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  1. Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0085771

    Code Inist : 002B30A01A2. Création : 14/05/1998.