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Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain.
Zerriouh, Meriem; De Clifford-Faugère, Gwenaelle; Nguena Nguefack, Hermine Lore; Pagé, M Gabrielle; Guénette, Line; Blais, Lucie; Lacasse, Anaïs.
Affiliation
  • Zerriouh M; Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, Canada.
  • De Clifford-Faugère G; Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, Canada.
  • Nguena Nguefack HL; Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, Canada.
  • Pagé MG; Centre de Recherche, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada.
  • Guénette L; Département d'Anesthésiologie et de Médecine de la Douleur, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada.
  • Blais L; Faculté de Pharmacie, Université Laval, Quebec City, QC, Canada.
  • Lacasse A; Centre de Recherche, Centre Hospitalier Universitaire (CHU) de Québec-Université Laval, Axe Santé des Populations et Pratiques Optimales en Santé, Quebec City, QC, Canada.
Front Pain Res (Lausanne) ; 5: 1306479, 2024.
Article in En | MEDLINE | ID: mdl-38560482
ABSTRACT

Objectives:

Randomized clinical trials are used to evaluate the efficacy of various pain treatments individually, while a limited number of observational studies have portrayed the overall relief experienced by persons living with chronic pain. This study aimed to describe pain relief in real-world clinical settings and to identify associated factors.

Methods:

This exploratory web-based cross-sectional study used data from 1,419 persons recruited in the community. Overall pain relief brought by treatments used by participants was assessed using a 0%-100% scale (10-unit increments).

Results:

A total of 18.2% of participants reported minimal pain relief (0%-20%), 60.0% moderate to substantial pain relief (30%-60%), and 21.8% extensive pain relief (70%-100%). Multivariable multinomial regression analysis revealed factors significantly associated with greater pain relief, including reporting a stressful event as circumstances surrounding the onset of pain, living with pain for ≥10 years, milder pain intensity, less catastrophic thinking, use of prescribed pain medications, use of nonpharmacological pain treatments, access to a trusted healthcare professional, higher general health scores, and polypharmacy. Factors associated with lower pain relief included surgery as circumstances surrounding pain onset, use of over-the-counter pain medications, and severe psychological distress.

Discussion:

In this community sample of persons living with chronic pain, 8 out of 10 persons reported experiencing at least moderate relief with their treatment. The analysis has enabled us to explore potential modifiable factors as opportunities for improving the well-being of persons living with chronic pain.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Pain Res (Lausanne) Year: 2024 Document type: Article Affiliation country: Canada Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Pain Res (Lausanne) Year: 2024 Document type: Article Affiliation country: Canada Country of publication: Switzerland