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Long-term experiences of pain after a fragility fracture.
Gheorghita, A; Webster, F; Thielke, S; Sale, J E M.
Afiliação
  • Gheorghita A; Institute of Health Policy, Management & Evaluation, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON, M5T 3M6, Canada.
  • Webster F; Institute of Health Policy, Management & Evaluation, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON, M5T 3M6, Canada.
  • Thielke S; Geriatric Research Education and Clinical Center, Puget Sound VA Medical Center, Seattle, WA, 98108, USA.
  • Sale JEM; Institute of Health Policy, Management & Evaluation, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON, M5T 3M6, Canada. salej@smh.ca.
Osteoporos Int ; 29(5): 1093-1104, 2018 05.
Article em En | MEDLINE | ID: mdl-29455247
Little is known about long-term pain after a fragility fracture. In this secondary analysis, we determined that pain continues to influence many patients' lives more than 1 year after a fracture and that health care providers do not seem to adequately recognize or manage these long-term consequences. INTRODUCTION: We characterized perspectives on long-term pain among men and women who had sustained a fragility fracture. METHODS: We conducted a secondary analysis of qualitative data from 67 individuals recruited in three primary studies (47-89 years old; 55 women, 12 men). Eligible individuals from the primary studies were those who had reported pain related to their fracture beyond 6 months. Data about reported pain were re-analyzed using qualitative description as articulated by Sandelowski. RESULTS: Thirty-four individuals (47-89 years old; 4 men; 8 had sustained a vertebral fracture) reported pain related to their fracture in the primary studies. Thirty-one (91%) participants had sustained a fragility fracture at least 1 year previously (range 1-13 years). Patients described long-term pain beyond typical fracture healing times, generally unrelieved by analgesics, which affected their mobility, functional activity, independence, sleep, and energy. Health care providers were perceived to under-estimate timelines regarding the decrease of post-fracture pain and to not manage that pain. Participants reported that pain management was inadequate and that they developed their own strategies to respond to it. CONCLUSIONS: Pain continues to influence many patients' lives more than 1 year after a fragility fracture. Patient narratives could be useful to help health care providers to better recognize and manage this long-term consequence of fractures.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Atitude Frente a Saúde / Fraturas por Osteoporose / Dor Crônica Tipo de estudo: Qualitative_research Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Osteoporos Int Assunto da revista: METABOLISMO / ORTOPEDIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Canadá

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Atitude Frente a Saúde / Fraturas por Osteoporose / Dor Crônica Tipo de estudo: Qualitative_research Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Osteoporos Int Assunto da revista: METABOLISMO / ORTOPEDIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Canadá