How Does Self-Declared Chronic Pain Compare to Other Definitions? A Prospective Multicenter Study.

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Pain Research & Management Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI:10.1155/prm/5556400
Raoul Daoust, Jean Paquet, Jeffrey J Perry, Justin W Yan, David Williamson, Véronique Castonguay, Gilles Lavigne, Dominique Rouleau, Justine Lessard, Alexis Cournoyer
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引用次数: 0

Abstract

Background: Self-declared chronic pain has not been compared to existing definitions. Our objective was to evaluate the agreement between self-declared chronic pain and different chronic pain definitions, three months after an emergency department (ED) visit. Methods: In this planned substudy of a prospective multicenter cohort study, we included consecutive patients aged ≥ 18 years with an acute pain condition discharged from the ED with an opioid prescription. Three months after their ED visit, participants were asked about their pain intensity, pain frequency, pain disability, and self-declared chronic pain. Agreement between self-declared chronic pain and five other definitions were calculated with kappas. Results: A total of 1411 participants were included; mean age was 52 (±16) years, and 53% were female. Prevalence of self-declared chronic pain was 23.0% and varied from 16.9% to 45.3% for other definitions. Agreement of self-declared chronic pain was moderate (0.57-0.60) with most definitions but lower with the pain intensity ≥ 1 definition (0.47). The proportion of chronic pain participants using opioids ( ⁓20%) or other analgesics (⁓80%) was similar with all definitions except for the pain intensity ≥ 1 definition which was associated with a lower proportion of analgesic use (11%, 64%). Conclusion: In summary, self-declared chronic pain displayed moderate agreement with other chronic pain definitions and similar analgesic consumption but lower with the pain intensity ≥ 1 definition. Nonetheless, chronic pain prevalence varied greatly depending on how it was defined. Self-declared chronic pain might be a more patient-centered outcome and could be easily applied to standardize chronic pain definition. Trial Registration: ClinicalTrials.gov identifier: NCT03953534.

自我宣称的慢性疼痛与其他定义相比如何?一项前瞻性多中心研究。
背景:自我宣称的慢性疼痛尚未与现有的定义进行比较。我们的目的是评估自我宣称的慢性疼痛和不同的慢性疼痛定义之间的一致性,三个月后急诊科(ED)访问。方法:在一项前瞻性多中心队列研究的计划亚研究中,我们纳入了年龄≥18岁、急性疼痛且服用阿片类药物从急诊科出院的连续患者。在急诊科就诊三个月后,参与者被问及他们的疼痛强度、疼痛频率、疼痛残疾和自述的慢性疼痛。自我宣称的慢性疼痛和其他五种定义之间的一致性用卡帕计算。结果:共纳入1411名受试者;平均年龄52(±16)岁,女性占53%。自述慢性疼痛的患病率为23.0%,其他定义的患病率从16.9%到45.3%不等。自述慢性疼痛与大多数定义的一致性为中等(0.57-0.60),但与疼痛强度≥1定义的一致性较低(0.47)。慢性疼痛参与者使用阿片类药物(⁓20%)或其他镇痛药(⁓80%)的比例与所有定义相似,但疼痛强度≥1的定义与较低的镇痛药使用比例相关(11%,64%)。结论:综上所述,自述慢性疼痛与其他慢性疼痛定义和类似的镇痛药物消耗有中等程度的一致性,但与疼痛强度≥1定义的一致性较低。然而,慢性疼痛的流行程度因其定义的不同而有很大差异。自我宣称的慢性疼痛可能是一个更以患者为中心的结果,可以很容易地应用于标准化慢性疼痛的定义。试验注册:ClinicalTrials.gov标识符:NCT03953534。
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来源期刊
Pain Research & Management
Pain Research & Management CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
0.00%
发文量
109
审稿时长
>12 weeks
期刊介绍: Pain Research and Management is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pain management. The most recent Impact Factor for Pain Research and Management is 1.685 according to the 2015 Journal Citation Reports released by Thomson Reuters in 2016.
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