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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
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 Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Rheumatology | ||||
| Publisher: | Oxford University Press | ||||
| ISSN: | 1462-0324 | ||||
| Official Date: | 1 July 2007 | ||||
| Dates: |
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| 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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