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Pain in older

Michael Heit, Janet S Carpenter, Chen X Chen, Ryan Stewart, Jennifer Hamner, Kevin L Rand
OBJECTIVES: Our aim was to identify sociodemographic/clinical, surgical, and psychosocial predictors of postdischarge surgical recovery after laparoscopic sacrocolpopexy. METHODS: Study participants (N = 171) with at least stage 2 pelvic organ prolapse completed a preoperative survey measuring hypothesized sociodemographic/clinical, surgical, and psychosocial recovery predictors followed by a postoperative survey at 4 time points (days 7, 14, 42, and 90) that included the Postdischarge Surgical Recovery 13 scale...
June 19, 2018: Female Pelvic Medicine & Reconstructive Surgery
Papaarangi Reid, Sarah-Jane Paine, Braden Te Ao, Esther Willing, Emma Wyeth, Rhema Vaithianathan
INTRODUCTION: There is significant international interest in the economic impacts of persistent inequities in morbidity and mortality. However, very few studies have quantified the costs associated with unfair and preventable ethnic/racial inequities in health. The proposed study will investigate inequities in health between the indigenous Māori and non-Māori adult population in New Zealand (15 years and older) and estimate the economic costs associated with these differences. METHODS AND ANALYSIS: The study will use national collections data that is held by government agencies in New Zealand including hospitalisations, mortality, outpatient consultations, laboratory and pharmaceutical claims, and accident compensation claims...
June 19, 2018: BMJ Open
Subhadra Nori
Acute knee pain is a frequently encountered problem in the clinical settings. In 2003, American Orthopedic Association recorded that 19.4 million people visited a physician because of a knee problem. Knee pain due to injuries is increasing even among the older population, as a greater number of persons are participating in recreational activities. The quadriceps tendon rupture is not a common condition among acute causes of knee pain. However, it can be quite debilitating. The usual clinical presentation includes a middle-aged person presenting with a history of fall accompanied by swelling and inability to extend the knee...
January 2018: Journal of Family Medicine and Primary Care
Claudia Balsamo, Carlotta Biagi, Margherita Mancini, Ilaria Corsini, Rosalba Bergamaschi, Marcello Lanari
BACKGROUND: Acute mastoiditis is the main suppurative complication of acute otitis media. Its incidence ranges from 1.2 to 4.2/100.000 children/year and a rise has been reported in the last years. There are controversial data regarding risk factors for mastoiditis and its complications. AIM OF THE STUDY: to evaluate demographics and clinical characteristics of children with acute mastoiditis and to identify possible risk factors for complications. METHODS: We retrospectively reviewed medical charts of all the children aged 1 month-14 years admitted to our Paediatric Emergency Department from January 2002 to December 2016...
June 18, 2018: Italian Journal of Pediatrics
Anna Axmon, Gerd Ahlström, Hans Westergren
Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were collected from national registers for the period between 2006 and 2012 for 7936 people with an ID and a referent cohort from the general population. IDs were associated with a decreased risk of being diagnosed with headaches, musculoskeletal pain, and pain related to the circulatory and respiratory systems, but they were associated with increased risk of being diagnosed with pain related to the urinary system...
June 15, 2018: Healthcare (Basel, Switzerland)
Niklas Magnusson, Mats Hedberg, Johanna Österberg, Gabriel Sandblom
Objectives The aim of this study was to explore how the handling of nerves affects the risk for developing sensory disturbances (SDs) following groin hernia surgery. Patients and methods All patients 18 years or older undergoing surgery for inguinal hernia at Mora Hospital, Sweden, during an eight-month period in 2006, were eligible for inclusion. The surgical procedure was recorded prospectively according to a standardised protocol. One year postoperatively all patients were requested to answer the Inguinal Pain Questionnaire as well as a set of 18 sensory and affective pain descriptors...
December 29, 2017: Scandinavian Journal of Pain
Berit Björkman, Staffan Arnér, Iréne Lund, Lars-Christer Hydén
Background Phantom phenomena - pain or other sensations appearing to come from amputated body parts - are frequent consequences of amputation and can cause considerable suffering. Also, stump pain, located in the residual limb, is in the literature often related to the phantom phenomena. The condition is not specific to amputated limbs and has, to a lesser extent, been reported to be present after radical surgery in other body parts such as breast, rectum and teeth. Multi-causal theories are used when trying to understand these phenomena, which are recognized as the result of complex interaction among various parts of the central nervous system confirmed in studies using functional brain imaging techniques...
December 29, 2017: Scandinavian Journal of Pain
Desmond Ayim-Aboagye, Torsten Gordh
Aims We investigated how treatment of pain was functioning among a rural population in African context. Methods The investigation employed the observation approach and in-depth interview approach in a rural population of about 5000 inhabitants. However, at the zenith of the study 10 patients were selected for the in-depth interview, having serious conditions, which had rendered them immobile, received a major focus in the study. With qualitative methods, we were capable of procuring rich information through narratives...
December 29, 2017: Scandinavian Journal of Pain
S Zoëga, S Ward, T Aspelund, H Sveinsdóttir, G Sigurdsson, S Gunnarsdóttir
Background/aims Despite multiple efforts to improve practice, pain is prevalent in many hospital settings causing unnecessary complications and suffering. The aim of the study was to explore the epidemiology of pain in a university hospital in Iceland. Methods A point prevalence study was conducted in 23 departments in medical and surgical services in a 650 bed university hospital in January 2011. Data was collected from medical charts and with a questionnaire (APS-POQ-R) assessing pain severity and quality of pain management...
December 29, 2017: Scandinavian Journal of Pain
Thorbjörg Jonsdottir, Helga Jonsdottir, Sigridur Gunnarsdottir
Background/aims When studying chronic pain in the general population, other factors besides prevalence may be equally important to establish the scope of the problem. Health related quality of life (HRQoL) is an important indicator for how chronic pain influences and interferes with the individual's daily life. The relationships between different characteristics in the nature of pain and HRQoL have been investigated, showing number of pain locations and pain severity to be important. However, little is known about the relationship between pattern of chronic pain (constant/intermittent) and impact on HRQoL...
December 29, 2017: Scandinavian Journal of Pain
Tonny Elmose Andersen, Per Grünwald Andersen, Merja Annika Vakkala, Ask Elklit
Introduction Correctly identifying chronic pain patients with posttraumatic stress disorder (PTSD) is important because the comorbidity of a chronic pain condition and PTSD is found to compromise treatment success. In addition, the existence of PTSD is associated with pain sensitisation, elevated levels of pain, and disability. Furthermore, the diagnostic criteria for PTSD has changed dramatically in the last two decades which has had a profound impact on the reported prevalence rates of PTSD in chronic pain samples...
December 29, 2017: Scandinavian Journal of Pain
Harald Breivik
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
Lena Sandin Wranker, Mikael Rennemark, Johan Berglund, Sölve Elmståhl
Background and aims The influence of pain as well as Quality of Life (QoL) varies in accordance with biological, social, psychological and existential factors. This study investigates the influence of such factors on the relationship between pain and QoL among older adults from a gender perspective. Methods The Swedish National Study on Aging and Care (SNAC-Blekinge) baseline sample comprised 1402 individuals aged 60-96 years, of whom 769 (55%) reported pain. The participants were invited by a letter to take part in the study, which was carried out by research staff in two sessions of three hour each...
December 29, 2017: Scandinavian Journal of Pain
Juhani Määttä, Hannu Kautiainen, Ville Leinonen, Jaakko Niinimäki, Salme Järvenpää, Tatu Koskelainen, Pirkka Mäkelä, Juha Pesälä, Timo Nyyssönen, Sakari Savolainen, Olavi Airaksinen, Eero Kyllönen, Kenneth M C Cheung, Jaro Karppinen
Background and purpose Modic changes (MC) are bone marrow and vertebral endplate lesions seen in magnetic resonance imaging (MRI) which have been found to be associated with low back pain (LBP), but the association between MC and health-related quality of life (HRQoL) is poorly understood. The aim of this study was to assess the relationship between MC and HRQoL among patients referred to spine surgery. Methods The study population consisted of 181 patients referred to lumbar spine surgery in Northern and Eastern Finland between June 2007 and January 2011...
December 29, 2017: Scandinavian Journal of Pain
Thorbjörg Jonsdottir, Helga Jonsdottir, Sigridur Gunnarsdottir, Eirikur Lindal
Aims To investigate health care utilization in relation to chronic pain. Methods In this cross-sectional study postal questionnaires, measuring sociodemographic characteristics, pain, health related quality of life (HRQoL), attitudes to pain and health care utilization past six months, were sent to 4500 individuals aged 20-70 years, randomly drawn from the Icelandic National Registry. Results Total response rate was 36.9% (n = 1589) and was higher among older individuals and women. Nearly one half of respondents (47...
December 29, 2017: Scandinavian Journal of Pain
Levent Özçakar, Ayşe Merve Ata, Bayram Kaymak, Murat Kara, Dinesh Kumbhare
PURPOSE OF REVIEW: On the basis of its various advantages and the relevant awareness of physicians, ultrasound imaging has overwhelmingly taken its place in the scientific arena. This is true both from the side of daily clinical applications and also from the side of research. Yet, ultrasound provides real-time (diagnostic) imaging and (interventional) guidance for a wide spectrum of muscle disorders. In this regard, this review aims to discuss the potential/actual utility of ultrasound imaging in particular muscle disorders, that is, sarcopenia, spasticity and fibromyalgia/myofascial pain syndrome...
June 15, 2018: Current Opinion in Supportive and Palliative Care
Floortje Mols, Olga Husson, Marije Oudejans, Carla Vlooswijk, Nicole Horevoorts, Lonneke V van de Poll-Franse
OBJECTIVE: Cancer and its treatment have an influence on health-related quality of life (HRQOL). Normative data could help to interpret HRQOL among cancer patients. Our aim was to generate longitudinal normative data based on sex, age and morbidity for the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 questionnaire. METHODS: The QLQ-C30 and the Self-administered Comorbidity Questionnaire were administered to a representative panel of the Dutch-speaking population in the Netherlands in 2009 (n = 1743), 2010 (n = 2050), 2011 (n = 2040), 2012 (n = 2194) and 2013 (n = 2333)...
June 18, 2018: Acta Oncologica
Stephen P Messier, Allison E Resnik, Daniel P Beavers, Shannon L Mihalko, Gary D Miller, Barbara J Nicklas, Paul DeVita, David J Hunter, Mary F Lyles, Felix Eckstein, Ali Guermazi, Richard F Loeser
OBJECTIVE: To determine the dose response to weight loss on clinical and mechanistic outcomes in overweight and obese adults with knee osteoarthritis. METHODS: This is a secondary analysis of the diet-only (D) and diet plus exercise (D+E) groups in the Intensive Diet and Exercise for Arthritis (IDEA) randomized controlled clinical trial. Participants were 240 overweight and obese older community-dwelling adults with pain and radiographic knee OA. Participants were divided into 4 groups according to weight loss achieved over an 18-month period; less than 5% (<5% group), between 5 and 10% (≥5% group), between 10 and 20% (≥ 10% group), and greater than 20% (≥20% group)...
June 18, 2018: Arthritis Care & Research
Lena Sandin Wranker, Mikael Rennemark, Sölve Elmståhl, Johan Berglund
Background and aims The experience of pain may vary in accordance with personality traits and individual characteristics. Neuroticism is demonstrated to constitute a vulnerability factor among younger and middle-aged pain patients. The combination of openness and neuroticism is associated with high anxiety/depression scores among adult individuals with chronic conditions. The aim of this study was to investigate possible associations between pain and the personality dimensions of neuroticism, extroversion, openness, agreeableness and conscientiousness among persons aged 60 years and older...
December 29, 2017: Scandinavian Journal of Pain
Jing Chen, Bruce Taylor, Andrew J Palmer, Andrea Kirk-Brown, Pieter van Dijk, Steve Simpson, Leigh Blizzard, Ingrid van der Mei
BACKGROUND: Little is known about the work productivity loss in multiple sclerosis (MS). OBJECTIVES: To quantify the MS-related work productivity loss and to compare factors associated with labour force participation and work productivity loss. METHODS: Participants were from the Australian MS Longitudinal Study. MS-related work productivity loss included absenteeism (time missed from work) and presenteeism (reduced productivity while working)...
June 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
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