Chronische Schmerzen in deutschen Facharztpraxen

Frießem, Christine H; Willweber-Strumpf, A.; Zenz, M.

doi:10.1007/s00482-010-0958-3

Cited by 16 publications

(4 citation statements)

References 24 publications

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“…There is no doubt that a link exists between visits to healthcare institutions and physical pain, which is consistent with previous research ( 32 ) that chronic pain increases the burden on public health services and has a significant socioeconomic impact. This study found that older adults with physical pain were 1.28 times more likely to visit a Western hospital than older adults without physical pain, and 1.42 times more likely to visit other healthcare providers.…”

Section: Discussionsupporting

confidence: 91%

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Tang

Peng

et al. 2023

Front. Public Health

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BackgroundWith China's rapidly aging population, chronic pain has become a major public health issue. This article aims at determining associations between chronic pain and multiple factors, including demographic characteristics, health status, and health service utilization of middle-aged and older adults in China.MethodsWe selected all the 19,829 respondents who were over 45 years old from the China Health and Aging Tracking Survey 2018 (CHARLS) as our study population. The key information in terms of the body pain, demographic characteristics, health status, behaviors and health services use was extracted and analyzed. Logistic regression model was used to determine the influencing factors of chronic pain.ResultsAnalysis revealed that 60.02% (9,257) of the data from this survey reported physical pain, with pain sites concentrated at the head (40.9%), lower back (62.2%) and knees (47.2%). Pain was positively associated with influencing factors for pain: being a female (OR = 2.10, 95% CI 1.90–2.33, p < 0.001), living in a western region (OR = 1.28, 95% CI 1.16–1.41, p < 0.001), living in a rural area (OR = 1.14, 95% CI 1.06–1.23, p < 0.001), smoked (OR = 1.26, 95% CI 1.14–1.38, p < 0.001), drank alcohol (OR = 1.16, 95% CI 1.06–1.26, p = 0.001), and had poor self-rated health (OR = 6.84, 95% CI 5.41–8.65, p < 0.001), had hearing problems (OR = 1.23, 95% CI 1.11–3.37, p < 0.001), were depressed (OR = 1.56, 95% CI 1.03–1.29, p < 0.001), had arthritis (OR = 2.21, 95% CI 2.02–2.41, p < 0.001), stomach disorders (OR = 1.69, 95% CI 1.55–1.85, p < 0.001), visited a Western medicine hospital (OR = 1.28, 95% CI 1.10–1.50, p = 0.002), and visits to other medical institutions (OR = 1.42, 95%CI 1.22–1.64, p < 0.001). On the other side, as a protective factor for pain, having nighttime sleep ≥7 h (OR = 0.74, 95%CI 0.68–0.80, p < 0.001) was negatively associated with pain.ConclusionPhysical pain affects many older adults. Women, regional, rural residents, smokers, alcohol drinkers, people with poor self-rated health, those having <7 h of sleep at night, those with hearing problems, depression, arthritis, stomach disorders, and people who visits Western hospitals or other medical institutions are at greater risk for pain and deserve the attention of health care providers and policy makers to focus on pain prevention and management in middle-aged and older adults. Future research studies should also focus on the impact of health literacy on pain prevention and management outcomes.

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Section: Discussionsupporting

confidence: 91%

Prevalence and influencing factors of chronic pain in middle-aged and older adults in China: results of a nationally representative survey

Tang

Peng

et al. 2023

Front. Public Health

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“…Chronic pain syndromes, especially chronic low back pain (CLBP) is one of the most prevalent diseases in Western populations [1] and is one of the most common reasons for primary care consultations [2]. CLBP is associated with a high burden of disease with respect to health care costs and patients’ quality of life [3].…”

Section: Introductionmentioning

confidence: 99%

Chronic low back pain patient groups in primary care – A cross sectional cluster analysis

Viniol

Jegan

Hirsch

et al. 2013

BMC Musculoskelet Disord

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BackgroundDue to the heterogeneous nature of chronic low back pain (CLBP), it is necessary to identify patient groups and evaluate treatments within these groups. We aimed to identify groups of patients with CLBP in the primary care setting.MethodsWe performed a k-means cluster analysis on a large data set (n = 634) of primary care patients with CLBP. Variables of sociodemographic data, pain characteristics, psychological status (i.e., depression, anxiety, somatization), and the patient resources of resilience and coping strategies were included.ResultsWe found three clusters that can be characterized as “pensioners with age-associated pain caused by degenerative diseases”, “middle-aged patients with high mental distress and poor coping resources”, and “middle-aged patients who are less pain-affected and better positioned with regard to their mental health”.ConclusionsOur results supported current knowledge concerning groups of CLBP patients in primary care. In particular, we identified a group that was most disabled and distressed, and which was mainly characterized by psychological variables. As shown in our study, pain-related coping strategies and resilience were low in these patients and might be addressed in differentiating treatment strategies. Future studies should focus on the identification of this group in order to achieve effective treatment allocation.Trial registrationGerman Clinical Trial Register DRKS00003123

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“…Results of a German study that determined the prevalence of chronic pain in six different practices (general medicine, surgery, internal medicine, neurology, oncology and orthopaedics) showed that pain is the main reason to seek a doctor for 42.5% of patients. Forty percent of those patients suffer from chronic pain, affecting more women than men …”

Section: Introductionmentioning

confidence: 99%

“…Forty percent of those patients suffer from chronic pain, affecting more women than men. 1 Today, the established therapy of cancer pain as well as chronic non-cancer pain (CNCP) is based on a World Health Organization (WHO) guideline published in 1986, updated in 1996. [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%