The prevalence rate and the role of the spatial extent of pain in nonspecific chronic back pain--a population-based study in the south-west of Germany

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Andreas GerhardtWolfgang Eich

Abstract

To determine the prevalence of chronic back pain in the general population and to establish an evidence-based subclassification system for chronic back pain based on pain extent. Representative population-based survey. South-western Germany. Four-thousand representative residents were contacted. The corrected response rate was 61.8% (N = 2,408). Those suffering from chronic back pain (pain ≥45 days/last 3 months) were invited to a clinical evaluation. Chronic back pain, spatial extent of pain, sociodemographic and clinical variables. Age- and sex-adjusted prevalence rate for chronic back pain was 17.7%. Analyzing pain extent, we found that only 19.6% suffered strictly from chronic local back pain, while the majority indicated additional pain regions. Thus, we developed a subclassification system based on pain extent that consists of four more homogeneous groups (19.6% strict chronic local pain, 42.1% chronic regional pain, 24.3% common chronic widespread pain, 13.9% extreme chronic widespread pain). Interestingly, in this system, increasing pain extent was significantly associated with higher distress, as reflected by sociodemographic (e.g., lower education, lower social class, and higher application rate for disability pension...Continue Reading

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Citations

May 16, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Winfried HäuserAnja Hilbert
Apr 6, 2016·The Journal of Pain : Official Journal of the American Pain Society·Michael TeutClaudia M Witt
Feb 24, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mark S WallaceNitzan Mekel-Bobrov
Mar 13, 2019·European Heart Journal·Jonas TesarzAlexander K Schuster
Jan 22, 2020·Pain Practice : the Official Journal of World Institute of Pain·Leticia Amaral CorrêaLeandro Alberto Calazans Nogueira
Nov 10, 2018·Scientific Reports·Shellie A BoudreauMichael Skovdal Rathleff
May 16, 2019·European Heart Journal·Annahita SarconChristian Templin
Apr 28, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Markus WettsteinJonas Tesarz
Dec 8, 2017·BMC Health Services Research·Magdalena GörgeErik Farin
Oct 3, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Markus WettsteinJonas Tesarz
Aug 9, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·A Grimby-EkmanB Gerdle
Oct 27, 2020·Journal of Medical Internet Research·Maria Galve VillaShellie A Boudreau
Jan 10, 2021·Brazilian Journal of Physical Therapy·Elizabet Saes-SilvaSamuel Carvalho Dumith
Aug 4, 2021·Scandinavian Journal of Pain·Maria Galve VillaShellie A Boudreau

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