Survey of Pain in the United States: The Nuprin Pain Report

Sternbach, Richard A.

doi:10.1097/00002508-198602010-00008

Cited by 269 publications

(130 citation statements)

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“…Os resultados de associação entre freqüência de dor e sexo de outras pesquisas epidemiológicas de dor geral são congruentes com os resultados deste estudo, que mostrou maior freqüência de dor entre as mulheres (Tabela 4) (11)(12)(13)(14)(15)(16)(17) . Em dados apresentados no estudo de prevalência de dor geral de Von Korff et al (2) , dor de cabeça, dor abdominal e dor temporomandibular foram mais comuns entre as mulheres do que entre os homens, porém não houve diferença entre os sexos para dor lombar e torácica.…”

Section: Discussionunclassified

Prevalência de dor crônica em adultos

2006

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RESUMOA dor crônica é um problema de saúde pública que acarreta prejuízos pessoais e sociais. Estudos epidemiológicos de dor crônica no Brasil e no resto do mundo são escassos, principalmente em se tratando de dores não específicas e em populações não vinculadas a serviços de saúde. Foram objetivos desse estudo: identificar a prevalência de dor crônica em adultos trabalhadores; analisar a prevalência de dor crônica conforme o sexo; e analisar a prevalência de dor conforme locais do corpo. Esta pesquisa foi realizada com uma amostra de 505 funcionários da Universidade Estadual de Londrina (Paraná, Brasil), considerando-se uma prevalência esperada de 50%, margem de erro de 4% na estimativa e nível de confiança de 95%. Estabeleceram-se como significativos os valores de p<0,05. Os dados foram coletados por entrevista, com entrevistadores previamente treinados para este fim. A prevalência de dor crônica encontrada foi de 61,4%, mais mulheres do que homens relataram dor crônica (p=0,0001). Os locais de dor mais prevalentes foram cabeça (26,7%), região lombar (19,4%) e membros inferiores (13,3%). Descritores: Dor; Taxa de prevalência; Saúde ocupacional. ABSTRACT INTRODUÇÃOA dor é conceituada como uma experiência sensorial e emocional desagradável e descrita em termos de lesões teciduais reais ou potenciais. A dor é sempre subjetiva e cada indivíduo aprende e utiliza este termo a partir de suas experiências (1) . A dor aguda ou crônica, de um modo geral, leva o indivíduo a manifestar sintomas como alterações

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Section: Discussionunclassified

Prevalência de dor crônica em adultos

2006

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Section: Prevalence and Consequences Of Pain In Older Adultsmentioning

confidence: 99%

“…This is surprising because populationbased figures indicate that the prevalence of pain is twofold higher in those over age 60 (250 per thousand), compared with those under age 60 (125 per thousand). [24] [79] [108] Further, prevalence estimates suggest that approximately 60% of community-dwelling older adults and up to 80% of elderly long-term care facility residents experience substantial pain.[24] [79] [108] Because pain is often remediable, [2] [25] it is thought that the high prevalence estimates of unrelieved pain in elderly persons may result from underrecognition, which in turn results in undertreatment. [65] [91] [120] The consequences of untreated pain can profoundly impact the older person's quality of life.…”

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confidence: 99%

Assessment and measurement of pain in older adults

Herr

Garand

2001

Clinics in Geriatric Medicine

348

251

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Although the empirical base is still limited when providing clear directions for pain assessment and management in older adults, it is possible to identify recommendations for guiding practice based on consensus and a developing scientific base to support best practice activities. This article offers a brief overview of the epidemiology and consequences of pain, followed by a summary of issues and approaches relevant to pain assessment in older adults. Cohort specific recommendations for comprehensive pain assessment and measurement are then addressed. Prevalence and Consequences of Pain in Older AdultsOlder individuals frequently suffer from both acute and chronic painful diseases, have multiple diseases, and take numerous pain medications, [2] although relatively little investigative or clinical attention has been paid to the assessment of pain in the geriatric population, compared with the general population. This is surprising because populationbased figures indicate that the prevalence of pain is twofold higher in those over age 60 (250 per thousand), compared with those under age 60 (125 per thousand). [24] [79] [108] Further, prevalence estimates suggest that approximately 60% of community-dwelling older adults and up to 80% of elderly long-term care facility residents experience substantial pain.[24] [79] [108] Because pain is often remediable, [2] [25] it is thought that the high prevalence estimates of unrelieved pain in elderly persons may result from underrecognition, which in turn results in undertreatment. [65] [91] [120] The consequences of untreated pain can profoundly impact the older person's quality of life. In addition to physiologic risks associated with untreated pain (e.g., cough suppression with subsequent retention of pulmonary secretions), depression, [58] [39] [90] Therefore, it is imperative that health care professionals' knowledge and skills related to pain assessment in older adults be improved, and aggressive approaches to comprehensive pain assessment be adopted, to ensure and improve the quality of life of our senior citizens. Approaches to Pain Assessment with Older Adults Clinical AssessmentIn the clinical setting, accurate assessment of pain is critical for the identification of appropriate interventions and for evaluating the effectiveness of such interventions. Patients should be assessed regularly for the presence of pain and for improvement, deterioration, or complications attributable to pain treatment.[2] The frequency of the follow-up should be a function of the severity of the pain and the potential for adverse effects of treatment. Documentation of pain assessment formalizes the pain assessment process and is essential in the provision of individualized care from both a legal and professional perspective. [17] Inherent in the assessment of pain among older adults is the understanding of its potentially remediable components. For example, if a patient has acute pain, assessment should focus on the underlying pathology responsible for the pain stimulus. If th...

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“…The detrimental consequences of chronic pain in terms of impairment and disability have a large socioeconomic impact due to the high health care costs, loss of wages and productivity, and costs of disability benefits and compensation (Bowsher et al, 1991;Feuerstein et al, 1987;Latham & Davis, 1994;Sternbach, 1986;Turk, 1996;Turk, Meichenbaum, & Genest, 1983;van Tulder, Koes, & Bouter, 1995). This can be illustrated for the Netherlands by the following: In 1991, the total costs of back complaints were estimated at well over 9 billion guilders, which corresponds with 1.7% of the gross national product (van Tulder et al, 1995;van Tulder, van Breukelen, Koes, & Bouter, 1997).…”

mentioning

confidence: 99%

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Severeijns¹,

Hout²,

Picavet³

2004

Health Psychology

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Cross-sectional associations were examined between pain catastrophizing and several health indices in 1,164 people with musculoskeletal pain from a Dutch community sample. Health indices included in the present study were specialist consultation, use of medication, and absenteeism or work disability. The results demonstrate that for people with a current episode of musculoskeletal pain, pain catastrophizing, pain intensity, and the presence of multiple pain locations were significantly associated with specialist consultation, use of pain medication, and absenteeism or work disability. The authors conclude that the role of pain itself has perhaps been underestimated in recent models of chronic pain-related disability. Some clinical implications and suggestions for further research are given.

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Survey of Pain in the United States: The Nuprin Pain Report

Cited by 269 publications

References 0 publications

Prevalência de dor crônica em adultos

Prevalência de dor crônica em adultos

Assessment and measurement of pain in older adults

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

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