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Characteristics of subjects with chronic pain, in relation to local and widespread pain report: a prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population
Department of Community Health Medicine, Lund University, Sweden.ORCID iD: 0000-0001-9283-5096
Kristianstad College for Health Professions.
Department of Medicine, Central Hospital, Kristianstad.
Simrishamn Health Care Centre.
1996 (English)In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 25, no 3, p. 146-154Article in journal (Refereed) Published
Abstract [en]

The relation between reported chronic pain and clinical findings was studied by comparing survey data six months before and eighteen months after a clinical examination. Studied individuals (n = 165) were randomly selected from subsamples of an initial survey (n = 1806) to a general population. Among individuals reporting chronic pain 85% were assessed to have chronic pain at the examination. Diagnoses were found in 22% of examined pain individuals. Myofascial pain syndrome and myalgia were the most common findings. Compared with located neck-shoulder pain, widespread pain had a greater impact on the individual, a worse prognosis regarding pain duration and working capacity, and revealed a raised serum urate level of unclear significance. Although no specific cause of pain is found in individuals with widespread pain it is important to identify and treat this group due to the great effects on functional capacity and the worse prognosis.

Place, publisher, year, edition, pages
1996. Vol. 25, no 3, p. 146-154
Keywords [en]
chronic pain, uric acid, prognosis, widespread pain
National Category
Public Health, Global Health, Social Medicine and Epidemiology Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-956DOI: 10.3109/03009749609080005ISI: A1996UP87600006PubMedID: 8668957OAI: oai:DiVA.org:hkr-956DiVA, id: diva2:224808
Available from: 2009-06-22 Created: 2009-06-22 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Chronic pain: epidemiological studies in a general population
Open this publication in new window or tab >>Chronic pain: epidemiological studies in a general population
1998 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim was to study the epidemiology of chronic pain (> 3 months duration) and factors associated to pain prevalence, prognosis, health care and medication in a general population. A cross-sectional mailed survey to a random population sample (n = 1806) was followed by a clinical examination and a prospective study of three selected groups. Pain related diagnoses from primary health care was monitored and compared with pain prevalence. The most important findings were: - a high total prevalence of chronic pain, 55.2%, without gender difference but varying by age and socioeconomic level. About one fourth (12.8%) reported high pain intensity and functional impairments. Women experienced pain at more locations and with higher intensity. - in a multivariate analysis increasing age, female gender, low education, high work strain, depression and insomnia were associated with chronic pain. - widespread pain showed a worse 2- year prognosis compared with neck shoulder pain. - musculoskeletal location of pain dominated, myalgia and myofascial pain being the most common symptom descriptions. - co-morbidity with chronic pain was common. More hypertensives and an increased level of serum uric acid associated to widepread pain indicated possible metabolic connections to pain. - smoking (current and previous) was associated with low-back and widespread pain. - chronic pain had a substantial influence of primary health care-seeking and medication; high pain intensity being the most important predictor of care and medication. - pain related diagnoses in primary health care increased between 1987 and 1996. Chronic pain, mainly with musculoskeletal location, is a community health problem. A multi-factorial approach in prevention and treatment on the basis of present knowledge is necessary.

Place, publisher, year, edition, pages
Lund: Univ., 1998. p. 142
Keywords
chronic pain, epidemiology, health care
National Category
Public Health, Global Health, Social Medicine and Epidemiology Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-968 (URN)91-628-2935-1 (ISBN)
Public defence
1998-04-29, Segerfalksalen, Wallenberg Neuro Centre, Lunds Universitet, Lund, 09:00 (Swedish)
Opponent
Supervisors
Note

ISRN LUMEDW/MECH-1025-SE

Available from: 2009-06-24 Created: 2009-06-23 Last updated: 2014-01-15Bibliographically approved

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Andersson, H. IngemarEjlertsson, Göran

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