Prevalence and epidemiological characteristics of chronic pain in the Spanish population. Results from the pain barometer.
Journal
European journal of pain (London, England)
ISSN: 1532-2149
Titre abrégé: Eur J Pain
Pays: England
ID NLM: 9801774
Informations de publication
Date de publication:
24 Jul 2024
24 Jul 2024
Historique:
revised:
09
07
2024
received:
31
03
2024
accepted:
10
07
2024
medline:
24
7
2024
pubmed:
24
7
2024
entrez:
24
7
2024
Statut:
aheadofprint
Résumé
Chronic pain (CP) is a public health problem worldwide. To update the prevalence of CP and compare the clinical and social characteristics of people with CP with those with non-chronic continuous pain and a group without pain. An observational cross-sectional study was carried out in a representative sample of 7058 adults from the Spanish population. Sociodemographic data, the presence of CP and non-chronic continuous pain, characteristics of pain, limitations on activities of daily living (ADL), the presence and level of anxiety and depression (HADS), quality of life (SF-12v2) and social support (DUKE) were collected. Descriptive and bivariate analyses were performed. The prevalence of CP was 25.9% (95% CI;24.8-26.9) and that of non-chronic continuous pain was 7.7% (95% CI;7.1-8.3). Women presented a higher prevalence of both CP (30.5% vs. 21.3%) and non-chronic continuous pain (8.8% vs. 6.6%). CP was more common in the group between 55 and 75 years old (30.6%, 95% CI = 28.6-32.6%), non-chronic continuous pain affected most the population between 18 and 34 years old (11.2%, 95% CI = 9.6-12.7%). The median duration of CP was 4 years. The lumbar was the most frequent pain site (58.1%), and 27.1% did not know the cause. A greater frequency of limitations on ADL, more anxiety and depression, and worse quality of life were shown among the subjects with CP. CP affects one in four Spanish people and impairs the mental, physical and social health. Differences exist by sex and age in its frequency. Identifying subjects with non-chronic continuous pain is fundamental to prevent their pain from becoming chronic. Indicating the main aspects where this work adds significantly to existing knowledge in the field, and if appropriate to clinical practice. Due to its high prevalence and impact on quality of life, chronic pain has become one of the main health problems nowadays. Attention must be paid to it both from a clinical and social perspective, trying to raise awareness among the population of its possible causes and consequences. In routine clinical practice, greater consideration is given to groups of people with a higher prevalence of chronic pain, such as women and people with middle age, and with no chronic pain to prevent the appearance of chronic pain.
Sections du résumé
BACKGROUND
BACKGROUND
Chronic pain (CP) is a public health problem worldwide.
AIM
OBJECTIVE
To update the prevalence of CP and compare the clinical and social characteristics of people with CP with those with non-chronic continuous pain and a group without pain.
METHODS
METHODS
An observational cross-sectional study was carried out in a representative sample of 7058 adults from the Spanish population. Sociodemographic data, the presence of CP and non-chronic continuous pain, characteristics of pain, limitations on activities of daily living (ADL), the presence and level of anxiety and depression (HADS), quality of life (SF-12v2) and social support (DUKE) were collected. Descriptive and bivariate analyses were performed.
RESULTS
RESULTS
The prevalence of CP was 25.9% (95% CI;24.8-26.9) and that of non-chronic continuous pain was 7.7% (95% CI;7.1-8.3). Women presented a higher prevalence of both CP (30.5% vs. 21.3%) and non-chronic continuous pain (8.8% vs. 6.6%). CP was more common in the group between 55 and 75 years old (30.6%, 95% CI = 28.6-32.6%), non-chronic continuous pain affected most the population between 18 and 34 years old (11.2%, 95% CI = 9.6-12.7%). The median duration of CP was 4 years. The lumbar was the most frequent pain site (58.1%), and 27.1% did not know the cause. A greater frequency of limitations on ADL, more anxiety and depression, and worse quality of life were shown among the subjects with CP.
CONCLUSION
CONCLUSIONS
CP affects one in four Spanish people and impairs the mental, physical and social health. Differences exist by sex and age in its frequency. Identifying subjects with non-chronic continuous pain is fundamental to prevent their pain from becoming chronic.
SIGNIFICANCE STATEMENT
CONCLUSIONS
Indicating the main aspects where this work adds significantly to existing knowledge in the field, and if appropriate to clinical practice. Due to its high prevalence and impact on quality of life, chronic pain has become one of the main health problems nowadays. Attention must be paid to it both from a clinical and social perspective, trying to raise awareness among the population of its possible causes and consequences. In routine clinical practice, greater consideration is given to groups of people with a higher prevalence of chronic pain, such as women and people with middle age, and with no chronic pain to prevent the appearance of chronic pain.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation ‐ EFIC ®.
Références
Asociación Internancioal para el Estudio del Dolor. (2020). IASP Announces Revised Definition of Pain Title.
Bellón, J. A., Delgado, A., De Dios Luna, J., & Lardelli, P. (1996). Validez y fiabilidad del cuestionario de apoyo social funcional Duke‐UNC‐11. Atencion Primaria, 18, 153–163.
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain, 10, 287–333.
Clara Vélez, M., Palacio, C., Isabel Moreno, A., & Krikorian, A. (2013). Psychological and family‐related facts of suffering in patients with chronic diseases. Techniques in Regional Anesthesia and Pain Management, 17(1), 7–10.
Cohen, S., Vase, L., & Lancet, W. H.‐T. (2021). Chronic pain: An update on burden, best practices, and new advances. Lancet, 397, 2082–2097.
de Sola, H., Salazar, A., Dueñas, M., Ojeda, B., & Failde, I. (2016). Nationwide cross‐sectional study of the impact of chronic pain on an individual's employment: Relationship with the family and the social support. BMJ Open, 6, e012246.
Denham‐Jones, L., Gaskell, L., Spence, N., & Pigott, T. (2022). A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskeletal Care, 20, 47–73.
Dolor.com. (2020). Nueva definición del dolor según la IASP.
Dueñas, M., Ojeda, B., Salazar, A., Fernández‐Palacín, F., Micó, J. A., Torres, L. M., & Failde, I. (2016). Use and satisfaction with the healthcare system of the chronic pain patients in Spain: Results from a nationwide study. Current Medical Research and Opinion, 32(11), 1813–1820. https://doi.org/10.1080/03007995.2016.1211519
Dueñas, M., Ojeda, B., Salazar, A., Mico, J. A., & Failde, I. (2016). A review of chronic pain impact on patients, their social environment and the health care system. Journal of Pain Research, 9, 457–467.
Dueñas, M., Salazar, A., Ojeda, B., Fernández‐Palacín, F., Micó, J. A., Torres, L. M., & Failde, I. (2015). A Nationwide study of chronic pain prevalence in the general Spanish population: Identifying clinical subgroups through cluster analysis. Pain Medicine, 16(4):811‐22. https://doi.org/10.1111/pme.12640
Dureja, G. P., Jain, P. N., Shetty, N., Mandal, S. P., Prabhoo, R., Joshi, M., Goswami, S., Natarajan, K. B., Iyer, R., Tanna, D. D., Ghosh, P., Saxena, A., Kadhe, G., & Phansalkar, A. A. (2014). Prevalence of chronic pain, impact on daily life, and treatment practices in India. Pain Practice, 14, E51–E62.
Fayaz, A., Croft, P., Langford, R. M., Donaldson, L. J., & Jones, G. T. (2016). Prevalence of chronic pain in the UK: A systematic review and meta‐analysis of population studies. BMJ Open, 6, e010364.
Gobina, I., Villberg, J., Välimaa, R., Tynjälä, J., Whitehead, R., Cosma, A., Brooks, F., Cavallo, F., Ng, K., de Matos, M. G., & Villerusa, A. (2019). Prevalence of self‐reported chronic pain among adolescents: Evidence from 42 countries and regions. European Journal of Pain, 23(2), 316–326.
Harifi, G., Amine, M., Ait Ouazar, M., Boujemaoui, A., Ouilki, I., Rekkab, I., Belkhou, A., El Bouchti, I., Niamane, R., & El Hassani, S. (2013). Prevalence of chronic pain with neuropathic characteristics in the Moroccan general population: A national survey. Pain Medicine, 14(2), 287–292. https://doi.org/10.1111/pme.12009
Hayes, C., Bhandari, N., Kathe, N., & Payakachat, N. (2017). Reliability and validity of the medical outcomes study short form‐12 version 2 (SF‐12v2) in adults with non‐cancer pain. Healthcare (Basel), 5(2), 22. https://doi.org/10.3390/healthcare5020022
Helmhout, P. H., Staal, J. B., Heymans, M. W., Harts, C. C., Hendriks, E. J. M., & De Bie, R. A. (2010). Prognostic factors for perceived recovery or functional improvement in non‐specific low back pain: Secondary analyses of three randomized clinical trials. European Spine Journal, 19(4), 650–659. https://doi.org/10.1007/s00586‐009‐1254‐8
Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry, 25, 277–283.
Hong, J. H., Kim, H. D., Shin, H. H., & Huh, B. (2014). Assessment of depression, anxiety, sleep disturbance, and quality of life in patients with chronic low back pain in Korea. Korean Journal of Anesthesiology, 66, 444.
Humbria, A., Carmona, L., Peña, J., & Ortiz, A. (2022). Impacto poblacional del dolor lumbar en España, estudio EPISER. Revista Española de Reumatología, 29, 471–478.
Jaworska, S., & Ryan, K. (2018). Gender and the language of pain in chronic and terminal illness: A corpus‐based discourse analysis of patients' narratives. Social Science & Medicine, 215, 107–114. https://doi.org/10.1016/j.socscimed.2018.09.002
Jensen, M. P., Moore, M. R., Bockow, T. B., Ehde, D. M., & Engel, J. M. (2011). Psychosocial factors and adjustment to chronic pain in persons with physical disabilities: A systematic review. Archives of Physical Medicine and Rehabilitation, 92(1), 146–160. https://doi.org/10.1016/j.apmr.2010.09.021
Kioskli, K., Scott, W., Winkley, K., Kylakos, S., & McCracken, L. M. (2019). Psychosocial factors in painful diabetic neuropathy: A systematic review of treatment trials and survey studies. Pain Medicine, 20(9), 1756–1773. https://doi.org/10.1093/pm/pnz071
Langley, P. C., Ruiz‐Iban, M. A., Molina, J. T., De Andres, J., & Castellon, J. R. (2011). The prevalence, correlates and treatment of pain in Spain. Journal of Medical Economics, 14, 367–380.
Loban, A., Mandefield, L., Hind, D., & Clinical, M. B. (2017). A randomized trial found online questionnaires supplemented by postal reminders generated a cost‐effective and generalizable sample but don't forget the reminders. Journal of Clinical Epidemiology, 92, 116–125.
Lu, H., & Javier, F. (2011). Prevalence and treatment of chronic pain in The Philippines. Phillippine Journal of Internal Medicine, 49, 61–69.
Meints, S., & And, R. E. (2018). Evaluating psychosocial contributions to chronic pain outcomes. Progress in Neuro‐Psychopharmacology & Biological, 87, 168–182.
Mills, S. E. E., Nicolson, K. P., & Smith, B. H. (2019). Chronic pain: A review of its epidemiology and associated factors in population‐based studies. British Journal of Anaesthesia, 123, e273–e283.
Ministerio de Sanidad. (2023). Esperanzas de Vida en España, 2021.
Morete, M. C., Solano, J. P. C., Boff, M. S., Filho, W. J., & Ashmawi, H. A. (2018). Resilience, depression, and quality of life in elderly individuals with chronic pain followed up in an outpatient clinic in the city of São Paulo, Brazil. Journal of Pain Research, 11, 2561–2566. https://doi.org/10.2147/JPR.S166625
Ojeda, B., Salazar, A., Dueñas, M., Torres, L., Micó, J., & Failde, I. (2014). The impact of chronic pain: The perspective of patients, relatives, and caregivers. Families, Systems & Health, 32, 399–407.
Osborne, N., & Davis, K. (2022). Sex and gender differences in pain. International Review of Neurobiology, 164, 277–307.
Pereira, M. G., Carvalho, C., Costa, E. C. V., Leite, Â., & Almeida, V. (2021). Quality of life in chronic pain patients: Illness‐ and wellness‐focused coping as moderators. PsyCh Journal, 10(2), 283–294. https://doi.org/10.1002/pchj.410
Plataforma de Organizaciones de pacientes y Sociedad Española del Dolor. (2018). El dolor en la enfermedad cróncia desde la perspectiva de los pacientes.
Reitsma, M. L., Tranmer, J. E., Buchanan, D. M., & Vandenkerkhof, E. G. (2011). The prevalence of chronic pain and pain‐related interference in the Canadian population from 1994 to 2008. Chronic Diseases and Injuries in Canada, 31(4), 157–164.
Rønne, P. F., Esbensen, B. A., Brødsgaard, A., Biering‐Sørensen, B., & Hansen, C. A. (2023). Patients' and family members' experiences of a novel nurse‐led intervention using family conversations targeting families afflicted by chronic non‐cancer pain. Journal of Pain Research, 16, 3029–3043.
Senba, E. (2015). A key to dissect the triad of insomnia, chronic pain, and depression. Neuroscience Letters, 589, 197–199.
Skovron, M. L. (1992). Epidemiology of low back pain. Baillière's Clinical Rheumatology, 6, 559–573.
Soriano‐Maldonado, A., Amris, K., Ortega, F. B., Segura‐Jiménez, V., Estévez‐López, F., Álvarez‐Gallardo, I. C., Aparicio, V. A., Delgado‐Fernández, M., Henriksen, M., & Ruiz, J. R. (2015). Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. Quality of Life Research, 24, 2951–2957.
Steingrímsdóttir, Ó. A., Landmark, T., Macfarlane, G. J., & Nielsen, C. S. (2017). Defining chronic pain in epidemiological studies—A systematic review and meta‐analysis. Pain, 158, 2092–2107.
Torrejón‐Guirado, M. C., San Martín‐Erice, I., San Martín‐Rodríguez, L., & Lima‐Serrano, M. (2024). Claves metodológicas y estratégicas para estudios basados en encuestas online: un análisis basado en la iniciativa Checklist for Reporting Results of Internet E‐Surveys. Enfermería Clínica, 34, 207–213.
Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149.
Watkins, E. A., Wollan, P. C., Melton, L. J., & Yawn, B. P. (2008). A population in pain: Report from the Olmsted County health study. Pain Medicine, 9, 166–174.
Yeo, S. N., & Tay, K. H. (2009). Pain prevalence in Singapore. Annals of the Academy of Medicine, Singapore, 38, 937–942.
Yong, R. J., Mullins, P. M., & Bhattacharyya, N. (2022). Prevalence of chronic pain among adults in the United States. Pain, 163(2), e328–e332. https://doi.org/10.1097/j.pain.0000000000002291
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.
Zimmer, Z., Fraser, K., Grol‐Prokopczyk, H., & Zajacova, A. (2022). A global study of pain prevalence across 52 countries: Examining the role of country‐level contextual factors. Pain, 163, 1740–1750.