Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study
Objectives We investigated the relationship between the number of chronic pain sites and the prevalence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.Design Cross-sectional study.Setting The data analysed are from a study conducted in the cit...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e066554.full |
| _version_ | 1811168787517407232 |
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| author | Tao Chen Xin Liu Hiro Kishimoto Takafumi Saito Harukaze Yatsugi Tianshu Chu |
| author_facet | Tao Chen Xin Liu Hiro Kishimoto Takafumi Saito Harukaze Yatsugi Tianshu Chu |
| author_sort | Tao Chen |
| collection | DOAJ |
| description | Objectives We investigated the relationship between the number of chronic pain sites and the prevalence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.Design Cross-sectional study.Setting The data analysed are from a study conducted in the city of Itoshima, Japan in 2017.Participants The study population was 988 participants (age 65–75 years) not in need of long-term care who completed questionnaires assessing sociodemographic factors, psychological factors and chronic pain.Primary outcome measures The primary outcome was the participants’ neuropathic-like symptoms evaluated by the PainDETECT Questionnaire (PD-Q). We classified the participants into mild and moderate-to-severe pain groups according to the pain intensity on the PD-Q. The number of chronic pain sites was categorised into groups with 1, 2–3 and ≥4 sites.Results The age-adjusted and sex-adjusted prevalence of neuropathic-like symptoms was significantly higher among the participants with 2–3 or ≥4 sites compared with the single-site group. In the binomial logistic regression analyses, the multivariable-adjusted ORs and 95% CIs for neuropathic-like symptoms among the participants with 2–3 and ≥4 sites were 1.94 (1.13 to 3.33) and 3.90 (2.22 to 6.85), respectively compared with the participants with single-site pain. The ORs for moderate-to-severe neuropathic-like symptoms increased significantly with the increase in the number of chronic pain sites.Conclusions The number of chronic pain sites was positively associated with the presence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain. |
| first_indexed | 2024-04-10T16:31:21Z |
| format | Article |
| id | doaj.art-6df2c618b6c1409b81079888eb24cba7 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T16:31:21Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6df2c618b6c1409b81079888eb24cba72023-02-08T22:30:10ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-066554Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional studyTao Chen0Xin Liu1Hiro Kishimoto2Takafumi Saito3Harukaze Yatsugi4Tianshu Chu5professor of dermatology2 The Second Affiliated Hospital of Xi’an Jiaotong University, Xi`an, China1Department of Environmental Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDivision of Gastroenterology, Yamagata University Faculty of Medicine, Yamagata, JapanFaculty of Arts and Science, Kyushu University, Fukuoka, JapanGraduate School of Human-Environment Studies, Kyushu University, Fukuoka, JapanObjectives We investigated the relationship between the number of chronic pain sites and the prevalence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.Design Cross-sectional study.Setting The data analysed are from a study conducted in the city of Itoshima, Japan in 2017.Participants The study population was 988 participants (age 65–75 years) not in need of long-term care who completed questionnaires assessing sociodemographic factors, psychological factors and chronic pain.Primary outcome measures The primary outcome was the participants’ neuropathic-like symptoms evaluated by the PainDETECT Questionnaire (PD-Q). We classified the participants into mild and moderate-to-severe pain groups according to the pain intensity on the PD-Q. The number of chronic pain sites was categorised into groups with 1, 2–3 and ≥4 sites.Results The age-adjusted and sex-adjusted prevalence of neuropathic-like symptoms was significantly higher among the participants with 2–3 or ≥4 sites compared with the single-site group. In the binomial logistic regression analyses, the multivariable-adjusted ORs and 95% CIs for neuropathic-like symptoms among the participants with 2–3 and ≥4 sites were 1.94 (1.13 to 3.33) and 3.90 (2.22 to 6.85), respectively compared with the participants with single-site pain. The ORs for moderate-to-severe neuropathic-like symptoms increased significantly with the increase in the number of chronic pain sites.Conclusions The number of chronic pain sites was positively associated with the presence and severity of neuropathic-like symptoms in community-dwelling older Japanese adults with chronic pain.https://bmjopen.bmj.com/content/13/2/e066554.full |
| spellingShingle | Tao Chen Xin Liu Hiro Kishimoto Takafumi Saito Harukaze Yatsugi Tianshu Chu Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study BMJ Open |
| title | Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study |
| title_full | Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study |
| title_fullStr | Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study |
| title_full_unstemmed | Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study |
| title_short | Association between the number of chronic pain sites and neuropathic-like symptoms in community-dwelling older adults with chronic pain: a cross-sectional study |
| title_sort | association between the number of chronic pain sites and neuropathic like symptoms in community dwelling older adults with chronic pain a cross sectional study |
| url | https://bmjopen.bmj.com/content/13/2/e066554.full |
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