REVISTA

Como si un problema de dolor no fuera suficiente: prevalencia y patrones de afecciones de dolor crónico coexistentes y su impacto en los resultados de

Descripción: La comorbilidad entre el dolor crónico (PC) y otras afecciones, como afecciones psiquiátricas, ha sido bien documentada. La presencia de condiciones comórbidas es importante, ya que se ha demostrado que aumenta la utilización de la atención médica y los costos de atención médica, y disminuye la calidad de vida relacionada con la salud.

TITULO FUENTE ORIGINAL:

As if one pain problem was not enough: prevalence and patterns of coexisting chronic pain conditions and their impact on treatment outcomes

AUTORES:

Pagé MG, Fortier M, Ware MA, Choinière M

REVISTA ABREV.:

J Pain Res

AÑO:

2018

REFERENCIA:

11:237-254

DOI:

10.2147/JPR.S149262

RESUMEN ORIGINAL:

INTRODUCTION:
The presence of multiple coexisting chronic pain (CP) conditions (eg, low-back pain and migraines) within patients has received little attention in literature. The goals of this observational longitudinal study were to determine the prevalence of coexisting CP conditions, identify the most frequent ones and patterns of coexistence, investigate the relationships among...
+ Leer más

INTRODUCTION:
The presence of multiple coexisting chronic pain (CP) conditions (eg, low-back pain and migraines) within patients has received little attention in literature. The goals of this observational longitudinal study were to determine the prevalence of coexisting CP conditions, identify the most frequent ones and patterns of coexistence, investigate the relationships among patients' biopsychosocial characteristics and number of CP conditions, and determine the impact of coexisting CP conditions on treatment response.

PATIENTS AND METHODS:
A total of 3,966 patients attending multidisciplinary pain-treatment centers who were enrolled in the Quebec Pain Registry were included. Patients completed self-report and nurse-administered questionnaires before their first visit and 6 months later. Results were analyzed using descriptive statistics, factor and cluster analyses, negative binomials with log-link generalized linear models, and linear mixed-effect models.

RESULTS:
A third of patients reported coexisting CP conditions. No specific patterns of comorbidities emerged. The presence of coexisting CP conditions was associated with longer pain duration, older age, being female, and poorer quality of life. The presence of more than one CP condition did not have a clinically significant impact on treatment responses.

DISCUSSION:
The novelty of the study results relate to the heterogeneity that was found in the patterns of coexistence of CP conditions and the fact that having multiple CP conditions did not clinically impact treatment response. These results highlight the need for future research that examines causes of coexistence among CP conditions across the spectrum of CP, as opposed to focusing on specific conditions, and to examine whether multiple CP conditions impact on additional domains, such as treatment satisfaction. These results highlight the importance of studying the pathophysiological mechanisms underlying the development of coexisting CP conditions, in order eventually to prevent/minimize their occurrence and/or develop optimal treatment and management approaches

- Leer menos

ENLACES DE INTERÉS

Enlace al pdf de acceso libre: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC[...]