Background: In Italy, chronic pain affects more than a quarter of the population, while the average European prevalence is 21%. This might be due to the high percentage of people who do not receive treatment, even after the passing of law 38/2010. Aims: To investigate the clinical characteristics of patients with non-cancer chronic pain. Methods: An observational, multi-center, cross-sectional study was performed and clinical records of adult chronic pain patients attending pain management clinics in the Latium Region, Italy, were retrospectively reviewed. Results. A total of 1606 patients (mean age 56.8 years, sd+11.4), 67% females, were analyzed. Severe pain was present in 54% of the sample. Females experienced it and had pain in 2+ sites more often than males (57% vs 50%; p= 0.02 and 55.2% vs 45.9%; p< 0.001 respectively). Chronic pain was musculoskeletal (45%), mixed (34%), neuropathic (21%). In over 60% of the cases, chronic pain was continuous, in 20% it had lasted for more than 48 months; long-lasting pain was frequently neuropathic. Severe intensity of pain was statistically significantly associated with: female gender (OR 1.39; 95% CI 1.06-1.84), with ICD-9 codes for chronic pain syndrome (OR 2.14; 95% CI 1.55-2.95), with continuous pain (OR 2.02; 95% CI 1.54-2.66). Neuropathic and mixed pain was significantly associated with number of sites and a trend seems 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). Conclusions: Chronic pain is a complex and multidimensional disease which need a holistic and interdisciplinary approach.
Epidemiology of Chronic Pain in the Latium Region, Italy. a Cross-sectional Study on the Clinical Characteristics of Patients Attending Pain Clinics / 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. - In: PAIN MANAGEMENT NURSING. - ISSN 1524-9042. - pii: S1524-9042(17)30588-X:May 15(2019), pp. 1-9. [10.1016/j.pmn.2019.01.005]
Epidemiology of Chronic Pain in the Latium Region, Italy. a Cross-sectional Study on the Clinical Characteristics of Patients Attending Pain Clinics
Latina, R.
;De Marinis, MG.;Sansoni, J.;Camilloni, A.;Mastroianni, C.;Notaro, P.;Arcioni, R.;Laganà, S.;Montone, G.;Siena, G.;Tarsitani, G.;Cattaruzza, M. S.;
2019
Abstract
Background: In Italy, chronic pain affects more than a quarter of the population, while the average European prevalence is 21%. This might be due to the high percentage of people who do not receive treatment, even after the passing of law 38/2010. Aims: To investigate the clinical characteristics of patients with non-cancer chronic pain. Methods: An observational, multi-center, cross-sectional study was performed and clinical records of adult chronic pain patients attending pain management clinics in the Latium Region, Italy, were retrospectively reviewed. Results. A total of 1606 patients (mean age 56.8 years, sd+11.4), 67% females, were analyzed. Severe pain was present in 54% of the sample. Females experienced it and had pain in 2+ sites more often than males (57% vs 50%; p= 0.02 and 55.2% vs 45.9%; p< 0.001 respectively). Chronic pain was musculoskeletal (45%), mixed (34%), neuropathic (21%). In over 60% of the cases, chronic pain was continuous, in 20% it had lasted for more than 48 months; long-lasting pain was frequently neuropathic. Severe intensity of pain was statistically significantly associated with: female gender (OR 1.39; 95% CI 1.06-1.84), with ICD-9 codes for chronic pain syndrome (OR 2.14; 95% CI 1.55-2.95), with continuous pain (OR 2.02; 95% CI 1.54-2.66). Neuropathic and mixed pain was significantly associated with number of sites and a trend seems 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). Conclusions: Chronic pain is a complex and multidimensional disease which need a holistic and interdisciplinary approach.File | Dimensione | Formato | |
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