The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review

Purpose: This systematic review is conducted to explore the relationship between fragility fractures and pain experience.Methods: We searched for relevant studies on Pubmed, Embase, Web of Science, and the Cochrane library without restrictions on language from inception until February 4th, 2021. The...

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Main Authors: Pei-En Chen, Ching-Wen Chien, Tao-Hsin Tung
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.609318/full
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author Pei-En Chen
Pei-En Chen
Ching-Wen Chien
Tao-Hsin Tung
author_facet Pei-En Chen
Pei-En Chen
Ching-Wen Chien
Tao-Hsin Tung
author_sort Pei-En Chen
collection DOAJ
description Purpose: This systematic review is conducted to explore the relationship between fragility fractures and pain experience.Methods: We searched for relevant studies on Pubmed, Embase, Web of Science, and the Cochrane library without restrictions on language from inception until February 4th, 2021. The risk of bias and methodological quality was evaluated using the Newcastle-Ottawa Scale and ROBINS-I tool.Results: Twenty-one studies were included in this systematic review. The so-called study reported participants with continuous post-fracture pain. The included studies showed that post- fractured pain can decrease with time, however, the continual pain can last at least 1 year even longer, and some participants would need to self-manage pain. Moreover, the limited range of motion was considered as a factor that might distress the normal development of daily activities.Conclusions: The current evidence could not fully support that pain continues to influence patients' lives after a fragility fracture. However, it still showed the pain might come with fracture. The findings also could be useful to help health care providers better recognize and manage this clinical consequence of fractures. Nonetheless, future large-scale longitudinal studies will be required to evaluate the long-term effects of pain in fragility fractures.
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spelling doaj.art-911e6f747337442f90dba75959c3df6d2022-12-21T22:28:28ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-05-01810.3389/fmed.2021.609318609318The Relationship Between Fragility Fractures and Pain Experience: A Systematic ReviewPei-En Chen0Pei-En Chen1Ching-Wen Chien2Tao-Hsin Tung3Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, TaiwanTaiwan Association of Health Industry Management and Development, Taipei, TaiwanInstitute for Hospital Management, Tsing Hua University, Shenzhen, ChinaEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaPurpose: This systematic review is conducted to explore the relationship between fragility fractures and pain experience.Methods: We searched for relevant studies on Pubmed, Embase, Web of Science, and the Cochrane library without restrictions on language from inception until February 4th, 2021. The risk of bias and methodological quality was evaluated using the Newcastle-Ottawa Scale and ROBINS-I tool.Results: Twenty-one studies were included in this systematic review. The so-called study reported participants with continuous post-fracture pain. The included studies showed that post- fractured pain can decrease with time, however, the continual pain can last at least 1 year even longer, and some participants would need to self-manage pain. Moreover, the limited range of motion was considered as a factor that might distress the normal development of daily activities.Conclusions: The current evidence could not fully support that pain continues to influence patients' lives after a fragility fracture. However, it still showed the pain might come with fracture. The findings also could be useful to help health care providers better recognize and manage this clinical consequence of fractures. Nonetheless, future large-scale longitudinal studies will be required to evaluate the long-term effects of pain in fragility fractures.https://www.frontiersin.org/articles/10.3389/fmed.2021.609318/fullfragility fracturepainsystematic reviewfracturediscomfort
spellingShingle Pei-En Chen
Pei-En Chen
Ching-Wen Chien
Tao-Hsin Tung
The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
Frontiers in Medicine
fragility fracture
pain
systematic review
fracture
discomfort
title The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
title_full The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
title_fullStr The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
title_full_unstemmed The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
title_short The Relationship Between Fragility Fractures and Pain Experience: A Systematic Review
title_sort relationship between fragility fractures and pain experience a systematic review
topic fragility fracture
pain
systematic review
fracture
discomfort
url https://www.frontiersin.org/articles/10.3389/fmed.2021.609318/full
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