A Clinical Description of Chronic Pain in a General Population Using ICD-10 and ICD-11 (The HUNT Pain Examination Study)
| Autor: | Astrid Woodhouse, Ola Dale, Tormod Landmark, Stein Kaasa, Petter C. Borchgrevink, Mari Glette, Tore C. Stiles, Sabina Thünte, Kaare H. Bønaa, Pål Richard Romundstad, Dagfinn Thorsvik, Stephen Butler |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Population Physical examination Young Adult International Classification of Diseases Musculoskeletal Pain Prevalence Humans Medicine education Aged Aged 80 and over Neck pain education.field_of_study Rehabilitation medicine.diagnostic_test Norway business.industry Public health Chronic pain ICD-10 Middle Aged medicine.disease Anesthesiology and Pain Medicine Neurology Physical therapy Female Neurology (clinical) Chronic Pain medicine.symptom business Psychopathology |
| Zdroj: | The Journal of Pain. 23:337-348 |
| ISSN: | 1526-5900 |
| DOI: | 10.1016/j.jpain.2021.08.007 |
| Popis: | The purpose was to present a total description, distribution, and ranking of chronic pain conditions in the general population. This was based on structured clinical examinations of a random sample from a population-based survey (HUNT3) with a calculated oversampling of participants with chronic pain. Supplemented with access to hospital reports, the examination was performed by experienced physicians and psychologists using a consistent definition of chronic pain as well as ICD-10- and the new ICD-11-classification. The main findings were that a higher proportion of the 551 participants had chronic pain assessed by clinical examination (399) than by self-report in a survey the same day (337). Among those with examination-verified chronic pain estimated from HUNT3 to represent 27.9% of the general population, 63% had chronic primary pain, 81% musculoskeletal pain, and 77% more than one chronic pain condition. When separating chronic primary from chronic secondary pain according to ICD-11, the weighted prevalence was 17.7% for chronic pain conditions of unknown and 10.2% of known cause. When all the participants’ conditions were accounted for, the most prevalent were nonspecific low back (10.8%) and neck pain (7.6%). Participants with chronic primary pain did not have significantly more psychopathology than those with chronic secondary pain: 14.5% vs. 12.5%. Perspective: Since this study confirms the high prevalence in self-report surveys and indicates that two thirds of chronic pain conditions cannot be explained by underlying diseases, this huge health and societal problem should be solved primarily on a public health level directed towards prevention and rehabilitation. |
| Databáze: | OpenAIRE |
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