Pain descriptors and determinants of pain sensitivity in knee osteoarthritis: a community-based cross-sectional study
| Autor: | Johanna E Vriezekolk, Yvonne A S Peters, Monique A H Steegers, Esmeralda N Blaney Davidson, Cornelia H M van den Ende |
|---|---|
| Přispěvatelé: | Anesthesiology, APH - Health Behaviors & Chronic Diseases, APH - Quality of Care |
| Rok vydání: | 2022 |
| Předmět: |
All institutes and research themes of the Radboud University Medical Center
Rheumatology Inflammatory diseases Radboud Institute for Health Sciences [Radboudumc 5] Inflammatory diseases Radboud Institute for Molecular Life Sciences [Radboudumc 5] Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] |
| Zdroj: | Rheumatology Advances in Practice, 6 Rheumatology Advances in Practice, 6, 1 Rheumatology Advances in Practice, 6(1):rkac016. Oxford University Press Vriezekolk, J E, Peters, Y A S, Steegers, M A H, Blaney Davidson, E N & van den Ende, C H M 2022, ' Pain descriptors and determinants of pain sensitivity in knee osteoarthritis : A community-based cross-sectional study ', Rheumatology Advances in Practice, vol. 6, no. 1, rkac016 . https://doi.org/10.1093/rap/rkac016 |
| ISSN: | 2514-1775 |
| Popis: | Objectives The aim was to explore pain characteristics in individuals with knee OA (KOA), to compare pain sensitivity across individuals with KOA, individuals with chronic back pain (CBP) and pain-free individuals (NP) and to examine the relationship between clinical characteristics and pain sensitivity and between pain characteristics and pain sensitivity in KOA. Methods We carried out a cross-sectional, community-based online survey. Two data sets were combined, consisting of Dutch individuals ≥40 years of age, who were experiencing chronic knee pain (KOA, n = 445), chronic back pain (CBP, n = 504) or no pain (NP, n = 256). Demographic and clinical characteristics, global health, physical activity/exercise and pain characteristics, including intensity, spreading, duration, quality (short-form McGill pain questionnaire) and sensitivity (pain sensitivity questionnaire), were assessed. Differences between (sub)groups were examined using analyses of variance or χ2 tests. Regression analyses were performed to examine determinants of pain sensitivity in the KOA group. Results The quality of pain was most commonly described as aching, tender and tiring–exhausting. Overall, the KOA group had higher levels of pain sensitivity compared with the NP group, but lower levels than the CBP group. Univariately, pain intensity, its variability and spreading, global health, exercise and having co-morbidities were weakly related to pain sensitivity (standardized β: 0.12–0.27). Symptom duration was not related to pain sensitivity. Older age, higher levels of continuous pain, lower levels of global health, and exercise contributed uniquely, albeit modestly, to pain sensitivity (P Conclusion Continuous pain, such as aching and tenderness, in combination with decreased physical activity might be indicative for a subgroup of individuals at risk for pain sensitivity and, ultimately, poor treatment outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|