Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center.
This paper presents the results of a detailed study of the pain epidemiology and health related quality of life (HRQL) in 150 chronic non-malignant pain patients consecutively referred to a Danish multidisciplinary pain center.
Mean pain severity was 71.6 (SD=18.5) on the VAS scale.
Forty-two percent reported poor quality of sleep.
HRQL was evaluated with the Medical Outcome Study-Short Form (SF-36), the Hospital Anxiety and Depression scale (HAD) and the Psychological General Well-Being Scale (PGWB).
Compared with the normal population (NP) both SF-36 scores and PGWB scores were significantly reduced (P<0.001) indicating that physical, psychological and social well-being were severely reduced.
On the HAD scale 58% were found to have a depressive or anxiety disorder.
Statistically significant but modest correlations were found between pain severity and HRQL.
Psychological and social well-being was closely correlated.
Sixty-three percent of the referred patients had neurogenic pain conditions.
Of these, only 25% were treated with antidepressants or anticonvulsants at referral.
Seventy-three percent were treated with opioids at referral.
Mean opioid consumption was 64 mg of morphine per day (range 1-280 mg).
Compared with the NP the chronic pain patients had used the health care system five times more often in the years prior to referral (P<0.001). (...)
Mots-clés Pascal : Danemark, Europe, Epidémiologie, Douleur, Chronique, Qualité vie, Evaluation, Neuropathie périphérique, Système nerveux pathologie, Homme
Mots-clés Pascal anglais : Denmark, Europe, Epidemiology, Pain, Chronic, Quality of life, Evaluation, Peripheral neuropathy, Nervous system diseases, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0085771
Code Inist : 002B30A01A2. Création : 14/05/1998.