Chronic pain prevalence and severity in females before & after menopause versus males in a large multi-center database.

IF 1.5 Q4 CLINICAL NEUROLOGY
Adam Ricker, Nicole Farley, Jesse J McClure, Lisa Goudman, Deepak Berwal, Olga Khazen, Ilknur Telkes, Umm E Hani Abdullah, Candy Wilson, Julie G Pilitsis
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Abstract

Aims: This observational study aimed to explore the prevalence and severity of chronic pain in menopausal-aged females.

Materials & methods: We identified participants in the NIH-sponsored All of Us database with a diagnosis of chronic pain. We examined the severity of pain based on numeric rating scale score (NRS). Among those with chronic pain, we generated four sub-cohorts: females ≥ 51 years old who were menopausal, females 18-50 years who were considered pre-menopausal, and age matched male cohorts.

Results: The 53,289 participants were separated into four cohorts by age and sex: females 18-50 (10,269), females ≥ 51 (20,182), males 18-50 (4,989), and males ≥ 51 (17,849). Both older females and older males had lower pain levels than the sex-matched 18-50 group (p < 0.001). Findings were consistent in White, Black, and non-Hispanic cohorts. When comparing older adults, females ≥ 51 had higher pain levels than males ≥ 51 (p < 0.001).

Conclusions: We found that independent of sex, NRS scores were lower in older adults compared to younger cohorts. Older women however had more pain than their male counterparts. These findings have implications for the design of patient-tailored therapeutic treatments and warrant further exploration of physiological and psychosocial causes.

在一个大型多中心数据库中,绝经前后女性与男性的慢性疼痛患病率和严重程度。
目的:本观察性研究旨在探讨绝经期女性慢性疼痛的患病率和严重程度。材料和方法:我们在美国国立卫生研究院赞助的All of Us数据库中确定诊断为慢性疼痛的参与者。我们根据数字评定量表评分(NRS)检查疼痛的严重程度。在慢性疼痛患者中,我们建立了四个亚队列:≥51岁的绝经女性,18-50岁的绝经前女性,以及年龄匹配的男性队列。结果:53,289名参与者按年龄和性别分为四个队列:18-50岁女性(10,269),女性≥51岁(20,182),男性18-50岁(4,989)和男性≥51岁(17,849)。老年女性和老年男性的疼痛水平都低于性别匹配的18-50岁组(p . p .)结论:我们发现,与性别无关,老年人的NRS评分低于年轻人。然而,老年女性比男性更容易感到疼痛。这些发现对设计适合患者的治疗方法具有启示意义,并值得进一步探索生理和社会心理原因。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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