Chronic pain is associated with increased health care use among community-dwelling older adults in Brazil: the Pain in the Elderly (PAINEL) Study.

Autor:	Torres JL; Faculty of Medicine, Department of Preventive Medicine, Universidade Federal do Rio de Janeiro-UFRJ, Rio de Janeiro, Brazil., da Silva SLA; Nursing School, Department of Physical Therapy, Universidade Federal de Alfenas-UNIFAL/MG, Alfenas, Brazil., Ferreira FR; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Physical Therapy, Universidade Federal de Minas Gerais-UFMG, Belo Horizonte, Brazil., Mendes LPS; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Physical Therapy, Universidade Federal de Minas Gerais-UFMG, Belo Horizonte, Brazil., Machado LA; Faculty of Medicine, Department of Preventive and Social Medicine, Universidade Federal de Minas Gerais-UFMG, Belo Horizonte, Brazil.
Jazyk:	angličtina
Zdroj:	Family practice [Fam Pract] 2019 Oct 08; Vol. 36 (5), pp. 594-599.
DOI:	10.1093/fampra/cmy123
Abstrakt:	Background: Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. Objective: To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. Methods: This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews. Health care use was measured by the number of doctor visits, hospitalization events and high health care use (highest quartile of the distribution for number of doctor visits) in the last 12 months. Associations were tested in regression analyses adjusted for predisposing, enabling and illness-level components from the Andersen Model. Results: The 383 participants were predominantly female (71.0%), mean age was 75.6 (6.1 SD). The prevalence of chronic pain was 30.0%. Chronic pain was associated with number of doctor visits [unstandardized B coefficient 1.48; 95% confidence interval (CI) = 0.35-2.62] and high health care use [odds ratios (OR) = 2.27; 95% CI = 1.39-3.72]. Pain intensity was associated with high health care use in univariate (OR = 1.13; 95% CI = 1.06-1.20) but not multivariate analysis (OR = 1.12; 95% CI = 0.94-1.33). Pain-related disability was not associated with any outcome. Conclusion: Chronic pain increased health care use among Brazilian older adults. Improving the quality of primary care management of individuals at greater risk of chronic pain should be a cornerstone of health policies directed towards reducing the personal and societal burden of ageing. (© The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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