Evaluating a primary prevention program multicultural population: The importance representations of back pain

Cedraschi, Christine; Perrin, Éliane; Fischer, W.

doi:10.1002/art.1790100206

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…This series of clinical cases is the very rst study which reports the frequency of bromyalgia in the Congolese environment, its clinical characteristics and impact on rheumatic patients. Particular attention should be paid to it because bromyalgia remains an under-diagnosed pathology in daily practice [31][32][33]. The present study showed a signi cant frequency of the disease using a current diagnostic tool with high sensitivity and speci city.…”

Section: Discussionmentioning

confidence: 57%

Epidemiological and Clinical Profile of Fibromyalgia at the Kinshasa University Hospital : a Series of Clinical Cases

Mavinga

Mbuyi

Matanda

et al. 2022

Preprint

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BACKGROUND. Fibromyalgia is a controversial and often underreported clinical entity in routine medical practice. The present study aimed to describe its epidemiological and clinical profile in patients attending the Kinshasa University Hospital. METHODS. This is a series of clinical cases carried out in patients attending rheumatology practice at the Kinshasa University Hospital from December 2020 to March 2022. The following informations including age, sex, painful symptomatology, psychosomatic signs, the circumstances of the disease onset, factors that emphasize or reduce symptoms, the number of previous medical visits and, the impact on socio-professional life were collected. The diagnosis of fibromyalgia was defined according to the ACR 2010 criteria. Fibromyalgia was considered severe when it was associated with disability. Standard statistical tests were used to analyze the results. RESULTS. 585 patients were followed during the study period. The diagnosis of fibromyalgia was retained in 63 of them, corresponding to a frequency of 10.8%. The sex ratio was 2 in favor of women and the mean age was 50.9±12.4 years. The mean diagnostic score was 17.6±3.6. Painful manifestations were dominated by arm involvement (84.1%). Fatigue was the most common psychosomatic manifestation (93.7%). Anxiety (41.3%) dominated the basic psychic state of patients and the average of previous medical visits number was 5.2±1.6. Fibromyalgia was often triggered by emotional stress (44.4%). Quiet rest (42.9%) was the main calming factor. 60.3% of patients developped the severe form of the disease. CONCLUSION. Fibromyalgia is among common disease for which patients visit the rheumatology unit. So, it is required a special consideration from health care workers particularly rheumatologists for an early diagnosis.

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Section: Discussionmentioning

confidence: 57%

Epidemiological and Clinical Profile of Fibromyalgia at the Kinshasa University Hospital : a Series of Clinical Cases

Mavinga

Mbuyi

Matanda

et al. 2022

Preprint

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“…Carey et al 13 and Cedraschi et al 25 researched cultural influences on the outcomes of LBP. The first research group examined differences in pain levels, disability, work status, and diagnostic and therapeutic interventions as well as satisfaction between black and white patient groups over a follow-up period of 22 months while being under the care of a general practitioner, chiropractor, or orthopedic surgeon.…”

Section: Discussionmentioning

confidence: 99%

“… 13 Interestingly the black patient group started with a higher pain and disability level and had a less intensive diagnostic and therapeutic approach but a similar recurrence rate and the same “time off work” as the white patient group. Cedraschi et al 25 reported a better outcome for a back-school program if patients and providers’ cultural backgrounds were equal or nearly equal and if prior representations of back pain were taken into account.…”

Section: Discussionmentioning

confidence: 99%

“…In relation to LBP, different characteristics have been taken as a proxy for racial and cultural influence: language, skin color, nationality, immigration, and indigenous background. 9 , 13 , 14 , 15 , 19 , 20 , 21 , 22 , 23 , 24 , 25 However, further social factors influencing LBP, including workplace, access to care, and formal education status, can operate as confounding factors while exploring cultural differences. 26 , 27 To avoid these possible influences it is necessary to perform studies in a society where persons with different cultural backgrounds have an equal social security system and similar educational levels/opportunities and workplace distribution.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Chiropractic Treatment Outcomes Depending on the Language Region in Switzerland: A Prospective Outcomes Study

Guillén

Peterson

Humphreys

2017

Journal of Chiropractic Humanities

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ObjectivesSwitzerland has optimal conditions for research of language-based cultural influences on low back pain (LBP). The aim of this study was to compare LBP treatment outcomes after chiropractic care between patients from the German- and French-speaking regions of Switzerland.MethodsBaseline Numeric Rating Scale for pain (NRS), demographic, and Oswestry Disability Index (ODI) data were collected from patients presenting to 51 Swiss-German and 12 Swiss-French chiropractors. Prospective outcome data included the proportion reporting clinically relevant improvement on the Patient Global Impression of Change scale and the NRS change scores collected at 1 week; 1, 3, and 6 months; and 1 year. ODI change scores were collected until 3 months. The proportion improved between the 2 groups was compared using the χ2 test. NRS and ODI change scores were compared using the unpaired t test.ResultsAt baseline, only patient age comparing 853 Swiss-German and 215 Swiss-French patients revealed a significant difference. The Patient Global Impression of Change, NRS, and ODI had no significant differences between both patient groups up to 6 months. Between 6 months and 1 year the proportion reporting improvement continued to increase to 83.5% for German-speaking Swiss but reduced to 73.1% for French-speaking Swiss (P = .01). The NRS change scores were also higher for German speaking Swiss at 1 year compared with Swiss-French citizens (P = .01).ConclusionTreatment outcome data for LBP are comparable in the German and French parts of Switzerland until the 1-year time point, when people located in the French-speaking regions are more likely to have an increase in pain levels.

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Don't shoot, it's not the right messenger

Peloso

1997

Arthritis & Rheumatism

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Evaluating a primary prevention program multicultural population: The importance representations of back pain

Cited by 10 publications

References 18 publications

Epidemiological and Clinical Profile of Fibromyalgia at the Kinshasa University Hospital : a Series of Clinical Cases

Epidemiological and Clinical Profile of Fibromyalgia at the Kinshasa University Hospital : a Series of Clinical Cases

Comparison of Chiropractic Treatment Outcomes Depending on the Language Region in Switzerland: A Prospective Outcomes Study

Don't shoot, it's not the right messenger

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