Chronic Pain as a Disease in its Own Right

Niv, David; Devor, Marshall

doi:10.1111/j.1533-2500.2004.04301.x

Cited by 122 publications

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“…At the same time there is now a growing acceptance of chronic pain as a disease in its own right. Persistent pain becomes independent of the initial trigger and takes on a life of its own 22 . While association does not imply causality, it is of interest to note that in the ranking of conditions associated with pain sleep difficulties, insomnia, anxiety and depression are among the most frequently cited by the pain population.…”

Section: Conditions Causing Painmentioning

confidence: 99%

The prevalence, correlates and treatment of pain in Spain

Langley

Ibán

Molina

et al. 2011

Journal of Medical Economics

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c i a l D i s t r i b u t i o n U n a u t h o r i z e d u s e p r o h i b i t e d . A u t h o r i s e d u s e r s c a n d o w n l o a d , d i s p l a y , v i e w a n d p r i n t a s i n g l e c o p y f o r p e r s o n a l u s eJournal of Medical Economics Vol. 14, No. 3, 2011, 367-380 1369-6998 Article 0031. R1/583303 doi:10.3111/13696998.2011.583303 All rights reserved: reproduction in whole or part not permitted AbstractObjectives:The aims of this paper are to report on the prevalence, correlates and treatment of pain in the adult Spanish population. The analysis also explores the association between the experience of pain and health-related quality of life (HRQoL), employment and productivity, and healthcare resource utilization. Methods:Data are from the internet-based, 2010 National Health and Wellness Survey (NHWS) Spain. The sample was weighted by age and sex to correspond to the 2010 adult Spanish population. All respondents to the NHWS reported on socio-demographic and economic characteristics, medication adherence and major health conditions. They also reported on their HRQoL (the SF-12), their employment status and workplace productivity experience (WPAI instrument) and their healthcare resource utilization. Persons reporting experiencing pain gave details on conditions causing pain, prescription and over the counter (OTC) medication utilization, duration of utilization and satisfaction with medications. A supplementary analysis evaluated the population prevalence of pain for the five most populous Spanish autonomous communities (regions). Results:An estimated 6.10 million (17.25%) of the adult population of Spain reported experiencing pain in the last month. Of these11.69% experienced severe pain, 64.17% moderate pain and 24.14% mild pain. Daily pain was experienced by 6.95% of the population The major conditions causing pain are back pain (60.53%) followed by joint pain (40.21%). Sleep difficulties (42.24%) and anxiety (40.62%) were most commonly cited as comorbidities. Prescription medication utilization was most important in the severe and moderate pain categories, with 71.62% reporting they were satisfied with their prescription pain medications. Adherence to pain medications was high with an overall Morisky score of 0.99 (range 0-4). Pain had a major negative effect on labor force participation for those reporting moderate and severe pain with a participation rate of only 42.62% for those with severe pain. Pain was associated with substantial health-related quality of life deficits as measured by the physical and mental score components of the SF-12. In the case of SF-6D utilities, the utility score for the pain population was markedly below that for the no-pain population (0.65 vs. 0.75; p50.05).The experience of pain also negatively impacted rates of absenteeism and presenteeism, as well as being associated with greater healthcare resource utilization. Finally, for the five most populous autonomous communities of Spain estimated pain prevalence ranged from 14.80% for Madrid to 18.79% fo...

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Section: Conditions Causing Painmentioning

confidence: 99%

The prevalence, correlates and treatment of pain in Spain

Langley

Ibán

Molina

et al. 2011

Journal of Medical Economics

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“…2 Although it is often a disabling feature of chronic conditions such as arthritis, 3 diabetes, 4 cancer, 5 cardiovascular disease, 6 HIV, 7 inflammatory bowel disease, 8 and autoimmune diseases, 9 chronic pain is now recognized as a disease in its own right. 10 Chronic pain affects more than six million Canadians of all ages and is most prevalent among women, Indigenous peoples, and older adults. [11][12][13] It negatively affects all dimensions of health-related quality of life and has a crippling financial impact.…”

Section: Introductionmentioning

confidence: 99%

Researching what matters to improve chronic pain care in Canada: A priority-setting partnership process to support patient-oriented research

Poulin

Shergill

Romanow

et al. 2018

Canadian Journal of Pain

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Background Chronic pain affects more than 6 million Canadians. Patients need to be involved in setting research priorities to ensure a focus on areas important to those who will be most impacted by the results. Aims The aim of this study was to leverage patient experiences to identify chronic pain research priorities in Canada. Method The process was informed by the James Lind Alliance. After gathering an exhaustive list of questions using surveys, town hall meetings, interviews, and social media consultations, we used a computerized Delphi with four successive iterations to select the final list of research priorities. The final Delphi round was conducted by a panel of ten patients living with chronic pain and ten clinicians from different disciplines. Results We received more than 5000 suggestions from 1500 people. The Delphi process led to the identification of 14 questions fitting under the following 4 themes: (1) improving knowledge and competencies in chronic pain; (2) improving patient-centered chronic pain care; (3) preventing chronic pain and reducing associated symptoms; and (4) improving access to and coordination of patient-centered chronic pain care. Challenges included the issue of chronic pain being ubiquitous to many diseases, leading to many initial suggestions focusing on these diseases. We also identified the need for further engagement efforts with marginalized groups in order to validate the priorities identified or identify different sets of priorities specific to these groups. Conclusion The priorities identified can guide patient-oriented chronic pain research to ultimately improve the care offered to people living with chronic pain.

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“…Uncontrolled prolonged pain however, is a disease on its own, which is associated with unnecessary suffering, interferes with physical and emotional recovery, dramatically ruins the quality of life, induces co-morbidities, imposes an undue demand on health and social systems and generates loss for the economy [4]. Therefore, further putative targets for new analgesics should be found.…”

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confidence: 99%

“…Further, prolonged pain may persist after the healing process is completed. In these circumstances, pain does not provide any biological benefit and is considered maladaptive [4].…”

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Journal of pharmaceutical research and drug design

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Chronic Pain as a Disease in its Own Right

Cited by 122 publications

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The prevalence, correlates and treatment of pain in Spain

The prevalence, correlates and treatment of pain in Spain

Researching what matters to improve chronic pain care in Canada: A priority-setting partnership process to support patient-oriented research

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