Moderate to Severe Osteoarthritis Pain and Its Impact on Patients in the United States: A National Survey
19
Citation
39
Reference
10
Related Paper
Citation Trend
Abstract:
Osteoarthritis (OA) is one of the most common causes of chronic pain and a leading cause of disability in the US. The objective of this study was to examine the clinical and economic burden of OA by pain severity.We used nationally representative survey data. Adults ≥18 years with self-reported physician-diagnosed OA and experiencing OA pain were included in the study. OA pain severity was measured using the Short Form McGill Pain Questionnaire Visual Analog Scale (SF-MPQ-VAS). Data were collected for demographics, clinical characteristics, health-related quality of life (HRQoL), productivity, OA treatment, adherence to pain medication, and healthcare resource utilization. Univariate analysis was performed to examine differences between respondents with moderate-to-severe OA pain vs those with mild OA pain.Higher proportions of respondents with moderate-to-severe OA pain (n=3798) compared with mild OA pain (n=2038) were female (69.4% vs 57.3%), <65 years of age (54.8% vs 43.4%), and not employed (70.6% vs 64.5%). Respondents with moderate-to-severe OA pain experienced OA pain daily (80.8% vs 48.8%), were obese (53.0% vs 40.5%), had more comorbidities (sleep disturbance, insomnia, depression, and anxiety), and reported significantly poorer health status and HRQoL, and greater productivity and activity impairment (all P<0.05). Moderate-to-severe OA pain respondents were prescribed significantly more pain medications than mild OA pain respondents (41.0% vs 17.0%) and had higher adherence (75.9% vs 64.1%) yet were less satisfied with their pain medications (all P<0.001). Outpatient and emergency room visits, and hospitalizations in the 6 months prior to the survey were significantly higher in moderate-to-severe OA pain respondents vs those with mild OA pain (all P<0.05).Patient and clinical burden was significantly greater in moderate-to-severe OA pain respondents vs mild OA pain respondents and may inform decision-making for appropriate resource allocation and effective management strategies that target specific subgroups.Keywords:
Depression
Brief Pain Inventory
McGill Pain Questionnaire
McGill Pain Questionnaire
Cite
Citations (50)
McGill Pain Questionnaire
Rank correlation
Pain scale
Cite
Citations (143)
AbstractDysmenorrhea is described as pain or weight in the hypogastrium and can radiate to the lumbar region or to the thighs. The use of the vector interferential current (CIV) is based on two sinusoidal currents of medium frequency, modulated at low frequency, and can reach deep tissues in a pleasant way. Despite widespread use of this current under various conditions, there are few studies on its use in primary dysmenorrhea associated with low back pain. The aim of this study was to evaluate the analgesic effect of the Tetrapolar Interferential Current on primary dysmenorrhea associated with low back pain. The study consisted of 20 volunteers, divided into 2 groups: Placebo Group (GP) and Group Treatment (GT), with treatment for 3 days in two menstrual cycles. The variables analyzed were the McGill Pain Questionnaire at the beginning of the first intervention and on the last day after the procedure, and the Visual Analog Pain Scale, applied before and after each therapy. It was observed that for the McGill questionnaire there was reduction only for the treated group, for the Pain scale there were differences again between groups and between evaluations, and the size of the effect showed favorable results in the treated group. The interferential current in the quadrilateral form was shown to be effective in reducing pain in young patients with primary dysmenorrhea.Keywords: Visual Analog Scale. Transcutaneous Electric Nerve Stimulation. Medição da Dor. Pain Measurement.ResumoA dismenorreia é descrita como dor ou peso no hipogástrio, podendo irradiar-se para a região lombar ou até as coxas. O uso da corrente interferencial vetorial (CIV) baseia-se em duas correntes sinusoidais de média frequência, moduladas em baixa frequência, podendo atingir tecidos profundos de forma agradável. Apesar de amplo uso desta corrente em várias condições, há poucos estudos sobre seu uso na dismenorreia primária associada à dor lombar. O objetivo do estudo foi avaliar o efeito analgésico da Corrente Interferencial tetrapolar na dismenorreia primária associada à dor lombar. Este estudo foi composto por 20 voluntárias, divididas em 2 grupos: Grupo Placebo (GP) e Grupo Tratamento (GT), com tratamento por 3 dias em dois ciclos menstruais. As variáveis analisadas foram o Questionário de Dor de McGill no início da primeira intervenção e no último dia após o procedimento, e a Escala Analógica Visual de Dor, aplicada antes e após cada terapia. Observou-se que para a o questionário de McGill houve reduç o apenas para o grupo tratado, para a escala de Dor houve diferenças novamente entre grupos e entre avaliações, sendo que o tamanho do efeito mostrou resultados favoráveis ao grupo tratado. A corrente interferencial na forma tetrapolar mostrou-se efetiva na redução do quadro de dor em jovens com dismenorreia primária.Palavras-chave: Escala Visual Analógica. Estimulação Elétrica Nervosa Transcutânea. Medição da Dor.
McGill Pain Questionnaire
Electrical current
Cite
Citations (5)
McGill Pain Questionnaire
Cite
Citations (81)
Currently, there is a lack of consensus regarding which measures to use in the assessment of chronic pain patients. This investigation empirically determined the core dimensions tapped by 9 self-report measures commonly used with chronic pain patients. Subjects were 315 patients referred to a multidisciplinary chronic pain clinic. The measures assessed emotional and social functioning, and the behavioral, cognitive, sensory, and subjective aspects of pain. Five factors were identified: General Affective Distress, Coping, Support, Pain Description, and Functional Capacity. The Multidimensional Pain Inventory, the Beck Depression Inventory, and the McGill Pain Questionnaire captured the pain experience with minimal overlap
Validation test
Cite
Citations (41)
Chronic pain is an important symptom of rheumatoid arthritis (RA). Pain is a complex experience and is not easily measured with a single instrument. Recently a Dutch version of the McGill Pain Questionnaire (MPQ) became available. The MPQ is a measure of the quality of pain as opposed to the traditional measures of pain intensity such as the Visual Analog Scale (VAS). In a study of 415 RA patients both measures of pain were administered. Both pain measures were only weakly related to medical variables. The VAS is easily administered and is reliable. The MPQ offers insight in the sensory experience of pain and gives more information about the quality of life of the patient. The conclusion is that the MPQ is a useful instrument to obtain a better picture of the complexity of the pain experience in RA.
McGill Pain Questionnaire
Pain scale
Cite
Citations (20)
[Purpose] There are many types of hyaluronic acid preparations, but no clear data are available about which preparations is more effective. The aim of this trial was to investigate the effectiveness of different types of hyaluronic acid preparations on pain and function of inpatients with knee osteoarthritis. [Subjects and Methods] All patients were diagnosed by clinical examination and x-ray. Ostenil PLUS® was injected into 28 patients (group 1, 1.6 million daltons), and MONOVISC® (group 2, 2.5 million daltons) was injected into 46 patients. Demographic data and Western Ontario and McMaster Universities Osteoarthritis Index and Visual Analog Scale scores were used for clinical evaluation at 1, 3, and 6 months post injection. [Results] In both groups, baseline Ontario and McMaster Universities Osteoarthritis Index and Visual Analog Scale scores were higher compared with those in subsequent evaluations. Based on the pre- and post-injection data, a significant reduction in all scores was observed after the injections for in both groups. According to intergroup comparisons, there was no significant difference in any of the scores between the two groups. [Conclusion] There were no difference in Ontario and McMaster Universities Osteoarthritis Index and Visual Analog Scale scores in patients with knee osteoarthritis injected with two different hyaluronic acid structures in short-term preparations.
Viscosupplementation
Cite
Citations (13)
Chronic pain is a common problem for the aged. Aim of the study was to evaluate prevalence, characteristics and influence on functional parameters of chronic pain in the elderly. Our study included 105 patients (mean age 82.2 +/- 9 yr). Chronic pain, tested by using the McGill Pain Questionnaire, was present in 87 patients (82.9%); it lasted more than 2 years and it was continuous in half of them (49.4%). Our study shows that chronic pain in the elderly has a strong affective component. Its intensity, evaluated by specific tests such as analogical visual and verbal scales, influences old patient's quality of life.
McGill Pain Questionnaire
Cite
Citations (0)
There are several tools that used to assess postoperative pain. The McGill Pain
Questionnaire assesses the qualities of the patient’s pain in sensory and emotional dimensions in addition
to the pain intensity. Since the assessment of postoperative pain is important, this study aimed to
compare and investigate the correlation between visual analogue scale (VAS) and different dimensions
of the short form of McGill Pain Questionnaire (SF-MPQ) in post-cesarean pain evaluation.
Materials & Methods: This descriptive-correlational study was performed on 101 pregnant women who
referred to Mashhad Omolbanin hospital after caesarean section in 2015. Two hours after caesarean, the
pain was measured by the VAS and the SF-MPQ. The VAS was a straight horizontal line (0-10cm). The
(SF-MPQ) consisted of 12-word descriptors of pain (9 words for sensory dimensions and 3for emotional
dimension) and a verbal scale. Data were analyzed by SPSS software (version 19), Chi-square,
Spearman and Pearson correlation.
Results: The mean of VAS pain was 3.72 ± 1.50 and total scores from the SF-MPQ was (9.94 ± 4.40).
The VAS was the most correlated with the verbal expression of pain intensity from the McGill Pain
Questionnaire (r=0.64 p<0.001). The majority of subjects had mild (44.6%) or medium (52.4%) pain
intensity, with VAS; According to the verbal expression of pain, most of the subjects described their
pain as mild (40.66%) or uncomfortable (44.6%).Although, significant correlation was observed
between the VAS score and total score of SF-MPQ(r=0.55 p<0.001), but there was no significant
correlation between the VAS score and emotional dimension of SF-MPQ (r = 0.43 p = 0.07).
Conclusion: The VAS is an appropriate tool for assessing the severity of acute pain after surgery, but it
does not assess the quality and emotional dimension of pain. Since pain is a multi-dimensional problem
and in addition to physical components, it also has emotional components, using the SF-MPQ for
evaluation of postoperative pain is recommended
McGill Pain Questionnaire
Pain Assessment
Pain scale
Cite
Citations (3)