Self-Reported Pain Alleviating Methods in Patients with Hidradenitis Suppurativa.
Métodos referidos por los pacientes para aliviar el dolor asociado a la hidradenitis supurativa.
Adult
Cross-Sectional Studies
Drainage
Female
Furunculosis
/ physiopathology
Hidradenitis Suppurativa
/ physiopathology
Hot Temperature
/ therapeutic use
Humans
Male
Middle Aged
Obesity
/ complications
Pain
/ etiology
Pain Management
/ methods
Quality of Life
Self Care
/ methods
Self-Injurious Behavior
Severity of Illness Index
Suppuration
/ physiopathology
Surveys and Questionnaires
Visual Analog Scale
Hidradenitis suppurativa
Hidradenitis supurativa
Journal
Actas dermo-sifiliograficas
ISSN: 2173-5778
Titre abrégé: Actas Dermosifiliogr (Engl Ed)
Pays: Spain
ID NLM: 101777537
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
04
10
2019
revised:
17
08
2020
accepted:
22
08
2020
pubmed:
25
11
2020
medline:
20
2
2021
entrez:
24
11
2020
Statut:
ppublish
Résumé
Pain is a common, important symptom negatively affecting the well-being and quality of life of patients with hidradenitis suppurativa (HS). The aim of this study was to examine self-reported pain alleviating methods among outpatients attending a tertiary referral center. Consecutive patients with HS were invited to complete a questionnaire regarding their self-reported pain alleviating methods for HS associated pain. Additionally, the patients filled out the Dermatology Life Quality Index questionnaire and a visual analog scale for overall distress related to HS and for boil-associated pain in the past month. Information on disease severity and onset was obtained by interview and clinical examination. A total of 134 patients with a mean age of 38.3 years (SD 12.8) participated; 32% (n=43) had Hurley stage i, 52% (n=70) had Hurley stage ii, and 16% (n=21) had Hurley stage iii. Overall, to achieve pain relief, 82% (n=110) of the patients had previously drained pus from the lesions by manual pressure. Compared to patients who did not alleviate pain, patients who attempted to alleviate pain had a higher mean overall disease related distress score (7.43 [SD 2.81] vs. 5.47 [SD 3.37], P<.003), and a higher boil-associated pain score in the past month (6.56 [SD 3.07] vs. 4.39 [SD 3.88], P=.007). This study demonstrates that a large proportion of HS patients attempt to alleviate pain through various alternative and homespun methods. These results may reflect a major role of pain in HS and its potential insufficient management by dermatologists.
Sections du résumé
BACKGROUND
BACKGROUND
Pain is a common, important symptom negatively affecting the well-being and quality of life of patients with hidradenitis suppurativa (HS). The aim of this study was to examine self-reported pain alleviating methods among outpatients attending a tertiary referral center.
METHODS
METHODS
Consecutive patients with HS were invited to complete a questionnaire regarding their self-reported pain alleviating methods for HS associated pain. Additionally, the patients filled out the Dermatology Life Quality Index questionnaire and a visual analog scale for overall distress related to HS and for boil-associated pain in the past month. Information on disease severity and onset was obtained by interview and clinical examination.
RESULTS
RESULTS
A total of 134 patients with a mean age of 38.3 years (SD 12.8) participated; 32% (n=43) had Hurley stage i, 52% (n=70) had Hurley stage ii, and 16% (n=21) had Hurley stage iii. Overall, to achieve pain relief, 82% (n=110) of the patients had previously drained pus from the lesions by manual pressure. Compared to patients who did not alleviate pain, patients who attempted to alleviate pain had a higher mean overall disease related distress score (7.43 [SD 2.81] vs. 5.47 [SD 3.37], P<.003), and a higher boil-associated pain score in the past month (6.56 [SD 3.07] vs. 4.39 [SD 3.88], P=.007).
CONCLUSION
CONCLUSIONS
This study demonstrates that a large proportion of HS patients attempt to alleviate pain through various alternative and homespun methods. These results may reflect a major role of pain in HS and its potential insufficient management by dermatologists.
Identifiants
pubmed: 33232705
pii: S0001-7310(20)30478-6
doi: 10.1016/j.ad.2020.08.011
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
153-158Informations de copyright
Copyright © 2020 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.