Introduction: Chronic pain is a costly and incapacitating condition, with a projected global prevalence of 20%. In South Africa, almost one in five adults experience chronic pain. The aim of this study was to assess the prevalence of chronic pain and the association between chronic pain intensity and the interference of pain with life domains in patients attending a primary health care center.
Methods: We conducted a cross-sectional quantitative study on a sample of 331 patients at Soshanguve Community Health Centre. The data were collected using the Wisconsin Brief Pain Questionnaire, a validated scale for measuring pain.
Results: The mean age of participants was 51.6 years (SD = ±15.15, range = 18-86). The median age was 48 years (interquartile range = 40-64). The prevalence of chronic pain was 21.5% (95% confidence interval [CI] 17.0-25.9). Approximately 58% of participants were female, and female patients were affected more frequently than male patients. Chronic pain was observed to be 11.1% more prevalent in females than in males. Chronic pain mildly impacted general activity in 33.8% of patients (95% CI 23.9-45.4), mood in 42.3% (95% CI 31.4-53.8), walking ability in 29.6% (95% CI 20.2-41.0), relationships in 47.9% (95% CI 36.7-59.3), sleep in 31.0% (95% CI 21.4-42.5), enjoyment of life in 39.4% (95% CI 28.9-51.1), and normal working ability in 25.3% (95% CI 16.7-36.6).
Conclusions: Findings from this study show that among patients who attended the primary health care clinic, chronic pain was highly prevalent and interfered with their life domains. The intensity of pain was high in a significant proportion of patients. These findings provide invaluable information needed for the improvement of resources at the primary care level to comprehensively evaluate pain in our communities.
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http://dx.doi.org/10.1080/24740527.2023.2284152 | DOI Listing |
JAMA Surg
January 2025
Department of Surgery, State University of New York, Downstate Health Sciences University, Brooklyn.
Importance: Chronic limb-threatening ischemia (CLTI) is a major public health issue that requires considerable human and physical resources to provide optimal patient care. It is essential to characterize the disease severity and resource needs of patients with CLTI presenting to facilities of varying resource capacities.
Objective: To investigate the association between facility-level Medicaid payer proportions and the incidence of nonelective admissions among patients admitted for CLTI.
Pain
January 2025
Innovation, Implementation and Clinical Translation (IIMPACT) in Health, University of South Australia Adelaide, SA, Australia.
Guideline-based care for chronic pain is challenging to deliver in rural settings. Evaluations of programs that increase access to pain care services in rural areas report variable outcomes. We conducted a realist review to gain a deep understanding of how and why such programs may, or may not, work.
View Article and Find Full Text PDFJ Ultrasound
January 2025
Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology, Bologna, Italy.
Objective: The aim of this work is to demonstrate how the chronicity of low back pain can modify the trophism of the paraspinal muscles, by performing an ultrasound and MRI evaluation of the paraspinal muscles in the lumbar spine and correlating it to the time of onset of low back pain.
Materials And Methods: An ultrasound evaluation was carried out in the lumbar area with a 5-17 MHz linear probe of the paraspinal muscles of the lumbar region, compared with the MRI of the lumbar spine, in patients presented to our attention for chronic low back pain (> 6 months), from January 2021 to January 2023. In each patient, two series of images were analyzed, in the coronal and sagittal planes.
Aging Clin Exp Res
January 2025
Department of Nursing, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Background: Tai Chi (TC) is widely acknowledged for its positive impact on improving motor function in older adults. Nevertheless, limited research has directly compared the effects of different TC styles on older adults with functional impairments.
Objective: This study aimed to assess the impact of different TC styles on motor function in older adults with functional impairments.
Calcif Tissue Int
January 2025
Fondazione FIRMO Onlus, Italian Foundation for the Research On Bone Diseases, Florence, Italy.
Gaucher disease is a rare lysosomal storage disorder characterized by the accumulation of glucocerebroside lipids within multiple organs due to a deficiency of the lysosomal enzyme (acid β-glucosidase). It is an inherited autosomal recessive disease. The onset of symptoms can vary depending on disease type and severity, with milder forms presenting in adulthood.
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