High-impact chronic pain: evaluation of risk factors and predictors.

IF 3.4 3区医学 Q2 CLINICAL NEUROLOGY

Korean Journal of Pain Pub Date : 2023-01-01 DOI:10.3344/kjp.22357

İlteriş Ahmet Şentürk, Erman Şentürk, Işıl Üstün, Akın Gökçedağ, Nilgün Pulur Yıldırım, Nilüfer Kale İçen

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引用次数: 2

Abstract

Background: The concept of high-impact chronic pain (HICP) has been proposed for patients with chronic pain who have significant limitations in work, social life, and personal care. Recognition of HICP and being able to distinguish patients with HICP from other chronic pain patients who do not have life interference allows the necessary measures to be taken in order to restore the physical and emotional functioning of the affected persons. The aim was to reveal the risk factors and predictors associated with HICP.

Methods: Patients with chronic pain without life interference (grade 1 and 2) and patients with HICP were compared. Significant data were evaluated with regression analysis to reveal the associated risk factors. Receiving operating characteristic (ROC) analysis was used to evaluate predictors and present cutoff scores.

Results: One thousand and six patients completed the study. From pain related cognitive processes, fear of pain (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.87-0.98; P = 0.007) and helplessness (OR, 1.06; 95% CI, 1.01-1.12; P = 0.018) were found to be risk factors associated with HICP. Predictors of HICP were evaluated by ROC analysis. The highest discrimination value was found for pain intensity (cut-off score > 6.5; 83.8% sensitive; 68.7% specific; area under the curve = 0.823; P < 0.001).

Conclusions: This is the first study in our geography to evaluate HICP with measurement tools that evaluate all dimensions of pain. Moreover, it is the first study in the literature to evaluate predictors and cut-off scores using ROC analysis for HICP.

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高影响慢性疼痛:风险因素和预测因素的评估。

背景:高影响性慢性疼痛(high-impact chronic pain, HICP)的概念是针对在工作、社交生活和个人护理方面有明显限制的慢性疼痛患者提出的。识别HICP并能够将HICP患者与其他没有生活干扰的慢性疼痛患者区分开来，可以采取必要的措施，以恢复受影响者的身体和情感功能。目的是揭示与HICP相关的危险因素和预测因素。方法:将无生活干扰慢性疼痛患者(1级和2级)与HICP患者进行比较。采用回归分析对显著数据进行评价，揭示相关危险因素。接受工作特征(ROC)分析用于评估预测因子并给出截止评分。结果:1606例患者完成了研究。从疼痛相关的认知过程来看，疼痛恐惧(优势比[OR]， 0.92;95%置信区间[CI]， 0.87-0.98;P = 0.007)和无助感(OR, 1.06;95% ci, 1.01-1.12;P = 0.018)是与HICP相关的危险因素。采用ROC分析评估HICP的预测因素。疼痛强度的判别值最高(临界值> 6.5;83.8%敏感;特定的68.7%;曲线下面积= 0.823;P < 0.001)。结论:这是本地区第一个用测量工具评估HICP的研究，该测量工具可以评估疼痛的所有维度。此外，这是文献中第一个使用ROC分析评估HICP的预测因子和截止分数的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Korean Journal of Pain Medicine-Anesthesiology and Pain Medicine

CiteScore

5.40

自引率

7.10%

发文量

审稿时长

16 weeks

期刊介绍： Korean Journal of Pain (Korean J Pain, KJP) is the official journal of the Korean Pain Society, founded in 1986. It has been published since 1988. It publishes peer reviewed original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. It has been published quarterly in English since 2009 (on the first day of January, April, July, and October). In addition, it has also become the official journal of the International Spinal Pain Society since 2016. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals. The circulation number per issue is 50.