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Long-term trajector...
Long-term trajectories of chronic musculoskeletal pain: a 21-year prospective cohort latent class analysis
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- Aili, Katarina, 1980- (författare)
- Högskolan i Halmstad,Hälsa och idrott,Spenshult Research and Development Center, Halmstad, Sweden | Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden
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- Campbell, P. (författare)
- Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Midlands Partnership NHS Foundation Trust, Stafford, United Kingdom
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- Michaleff, Z. A. (författare)
- Keele University, School for Primary, Community and Social Care, Keele, United Kingdom
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- Strauss, V. Y. (författare)
- University of Oxford, CSM, NDORMS, Oxford, United Kingdom
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- Jordan, K. P. (författare)
- Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Keele University, Centre for Prognosis Research, Keele, United Kingdom
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- Bremander, Ann, 1957- (författare)
- Spenshult Research and Development Center, Halmstad, Sweden | Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
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- Croft, P. (författare)
- Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Keele University, Centre for Prognosis Research, Keele, United Kingdom
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- Bergman, Stefan (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Spenshult Research and Development Center, Halmstad, Sweden | University of Gothenburg, Institute of Medicine, Gothenburg, Sweden
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(creator_code:org_t)
- 2020-11-11
- 2021
- Engelska.
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Ingår i: Pain. - Philadelphia, PA : Ovid Technologies (Wolters Kluwer Health). - 0304-3959 .- 1872-6623. ; 162:5, s. 1511-1520
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https://doi.org/10.1...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Our knowledge of the prevalence, impact, and outcomes of chronic pain in the general population is predominantly based on studies over relatively short periods of time. The aim of this study was to identify and describe trajectories of the chronic pain status over a period of 21 years. Self-reported population data (n = 1858) from 5 timepoints were analyzed. Pain was categorized by: no chronic pain (NCP), chronic regional pain (CRP), and chronic widespread pain (CWP). Latent class growth analysis was performed for identification of trajectories and logistic regression analysis for identification of predictors for pain prognosis. Five trajectories were identified: (1) persistent NCP (57%), (2) migrating from NCP to CRP or CWP (5%), (3) persistent CRP or migration between CRP and NCP (22%), (4) migration from CRP to CWP (10%), and (5) persistent CWP (6%). Age, sleeping problems, poor vitality, and physical function at baseline were associated with pain progression from NCP. Female gender, seeking care for pain, lack of social support, poor physical function, vitality, and mental health predicted poor pain prognosis among those with CRP. In conclusion, chronic pain was common in the population including 6% reporting persistent CWP, although the majority persistently reported NCP. Most people had stable pain status, but some had ongoing change in pain status over time including people who improved from chronic pain. It was possible to identify clinically relevant factors, characterizing trajectories of chronic pain development, that can be useful for identifying individuals at risk and potential targets for intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Nyckelord
- Chronic pain
- Chronic widespread pain
- CWP
- Musculoskeletal pain
- Trajectory
- chronic widespread pain
- low-back-pain
- 12-year follow-up
- risk-factors
- prevalence
- population
- impact
- life
- epidemiology
- fibromyalgia
- Anesthesiology
- Neurosciences & Neurology
- Chronic pain
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Pain
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Aili, Katarina, ...
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Campbell, P.
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Michaleff, Z. A.
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Strauss, V. Y.
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Jordan, K. P.
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Bremander, Ann, ...
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visa fler...
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Croft, P.
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Bergman, Stefan
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Pain
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Göteborgs universitet
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Högskolan i Halmstad
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