1 / 12

epidemiology

epidemiology. General. Pain in Past Month Among Adults 20+, 1999–2002. 0. Age. 20-44 years. 45-54 years. 65 years and over. Sex. Men. Women. 0. 10. 20. 30. 40. 50. Percent. Data from the National Health and Nutrition Examination Survey.

flora
Download Presentation

epidemiology

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. epidemiology

  2. General

  3. Pain in Past Month Among Adults 20+, 1999–2002 0 Age 20-44 years 45-54 years 65 years and over Sex Men Women 0 10 20 30 40 50 Percent Data from the National Health and Nutrition Examination Survey. National Center for Health Statistics. Health, United States, 2006 with Chartbook on Trends in the Health of Americans. Hyattsville, MD: 2006.

  4. Pain Duration Among Adults* <1month 1year or more <1month <1month 1year or more 1year or more 1-3months 1-3months 3 months- 1 year 3 months- 1 year 1-3months 3 months- 1 year 20-44 years 45-64 years 65 years and over *Adults aged 20 years and older, 1999–2002 data National Center for Health Statistics. Health, United States, 2006 with Chartbook on Trends in the Health of Americans. Hyattsville, MD: 2006.

  5. Prevalence of Acute Pain • Lifetimeprevalence in general population: • Approaches 100% for acute pain leading to use of analgesics1 • Emergency room patients: • Pain accounts for >2/3 of emergency room visits2 • Hospitalizedpatients: • >50% report pain3 1. Diener HC et al. J Headache Pain 2008; 9(4):225-31; 2. Todd KH, Miner JR. In: Fishman SM et al (eds). Bonica’s Management of Pain. 4th ed. Lippincott, Williams and Wilkins; Philadelphia, PA: 2010; 3. Dix P et al. Br J Anaesth 2004; 92(2):235-7.

  6. Prevalence of Chronic Pain in the General Population 17–46% Blyth FM et al. Pain 2001; 89(2-3):127-34; ; Breivik H et al. Eur J Pain 2006; 10(4):287-333; Elliott AM et al. Lancet 1999; 354(9186):1248-52; Eriksen J et al. Pain 2003; 106(3):221-8

  7. Prevalence of Chronic Pain Tsang A et al. J Pain 2006; 9(10):883-91.

  8. Neuropathic Pain is Prevalent Across a Range of Different Conditions % affected by peripheral neuropathic pain Condition % affected by centralneuropathic pain 11–26%1 Diabetes Stroke 8%9 ~33%2 Cancer Spinal cord injury 75%10 35–53%3–5 HIV Multiple sclerosis ~55%11 20–43% of mastectomy patients6,7 Post-surgical Up to 37%8 Chronic low back pain 7–27% of patients with herpes zoster1 Postherpeticneuralgia HIV = human immunodeficiency virus 1. Sadosky A et al. Pain Pract 2008; 8(1):45-56; 2. Davis MP, Walsh D. Am J Hosp Palliat Care 2004; 21(2):137-42; 3. So YT et al.Arch Neurol 1988; 45(9):945-8; 4. Schifitto G et al.Neurology 2002; 58(12):1764-8; 5. Morgello S et al.Arch Neurol 2004; 61(4):546-51; 6. Stevens PE et al.Pain 1995; 61(1):61-8; 7. Smith WC et al.Pain 1999; 83(1):91-5; 8. FreynhagenRet al.Curr Med Res Opin 2006; 22(10):1911-20; 9. Andersen G et al.Pain 1995; 61(2):187-93; 10. Siddall PJ et al.Pain. 2003; 103(3):249-57; 11. Rae-Grant AD et al.MultScler 1999; 5(3):179-83.

  9. 5–20% of the General Population May Suffer from Neuropathic Pain Summary of Selected Prevalence Studies Adapted from: Bouhassira D et al. Pain 2008; 136(3):380-7; de Moraes Vieira EB et al. J Pain Symptom Manage 2012; 44(2):239-51; Elzahaf RA et al. Pain Pract 2013; 13(3):198-205; Harifi G et al. Pain Med 2013; 14(2):287-92; Ohayon MM, Stingl C. Psychiatr Res 2012;46(4):444-50;Torrance N et al. J Pain 2006;7(4):281-9; Toth C et al. Pain Med 2009; 10(5):918-29;

  10. How common is central sensitization/ dysfunctional pain? ~40% of adults suffer from chronic pain1 17–35% of chronic pain patients suffer fromgeneralized hypersensitivity and conditioned pain modulation2 1. Tsang A et al. J Pain 2006; 9(10):883-91; 2. Schliessbach J et al. Eur J Pain 2013; 17(10):1502-10.

  11. Summary

  12. Epidemiology: Summary • Acute and chronic pain are extremely common worldwide • Prevalence of chronic pain is generally higher in women • Mean duration of pain is longer in older individuals

More Related