Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population

Introduction/Objective: Chronic pain disorders affect about 20% of adults in the United States, and it disproportionately affects individuals living in the neighborhoods of extreme socioeconomic disadvantage. In many instances, chronic pain has been noted to arise from an aggregation of multiple ris...

Full description

Bibliographic Details
Main Authors: Neil Mookerjee, Nicole Schmalbach, Gianna Antinori, Subhadra Thampi, Dylan Windle-Puente, Amy Gilligan, Ha Huy, Megha Andrews, Angela Sun, Roshni Gandhi, William Benedict, Austin Chang, Ben Sanders, Justin Nguyen, Maanika Reddy Keesara, Janet Aliev, Aneri Patel, Isaiah Hughes, Ian Millstein, Krystal Hunter, Satyajeet Roy
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319241233463
_version_ 1797304006245089280
author Neil Mookerjee
Nicole Schmalbach
Gianna Antinori
Subhadra Thampi
Dylan Windle-Puente
Amy Gilligan
Ha Huy
Megha Andrews
Angela Sun
Roshni Gandhi
William Benedict
Austin Chang
Ben Sanders
Justin Nguyen
Maanika Reddy Keesara
Janet Aliev
Aneri Patel
Isaiah Hughes
Ian Millstein
Krystal Hunter
Satyajeet Roy
author_facet Neil Mookerjee
Nicole Schmalbach
Gianna Antinori
Subhadra Thampi
Dylan Windle-Puente
Amy Gilligan
Ha Huy
Megha Andrews
Angela Sun
Roshni Gandhi
William Benedict
Austin Chang
Ben Sanders
Justin Nguyen
Maanika Reddy Keesara
Janet Aliev
Aneri Patel
Isaiah Hughes
Ian Millstein
Krystal Hunter
Satyajeet Roy
author_sort Neil Mookerjee
collection DOAJ
description Introduction/Objective: Chronic pain disorders affect about 20% of adults in the United States, and it disproportionately affects individuals living in the neighborhoods of extreme socioeconomic disadvantage. In many instances, chronic pain has been noted to arise from an aggregation of multiple risk factors and events. Therefore, it is of importance to recognize the modifiable risk factors. The aim of this study was to investigate the comorbid medical conditions and risk factors associated with chronic pain disorders in patients aged 65 years and older. Methods: Our team retrospectively reviewed medical records of elderly patients (65 years and older) who were evaluated in our outpatient medicine office between July 1, 2020 and June 30, 2021 for acute problems, management of chronic medical problems, or well visits. We divided our patients into a group who suffered from chronic pain disorder, and another group who did not have chronic pain disorder. The association of variables were compared between those groups. Results: Of the 2431 patients, 493 (20.3%) had a chronic pain disorder. A higher frequency of females in the group with chronic pain disorder was found compared to the group without a chronic pain disorder (60.6% vs 55.2%; P  = .033). The mean ages between the two groups were similar in the group with a chronic pain disorder compared to the group without (76.35 ± 7.5 year vs 76.81 ± 7.59 year; P  = .228). There were significant associations of certain comorbidities in the group with a chronic pain disorder compared to the group without a chronic pain disorder, such as depression (21.9% vs 15.2%; P  < .001), anxiety (27.0% vs 17.1%; P  < .001), chronic obstructive pulmonary disease (8.7% vs 6.1%; P  = .036), obstructive sleep apnea (16.8% vs 11.6%; P  = .002), gastroesophageal reflux disease (40.8% vs 29.0%; P  < .001), osteoarthritis (49.3% vs 26.1%; P  < .001), other rheumatologic diseases (24.9% vs 19.4%; P  = .006), and peripheral neuropathy (14.4% vs 5.3%; P  < .001). Conclusion: Female sex, depression, anxiety, chronic obstructive pulmonary disease, obstructive sleep apnea, gastroesophageal reflux disease, osteoarthritis, other rheumatologic diseases, and peripheral neuropathy were significantly associated with chronic pain disorder in elderly patients, while BMI was not associated with chronic pain disorder.
first_indexed 2024-03-08T00:01:59Z
format Article
id doaj.art-80256f27131741c9bc0fe8f792223b04
institution Directory Open Access Journal
issn 2150-1327
language English
last_indexed 2024-03-08T00:01:59Z
publishDate 2024-02-01
publisher SAGE Publishing
record_format Article
series Journal of Primary Care & Community Health
spelling doaj.art-80256f27131741c9bc0fe8f792223b042024-02-18T03:03:30ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-02-011510.1177/21501319241233463Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly PopulationNeil Mookerjee0Nicole Schmalbach1Gianna Antinori2Subhadra Thampi3Dylan Windle-Puente4Amy Gilligan5Ha Huy6Megha Andrews7Angela Sun8Roshni Gandhi9William Benedict10Austin Chang11Ben Sanders12Justin Nguyen13Maanika Reddy Keesara14Janet Aliev15Aneri Patel16Isaiah Hughes17Ian Millstein18Krystal Hunter19Satyajeet Roy20Cooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USACooper University Health Care, Camden, NJ, USAIntroduction/Objective: Chronic pain disorders affect about 20% of adults in the United States, and it disproportionately affects individuals living in the neighborhoods of extreme socioeconomic disadvantage. In many instances, chronic pain has been noted to arise from an aggregation of multiple risk factors and events. Therefore, it is of importance to recognize the modifiable risk factors. The aim of this study was to investigate the comorbid medical conditions and risk factors associated with chronic pain disorders in patients aged 65 years and older. Methods: Our team retrospectively reviewed medical records of elderly patients (65 years and older) who were evaluated in our outpatient medicine office between July 1, 2020 and June 30, 2021 for acute problems, management of chronic medical problems, or well visits. We divided our patients into a group who suffered from chronic pain disorder, and another group who did not have chronic pain disorder. The association of variables were compared between those groups. Results: Of the 2431 patients, 493 (20.3%) had a chronic pain disorder. A higher frequency of females in the group with chronic pain disorder was found compared to the group without a chronic pain disorder (60.6% vs 55.2%; P  = .033). The mean ages between the two groups were similar in the group with a chronic pain disorder compared to the group without (76.35 ± 7.5 year vs 76.81 ± 7.59 year; P  = .228). There were significant associations of certain comorbidities in the group with a chronic pain disorder compared to the group without a chronic pain disorder, such as depression (21.9% vs 15.2%; P  < .001), anxiety (27.0% vs 17.1%; P  < .001), chronic obstructive pulmonary disease (8.7% vs 6.1%; P  = .036), obstructive sleep apnea (16.8% vs 11.6%; P  = .002), gastroesophageal reflux disease (40.8% vs 29.0%; P  < .001), osteoarthritis (49.3% vs 26.1%; P  < .001), other rheumatologic diseases (24.9% vs 19.4%; P  = .006), and peripheral neuropathy (14.4% vs 5.3%; P  < .001). Conclusion: Female sex, depression, anxiety, chronic obstructive pulmonary disease, obstructive sleep apnea, gastroesophageal reflux disease, osteoarthritis, other rheumatologic diseases, and peripheral neuropathy were significantly associated with chronic pain disorder in elderly patients, while BMI was not associated with chronic pain disorder.https://doi.org/10.1177/21501319241233463
spellingShingle Neil Mookerjee
Nicole Schmalbach
Gianna Antinori
Subhadra Thampi
Dylan Windle-Puente
Amy Gilligan
Ha Huy
Megha Andrews
Angela Sun
Roshni Gandhi
William Benedict
Austin Chang
Ben Sanders
Justin Nguyen
Maanika Reddy Keesara
Janet Aliev
Aneri Patel
Isaiah Hughes
Ian Millstein
Krystal Hunter
Satyajeet Roy
Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
Journal of Primary Care & Community Health
title Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
title_full Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
title_fullStr Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
title_full_unstemmed Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
title_short Association of Risk Factors and Comorbidities With Chronic Pain in the Elderly Population
title_sort association of risk factors and comorbidities with chronic pain in the elderly population
url https://doi.org/10.1177/21501319241233463
work_keys_str_mv AT neilmookerjee associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT nicoleschmalbach associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT giannaantinori associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT subhadrathampi associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT dylanwindlepuente associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT amygilligan associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT hahuy associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT meghaandrews associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT angelasun associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT roshnigandhi associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT williambenedict associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT austinchang associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT bensanders associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT justinnguyen associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT maanikareddykeesara associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT janetaliev associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT aneripatel associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT isaiahhughes associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT ianmillstein associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT krystalhunter associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation
AT satyajeetroy associationofriskfactorsandcomorbiditieswithchronicpainintheelderlypopulation