Pain profiles in a community dwelling population following spinal cord injury: a national survey

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Title: Pain profiles in a community dwelling population following spinal cord injury: a national survey
Authors: Burke, DearbhlaFullen, Brona M.Lennon, Olive
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Date: 4-Mar-2019
Online since: 2020-06-30T14:45:51Z
Abstract: Context: While as many as 60% of patients with spinal cord injury (SCI) develop chronic pain, limited data currently exists on the prevalence and profile of pain post-SCI in community dwelling populations. Study Design: A cross-sectional population survey. Setting: Primary care. Participants: Community dwelling adults with SCI. Methods: Following ethical approval members registered to a national SCI database (n=1,574) were surveyed. The survey included demographic and SCI characteristics items, the International Spinal Cord Injury Pain Basic Data Set (version 1) the Douleur Neuropathique 4 questionnaire (interview) and questions relating to health care utilisation. Data were entered into the Statistical Package for the Social Sciences (version 20) Significance was set P < 0.05 for between group comparisons. Results: In total 643 (41%) surveys were returned with 458 (71%) respondents experiencing pain in the previous week. Neuropathic pain (NP) was indicated in 236 (37%) of responses and nociceptive pain in 206 (32%) Common treatments for pain included medications n=347 (76%) massage n=133 (29%) and heat n=115 (25%). Respondents with NP reported higher pain intensities and increased healthcare service utilisation (P= < 0.001) when compared to those with nociceptive pain presentations. A higher proportion of females than males reported pain (P = 0.003) and NP (P = 0.001) and those unemployed presented with greater NP profiles compared with those in education or employment (P = 0.006). Conclusion: Pain, in particular NP post SCI interferes with daily life, increases health service utilisation and remains refractory to current management strategies. Increased availability of multi-disciplinary pain management and further research into management strategies is warranted.
metadata.dc.description.othersponsorship: Pfizer Healthcare Ireland
Type of material: Journal Article
Publisher: Taylor & Francis
Journal: Journal of Spinal Cord Medicine
Volume: 42
Issue: 2
Start page: 201
End page: 211
Copyright (published version): 2017 The Academy of Spinal Cord Injury Professionals
Keywords: Spinal Cord InjuriesChronic painNeuropathic painNociceptive painPostal surveyPrevalence
DOI: 10.1080/10790268.2017.1351051
Language: en
Status of Item: Peer reviewed
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection

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