A one-year follow-up study of chronic pain in community-dwelling older adults with and without neuropathic pain

Show full item record



Permalink

http://hdl.handle.net/10138/206992

Citation

Rapo-Pylkkö , S , Haanpää , M & Liira , H 2017 , ' A one-year follow-up study of chronic pain in community-dwelling older adults with and without neuropathic pain ' , BMC Geriatrics , vol. 17 , 152 . https://doi.org/10.1186/s12877-017-0537-x

Title: A one-year follow-up study of chronic pain in community-dwelling older adults with and without neuropathic pain
Author: Rapo-Pylkkö, Susanna; Haanpää, Maija; Liira, Helena
Contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2017-07-19
Language: eng
Number of pages: 6
Belongs to series: BMC Geriatrics
ISSN: 1471-2318
URI: http://hdl.handle.net/10138/206992
Abstract: Background: Chronic, mostly musculoskeletal pain is common among older adults. Little is known about the prognosis of chronic pain and the neuropathic pain qualities in older adults. We studied a cohort of community-dwelling older adults, clinically assessed their pain states, classified their type of pain (nociceptive, neuropathic or combined) and followed them up for a year. Methods: At baseline, a geriatrician clinically examined all study patients and classified their type of pain in collaboration with a pain specialist. Pain, quality of life and mental health were measured by questionnaires (BPI, GDS-15, BAI and SF-36) and reassessed after 1 year. Results: Despite chronic pain, all patients from the baseline cohort continued to live independently at 1 year. A total of 92 of 106 (87%) patients returned the follow-up questionnaire. Nociceptive pain on its own was present in 48 patients, whereas 44 patients also had neuropathic pain. Most patients (96%) had several pain states at baseline, and 13 patients reported a new pain state at follow-up. On average, there were no significant changes in the pain intensity, pain interference, mood or quality of life in either group between baseline and follow-up. Changes in pain were observed at the individual level, and both intensity and interference of pain at the follow-up had a negative correlation with the baseline value. Conclusions: On average, chronic pain was persistent in our patients, but they were able to live independently despite their pain. At the individual level, both relief and exacerbation of pain were observed, supporting the notion that pain is not inevitable and unremitting among older adults.
Subject: Chronic pain
Finland
Older adults
General practice
Longitudinal studies
GENERAL-POPULATION
PEOPLE
QUESTIONNAIRE
EPIDEMIOLOGY
PERSISTENCE
PREVALENCE
FINLAND
HEALTH
3121 Internal medicine
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
s12877_017_0537_x.pdf 530.5Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record