Pain Prevalence and Chronicity in a Developing Country in Latin America: a Population-Based Survey in Lima, Peru

Leyva, Enrique Orrillo; Falvy-Bockos, Ian; Barba, Carlos L Vela; Aldazabal, Daniel Arbaiza; Vitorino, Carolina Estrada; García-Mostajo, Jorge A; Atauje, Héctor Valderrama; Cama, Luis Felipe Rojas; Soto-Becerra, Percy

doi:10.2217/pmt-2022-0061

Cited by 2 publications

(1 citation statement)

References 53 publications

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“…In Peru, as well as in other parts of the world, the prevalence of depression is higher among patients with chronic pain compared to the general population [6,9,10]. However, the diagnosis of depression is often underestimated because treating physicians typically focus on identifying the physical cause of pain, neglecting timely management of depression, which is part of the problem [11].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru

De la Cerna-Luna,

Fernandez-Guzman,

Machicado-Chipana

et al. 2024

International Journal of Rehabilitation Research

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Despite the well-known impact of depression on patients with chronic pain and its association, few studies have evaluated its related factors in Physical Medicine and Rehabilitation settings. The objective of the present study was to assess the factors associated with depression in adult patients undergoing rehabilitation for chronic pain at Hospital Rebagliati (HNERM) in Peru. A cross-sectional analytical study was conducted between June and August 2023, involving 212 adult patients with chronic pain undergoing rehabilitation at HNERM. Data were collected through a survey, including sociodemographic information, pain characteristics, and depression assessment using the Patient Health Questionnaire-9 (PHQ-9). Statistical analysis included descriptive statistics and generalized linear models to identify factors associated with depression. Among 212 participants, 17.9% had a depression diagnosis based on the PHQ-9 (cutoff score: 10 points). Factors associated with a higher frequency of depression included a time since pain diagnosis of 3–6 months [adjusted prevalence ratios (aPR): 1.15, 95% confidence interval (CI): 1.04–1.27], severe pain (aPR: 1.17, 95% CI: 1.04–1.32), comorbidities (for 1: aPR: 1.21, 95% CI: 1.08–1.35; for 2: aPR: 1.17, 95% CI: 1.06–1.29; for ≥3: aPR: 1.27, 95% CI: 1.10–1.47), use of ≥2 medications for pain management (aPR: 1.27, 95% CI: 1.13–1.42), and receipt of psychological therapy (aPR: 1.26, 95% CI: 1.09–1.46). Nonpharmacological interventions did not show an association with an increased prevalence of depression. These findings underscore the significance of adopting a comprehensive approach to chronic pain management, including the screening, assessment, and treatment of associated depression.

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Section: Introductionmentioning

confidence: 99%

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru

De la Cerna-Luna,

Fernandez-Guzman,

Machicado-Chipana

et al. 2024

International Journal of Rehabilitation Research

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Epidemiology of Non-Oncological High-Impact Chronic Pain in Ecuadorian Adults in 2022

Martineau,

Fornasini,

Suárez

et al. 2023

Pain Manag.

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Background: There are limited data on non-oncological high-impact chronic pain (HICP) in Ecuador; we report the epidemiological characteristics of HICP. Materials & methods: In this cross-sectional study, we included a random sample of adult individuals who had cell phones. Results & conclusion: The weighted prevalence of HICP was 9.0%: 12.3% for women and 5.6% for men (p = 0.001). HICP was more frequently localized in the lower back and affected the economically active population. Nonsteroidal anti-inflammatory drugs were more commonly used; however, 61% of patients indicated that the effectiveness of their management was low. Overall, HICP had a negative impact on daily life activities. The effectiveness of the current treatment was low and should include an integrated approach.

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Pain Prevalence and Chronicity in a Developing Country in Latin America: a Population-Based Survey in Lima, Peru

Cited by 2 publications

References 53 publications

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru

Epidemiology of Non-Oncological High-Impact Chronic Pain in Ecuadorian Adults in 2022

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