Epidemiology of Chronic Pain in the Latium Region, Italy. a Cross-sectional Study on the Clinical Characteristics of Patients Attending Pain Clinics
| Autor: | Latina, R., De Marinis, Mg., Giordano, F., Osbon, J:f, Giannarelli, D., Di Biagio, E., Varrassi, G., Sansoni, J., Bertini, L., Baglio, G., D’Angelo, D., Baldeschi, G. C., Piredda, M., Carassiti, M., Camilloni, A., Paladini, A., Casale, G., Mastroianni, C., Notaro, P., Adducci, E., Arcioni, R., Bibisglia, C., Bosco, M., Capogrossi, M., De Meo, M. A., D’Este, G., D’Orazio, L., Fabroni, S., Cagliardi, A., Laganà, S., Mattozzi, I., La Placa, E., Montone, G., Natalini, L., Orsetti, R., Proietti, R., Rabuffi, G., Reale, C., Rinaldi, R., Siena, G., Stefani, M., Quadrino, L., Diamanti, P., Coaccioli, S., Tarsitani, G., Cattaruzza, M. S., Prg, Pain Researchers Group into Latium Region |
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| Přispěvatelé: | Latina, R., De Marinis, MG., Giordano, F., Osbon, J:F, Giannarelli, D., Di Biagio, E., Varrassi, G., Sansoni, J., Bertini, L., Baglio, G., D’Angelo, D., Baldeschi, G. C., Piredda, M., Carassiti, M., Camilloni, A., Paladini, A., Casale, G., Mastroianni, C., Notaro, Diamanti, P., Pain Researchers Group into Latium Region Coaccioli, S., Tarsitani, G., Cattaruzza, M. S., PRG |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Cross-sectional study IMPACT Epidemiology chronic pain pain clinics chronic non-malignant pain 0302 clinical medicine nursing Risk Factors Epidemiology Prevalence 030212 general & internal medicine education.field_of_study High prevalence 030504 nursing Chronic pain Middle Aged Settore MED/45 - Scienze Infermieristiche Generali Cliniche E Pediatriche ARE Italy gender differences Female epidemiology HEALTH 0305 other medical science BURDEN PRESENTEEISM chronic pain pain management Adult medicine.medical_specialty Population 03 medical and health sciences PREVALENCE IMPACT BURDEN ARE DISABILITY MANAGEMENT HEALTH PRESENTEEISM SEVERITY ADULTS Internal medicine medicine MANAGEMENT Humans education Aged Advanced and Specialized Nursing business.industry DISABILITY ADULTS Pain management medicine.disease Pain Clinics SEVERITY Cross-Sectional Studies Observational study business |
| Popis: | In Italy, chronic pain affects more than a quarter of the population, whereas the average European prevalence is 21%. This high prevalence might be due to the high percentage of Italian people who do not receive treatment, even after the passing of law 38/2010 (the right to access pain management in Italy), which created a regional network for the diagnosis and treatment of noncancer chronic pain. Italian epidemiologic studies on chronic pain are scanty, and this observational, multicenter, cross-sectional study is the first to investigate the clinical characteristics of patients who attended the pain management clinics in the Latium Region, Italy, for the management of their noncancer chronic pain. A total of 1,606 patients (mean age 56.8 years, standard deviation ± 11.4), 67% women, were analyzed. Severe pain was present in 54% of the sample. Women experienced pain and had it in two or more sites more often than men (57% vs. 50%, p = .02; and 55.2% vs. 45.9%, p .001, respectively). Chronic pain was musculoskeletal (45%), mixed (34%), and neuropathic (21%). In more than 60% of the cases, chronic pain was continuous, and in 20% it had lasted for more than 48 months; long-lasting pain was often neuropathic. Low back (33.4%) and lower limbs (28.2%) were the main locations. Severe intensity of pain was statistically significantly associated with female gender (odds ratio [OR] 1.39; 95% confidence interval [CI] 1.06-1.84); with International Classification of Diseases, Ninth Revision, codes for chronic pain syndrome (OR 2.14; 95% CI 1.55-2.95); and with continuous pain (OR 2.02; 95% CI 1.54-2.66). Neuropathic pain and mixed pain were significantly associated with number of sites, and a trend seemed to be present (OR 2.11 and 3.02 for 2 and 3 + sites; 95% CI 1.59-2.79 and 2.00-4.55, respectively). |
| Databáze: | OpenAIRE |
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