating nationwide data on the prevalence of LBP in older people and contributes important clinical and epidemiological evidence for policymakers.
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Affiliation(s)
- Amanda Aparecida Oliveira Leopoldino
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia; Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | | | - Vítor Tigre Martins
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Nicholas Henschke
- Institute of Public Health, University of Heidelberg, Heidelberg, Germany
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rosângela Correa Dias
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Vinícius Cunha Oliveira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Matos M, Bernardes SF, Goubert L. The relationship between perceived promotion of autonomy/dependence and pain-related disability in older adults with chronic pain: the mediating role of self-reported physical functioning. J Behav Med 2016; 39:704-15. [DOI: 10.1007/s10865-016-9726-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Accepted: 02/19/2016] [Indexed: 12/13/2022]
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Pereira LV, Pereira GDA, Moura LAD, Fernandes RR. Pain intensity among institutionalized elderly: a comparison between numerical scales and verbal descriptors. Rev Esc Enferm USP 2015; 49:804-10. [DOI: 10.1590/s0080-623420150000500014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 07/02/2015] [Indexed: 11/21/2022] Open
Abstract
AbstractOBJECTIVECorrelating two unidimensional scales for measurement of self-reported pain intensity for elderly and identifying a preference for one of the scales.METHODA study conducted with 101 elderly people living in Nursing Home who reported any pain and reached ( 13 the scores on the Mini-Mental State Examination. A Numeric Rating Scale - (NRS) of 11 points and a Verbal Descriptor Scale (VDS) of five points were compared in three evaluations: overall, at rest and during movement.RESULTSWomen were more representative (61.4%) and the average age was 77.0±9.1 years. NRS was completed by 94.8% of the elderly while VDS by 100%. The association between the mean scores of NRS with the categories of VDS was significant, indicating convergent validity and a similar metric between the scales.CONCLUSIONPain measurements among institutionalized elderly can be made by NRS and VDS; however, the preferred scale for the elderly was the VDS, regardless of gender.
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