Chronic musculoskeletal pain rarely presents in a single body site: Results from a UK population study
Authors: Carnes, D., Parsons, S., Ashby, D., Breen, A., Foster, N.E., Pincus, T., Vogel, S. and Underwood, M.
Journal: Rheumatology
Volume: 46
Issue: 7
Pages: 1168-1170
eISSN: 1462-0332
ISSN: 1462-0324
DOI: 10.1093/rheumatology/kem118
Abstract:Objective. To investigate the frequency and health impact of chronic multi-site musculoskeletal pain, in a representative UK sample. Method. Population postal questionnaire survey, using 16 general practices in the southeast of England, nationally representative urban/ rural, ethnic and socioeconomic mix. A random selection of 4049 registered patients, aged 18 or over, were sent a questionnaire. The main outcome measures were chronic pain location, identified using a pain drawing; distress, pain intensity and disability as measured by the GHQ12 and the Chronic Pain Grade. Results. A total of 2445 patients (60%) responded to the survey (44% male, mean age 52 yrs); 45% had chronic musculoskeletal pain. Of those with chronic pain, three quarters had pain in multiple sites (two or more sites). Variables significantly predicting this were: age under 55, [odds ratio (OR) 0.5, 95% confidence interval (CI) 0.4, 0.6]; psychological distress (OR 1.8, CI at 95% 1.4, 2.2) and high pain intensity (OR 5.2, CI at 95% 4.1, 6.7). Only 33% of multi-site pain distributions conformed to the American College of Rheumatology definition of chronic widespread pain. Conclusions. Multi-site chronic pain is more common than single-site chronic pain and is commonly associated with other problems. Indiscriminate targeting of research and care for chronic musculoskeletal pain on single sites may often be inappropriate. © The Author 2007. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved.
Source: Scopus
Chronic musculoskeletal pain rarely presents in a single body site: results from a UK population study.
Authors: Carnes, D., Parsons, S., Ashby, D., Breen, A., Foster, N.E., Pincus, T., Vogel, S. and Underwood, M.
Journal: Rheumatology (Oxford)
Volume: 46
Issue: 7
Pages: 1168-1170
ISSN: 1462-0324
DOI: 10.1093/rheumatology/kem118
Abstract:OBJECTIVE: To investigate the frequency and health impact of chronic multi-site musculoskeletal pain, in a representative UK sample. METHOD: Population postal questionnaire survey, using 16 general practices in the southeast of England, nationally representative urban/rural, ethnic and socioeconomic mix. A random selection of 4049 registered patients, aged 18 or over, were sent a questionnaire. The main outcome measures were chronic pain location, identified using a pain drawing; distress, pain intensity and disability as measured by the GHQ12 and the Chronic Pain Grade. RESULTS: A total of 2445 patients (60%) responded to the survey (44% male, mean age 52 yrs); 45% had chronic musculoskeletal pain. Of those with chronic pain, three quarters had pain in multiple sites (two or more sites). Variables significantly predicting this were: age under 55, [odds ratio (OR) 0.5, 95% confidence interval (CI) 0.4, 0.6]; psychological distress (OR 1.8, CI at 95% 1.4, 2.2) and high pain intensity (OR 5.2, CI at 95% 4.1, 6.7). Only 33% of multi-site pain distributions conformed to the American College of Rheumatology definition of chronic widespread pain. CONCLUSIONS: Multi-site chronic pain is more common than single-site chronic pain and is commonly associated with other problems. Indiscriminate targeting of research and care for chronic musculoskeletal pain on single sites may often be inappropriate.
Source: PubMed
Chronic musculoskeletal pain rarely presents in a single body site: results from a UK population study
Authors: Carnes, D., Parsons, S., Ashby, D., Breen, A., Foster, N.E., Pincus, T., Voge, S. and Underwood, M.
Journal: RHEUMATOLOGY
Volume: 46
Issue: 7
Pages: 1168-1170
eISSN: 1462-0332
ISSN: 1462-0324
DOI: 10.1093/rheumatology/kem118
Source: Web of Science (Lite)
Chronic musculoskeletal pain rarely presents in a single body site: results from a UK population study.
Authors: Carnes, D., Parsons, S., Ashby, D., Breen, A., Foster, N.E., Pincus, T., Vogel, S. and Underwood, M.
Journal: Rheumatology (Oxford, England)
Volume: 46
Issue: 7
Pages: 1168-1170
eISSN: 1462-0332
ISSN: 1462-0324
DOI: 10.1093/rheumatology/kem118
Abstract:Objective
To investigate the frequency and health impact of chronic multi-site musculoskeletal pain, in a representative UK sample.Method
Population postal questionnaire survey, using 16 general practices in the southeast of England, nationally representative urban/rural, ethnic and socioeconomic mix. A random selection of 4049 registered patients, aged 18 or over, were sent a questionnaire. The main outcome measures were chronic pain location, identified using a pain drawing; distress, pain intensity and disability as measured by the GHQ12 and the Chronic Pain Grade.Results
A total of 2445 patients (60%) responded to the survey (44% male, mean age 52 yrs); 45% had chronic musculoskeletal pain. Of those with chronic pain, three quarters had pain in multiple sites (two or more sites). Variables significantly predicting this were: age under 55, [odds ratio (OR) 0.5, 95% confidence interval (CI) 0.4, 0.6]; psychological distress (OR 1.8, CI at 95% 1.4, 2.2) and high pain intensity (OR 5.2, CI at 95% 4.1, 6.7). Only 33% of multi-site pain distributions conformed to the American College of Rheumatology definition of chronic widespread pain.Conclusions
Multi-site chronic pain is more common than single-site chronic pain and is commonly associated with other problems. Indiscriminate targeting of research and care for chronic musculoskeletal pain on single sites may often be inappropriate.Source: Europe PubMed Central