Demographic characteristics of patients of the center for pain treatment

Abstract

The treatment of chronic pain is one of the most important and unresolved medical problems in the world. The aim of the study was to assess the demographic characteristics of patients with chronic pain who applied to a specialized center for the treatment of pain syndromes of Federal Siberian Research Clinical Centre FMBA of Russia.

Material and methods. A retrospective analysis of 316 outpatient patient records was performed. The demographic characteristics of the patients, the frequency of types of pain syndromes and the results of the examination (PainDetect questionnaire, visual analogue scale) were evaluated.

Results. The age of patients ranged from 18 to 90 years, while patients with working age accounted for 56.7% of the total. The number of women significantly exceeded the number of men: 68.4% vs 31.6%. More than 70% of cases were diagnosed with chronic pain. 73% of patients had lower back pain, radicular and facet pain syndromes were recorded in 34.6% and 36.7%, respectively.

Conclusion. Significantly more often women sought help. 70% of patients were diagnosed with chronic pain. The most common radicular and facet pain syndromes.

Keywords

chronic pain syndrome / acute pain syndrome / pain treatment center / interventional methods of pain treatment

References

[1] Williams A.C., Craig K.D. Updating the definition of pain. Pain. 2016; 157: 2420−23.

[2] Dampier C., Palermo T.M., Darbari D.S., Hassell K., Smith W., Zempsky W. AAPT diagnostic criteria for chronic sickle cell disease pain. J. Pain. 2017; 18: 490–8.

[3] Leone C., Biasiotta A., La Cesa S., Di Stefano G., Cruccu G., Truini A. Pathophysiological mechanisms of neuropathic pain. Future Neurology. 2011; 6(4): 497−509.

[4] Leone C., Biasiotta A., La Cesa S., Di Stefano G., Cruccu G., Truini A. Pathophysiological mechanisms of neuropathic pain. Future Neurology. 2011; 6 (4): 497−509.

[5] Sabirova M.Z., Sibgatullin M.M., Altunbayev R.A. Analysis of modern therapeutic approaches to the treatment of acute and chronic back pain. Nevrologicheskiy vestnik. Journal imeni V.M. Bekhterev. 2010; 42 (4): 79−83. (In Russian).

[6] Сабирова М.З., Сибгатуллин М.М., Алтунбаев Р.А. Анализ современных терапевтических подходов к лечению острых и хронических болей в спине. Неврологический вестник. Журнал им. В.М. Бехтерева. 2010; 42 (4): 79−83.

[7] Macfarlane G.J., Beasley M., Jones E.A. et al. The prevalence and management of low back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study). Pain. 2012; 153 (1): 27–32.

[8] Cvijetic S., Bobic J., Grazio S., Uremovic M., Nemcic T., Kra-pac L. Quality of life, personality and use of pain medication in patients with chronic back pain. Appl. Res. Qual. Life. 2014; 9 (2): 401–11.

[9] Evert L.S., Bakhshiyeva S.A., Potupchik T.V., Bobrova E.I., Akhmeldinova Yu.R. Retreatment headaches in children and adolescents with asthenic syndrome. Sibirskoye meditsinskoye obozrenie. 2018; (4): 76−82. (In Russian)

[10] Эверт Л.С., Бахшиева С.А., Потупчик Т.В., Боброва Е.И., Ахмельдинова Ю.Р. Рецидивирующие головные боли у детей и подростков с астеническим синдромом. Сибирское медицинское обозрение. 2018; (4): 76−82.

[11] Osipova N.А. The science of pain as a basis for improving the technology of systemic pharmacotherapy of acute and chronic pain. Anesteziologiya i reanimatologiya. 2016; 61 (5S): 7. (In Russian)

[12] Осипова Н.А. Наука о боли как основа совершенствования технологий системной фармакотерапии острой и хронической боли. Анестезиология и реаниматология. 2016; 61 (5S): 7.

[13] Freynhagen R., Baron R., Gockel U., Tölle T.R. PainDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr. Med. Res. Opin. 2006, 22: 1911−20.

[14] Medvedeva L.A., Zagorul’ko O.I., Gnezdilov A.V. Chronic pain: epidemiology, and social-demographic characteristics of patients in Pain clinic of Surgery Center. Klinicheskaya i experimental’naya khirurgiya. 2016; 3: 36–43. (In Russian)

[15] Медведева Л.А., Загорулько О.И., Гнездилов А.В. Хроническая боль: эпидемиология и социально-демографические характеристики пациентов Клиники боли Центра хирургии. Клиническая и эксперим. хирургия. 2016; 3: 36–43.

[16] Zagorul’ko O.I., Medvedeva L.A., Gnezdilov A.V. et al. Pain epidemiology: cross-sectional study of prevalence of different types of pain syndromes in patients from department of pain management. Rossiyskiy zhunal boli. 2015; 3–4: 41–47. (In Russian)

[17] Загорулько О.И., Медведева Л.А., Гнездилов А.В. и др. Эпидемиология боли: кросс-секционное исследование распространенности различных типов болевых синдромов у пациентов отделения терапии боли. Российский журнал боли. 2015; 3–4: 41–47.

[18] Khrenova I., De Pinto M. Death After Transforaminal Cervical Epidural Steroid Injection Challenging Cases and Complication Management in Pain Medicine. Springer. 2018: 71–9.

[19] Volkov I.V., Karabaev I.Sh., Ptashnikov D.A., Konovalov N.A., Poyarkov K.A. Radiofrequency pulsed ablation of spinal ganglia in the treatment of postoperative root pain syndrome. Genii Ortopedii. 2018; 3 (24): 349–56. (In Russian)

[20] Волков И.В., Карабаев И.Ш., Пташников Д.А., Коновалов Н.А., Поярков К.А. Радиочастотная импульсная абляция спинальных ганглиев в лечении послеоперационного корешкового болевого синдрома. Гений Ортопедии. 2018; 3 (24): 349–56.

[21] Zabolotskii D.V., Portnyagin I.V. The use of pulsed radiofrequency ablation in the treatment of severe chronic pain syndrome after shoulder replacement (clinical case). Travmatologiya i ortopediya Rossii. 2015; 4 (78): 126−30. (In Russian)

[22] Заболотский Д.В., Портнягин И.В. Применение импульсной радиочастотной абляции при лечении тяжелого хронического болевого синдрома после эндопротезирования плечевого сустава (клинический случай). Травматология и ортопедия России. 2015; 4 (78): 126−30.

[23] Yarnitsky D., Granot M., Granovsky Y. Pain modulation profile and pain therapy: between pro- and antinociception. Pain. 2014, 155: 663−5.

[24] Forster M., Mahn F., Gockel U. et al. Axial low back pain: one painful area—many perceptions and mechanisms. PLoS ONE. 2013; 8:e68273.

[25] Butler S., Landmark T., Glette M., Borchgrevink P., Woodhouse A. Chronic widespread pain-the need for a standard definition. Pain. 2016; 157: 541–3.

[26] Silaev M.A., Lihvantsev I.G. Minimally invasive methods in the treatment of pain. Palliativnaya meditsina i reabilitaysiya. 2018; 2: 34−41. (In Russian)

[27] Силаев М.А., Лифенцов И.Г. Малоинвазивные методы в лечении боли. Паллиативная медицина и реабилитация. 2018; 2: 34−41.

[28] Qaseem A., Wilt T.J., McLean R.M., Forciea M.A. Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann. Intern. Med. 2017; 166 (07): 514−30.

[29] Qaseem A., Wilt T.J., McLean R.M., Forciea M.A. Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann. Intern. Med. 2017; 166(07): 514−30.

[30] Genov P.G., Smirnova O.V., Timerbaev V.Kh. Successful application of pulsed radiofrequency ablation of spinal nerve ganglia in the treatment of a patient with chronic neuropathic pain in the stump of an amputated limb. Regionarnaya anesteziya i lechenie ostroi boli. 2016; 1 (10): 60−4. (In Russian)

[31] Генов П.Г., Смирнова О.В., Тимербаев В.Х. Успешное применение импульсной радиочастотной абляции ганглиев спинномозговых нервов при лечении пациента с хронической нейропатической болью в культе ампутированной конечности. Регионарная анестезия и лечение острой боли. 2016; 1 (10): 60−4.

[32] Egorov O.E., Evzikov G.Yu. Treatment of a patient with radiculopathic pain syndrome using pulsed radiofrequency neurotomy of the posterior ganglion of the spinal nerve root. Clinical observation and literature review. Nevrologicheskii zhurnal. 2015; 1 (20): 28−33. (In Russian)

[33] Егоров О.Е., Евзиков Г.Ю. Лечение больного с радикулопатическим болевым синдромом с применением импульсной радиочастотной невротомии заднего ганглия корешка спинномозгового нерва. Клиническое наблюдение и обзор литературы. Неврологический журнал. 2015; 1 (20): 28−33.

[34] Rankine J.J. The postoperative spine. Semin. Musculoskelet. Radiol. 2014; 18 (3): 300−9.

[35] Rankine J.J. The postoperative spine. Semin. Musculoskelet. Radiol. 2014; 18(3): 300–9.

[36] Koes B.W., van Tulder M.W., Peul W.C. Diagnosis and treatment of sciatica. BMJ. 2007; 334: 1313–7.

RIGHTS & PERMISSIONS

Eco-Vector