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Chronic musculoskeletal pain rarely presents in a single body site : results from a UK population study

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Carnes, D., Parsons, S., Ashby, D., Breen, A., Foster, N. E., Pincus, T., Vogel, S. and Underwood, Martin (2007) Chronic musculoskeletal pain rarely presents in a single body site : results from a UK population study. Rheumatology, 46 (7). pp. 1168-1170. doi:10.1093/rheumatology/kem118

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Official URL: http://dx.doi.org/10.1093/rheumatology/kem118

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Abstract

Objective. To investigate the frequency and health impact of chronic multi-site musculoskeletal pain, in a representative UK sample. Method. Population postal questionnaire survey, using 16 general practices in the southeast of England, nationally representative urban/ rural, ethnic and socioeconomic mix. A random selection of 4049 registered patients, aged 18 or over, were sent a questionnaire. The main outcome measures were chronic pain location, identified using a pain drawing; distress, pain intensity and disability as measured by the GHQ12 and the Chronic Pain Grade. Results. A total of 2445 patients (60%) responded to the survey (44% male, mean age 52 yrs); 45% had chronic musculoskeletal pain. Of those with chronic pain, three quarters had pain in multiple sites (two or more sites). Variables significantly predicting this were: age under 55, [odds ratio (OR) 0.5, 95% confidence interval (CI) 0.4, 0.6]; psychological distress (OR 1.8, CI at 95% 1.4, 2.2) and high pain intensity (OR 5.2, CI at 95% 4.1, 6.7). Only 33% of multi-site pain distributions conformed to the American College of Rheumatology definition of chronic widespread pain. Conclusions. Multi-site chronic pain is more common than single-site chronic pain and is commonly associated with other problems. Indiscriminate targeting of research and care for chronic musculoskeletal pain on single sites may often be inappropriate. © The Author 2007. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Rheumatology
Publisher: Oxford University Press
ISSN: 1462-0324
Official Date: 1 July 2007
Dates:
DateEvent
1 July 2007Published
Volume: 46
Number: 7
Page Range: pp. 1168-1170
DOI: 10.1093/rheumatology/kem118
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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