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Chronic pain epidemiology and its clinical relevance
Open accessAbstract
Chronic pain affects ∼20% of the European population and is commoner in women, older people, and with relative deprivation. Its management in the community remains generally unsatisfactory, partly because of lack of evidence for effective interventions. Epidemiological study of chronic pain, through an understanding of its distribution and determinants, can inform the development, targeting, and evaluation of interventions in the general population. This paper reviews current knowledge of risk markers associated with chronic pain and considers how these might inform management and prevention. Risk factors include socio-demographic, clinical, psychological, and biological factors. These are relevant to our understanding of chronic pain mechanisms and the nature of, and responses to, current and future treatments.
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“Chronic pain is highly prevalent worldwide and associated with major personal and societal burden.1–5”
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Calcaterra, S. L., Yamashita, T. E., Min, S.-J., Keniston, A., Frank, J. W., & Binswanger, I. A. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3539-4 · Cited by 236
Chronic pain in older adults: prevalence, incidence, and risk factors
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“Moreover, the fact that today pain is not recognized as a public health care priority(47) hinders scientific research on pain, including its risk factors and comorbidities.(48) Thus, a vicious circle is created: without a definition of pain as a disease, despite the scientific knowledge already available on the pathol…”
The TRPA1 Channel in Inflammatory and Neuropathic Pain and Migraine
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Kantonen, T., Karjalainen, T., Isojärvi, J., Nuutila, P., Tuisku, J., Rinne, J. K. A., Hietala, J. A., Kaasinen, V., Kalliokoski, K. K., Scheinin, H., et al. (2020) · NeuroImage · doi:10.1016/j.neuroimage.2020.116922 · Cited by 138
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“To minimize this bias, we used surrogate covariates for chronic pain including duration of symptoms, preoperative pain scores, anxiety, depression, and NDI scores.(30,31)”
MethodPregnancy outcome following maternal exposure to pregabalin may call for concern
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Monoamines as Drug Targets in Chronic Pain: Focusing on Neuropathic Pain
Bravo, L., Llorca-Torralba, M., Berrocoso, E., & Micó, J. A. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01268 · Cited by 89
“Chronic pain is one of the most frequent reasons for visits to a physician and its estimated financial cost exceeds €200 billion per annum in Europe and $150 billion per annum in the United States (Tracey and Bushnell, 2009).”
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Jiao, J. M., So, E., Jebakaran, J., George, M. C., Simpson, D. M., & Robinson‐Papp, J. (2015) · Pain · doi:10.1097/j.pain.0000000000000462 · Cited by 88
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Does diet play a role in reducing nociception related to inflammation and chronic pain?
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BackgroundThe impacts of anxiety and depression on outcomes in orthopaedic trauma surgery: a narrative review
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Disambiguating Pharmacodynamic Efficacy from Behavior with Neuroimaging
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Pain: A content review of undergraduate pre-registration nurse education in the United Kingdom
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Chronic Pain and Analgesic Use in CKD
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“These designations were (1) appropriate dosing, or one of two DRPs as follows: (2) dosing of an opioid or nonopioid improperly at a participant’s eGFR at the time of dosing, or (3) a NSAID, which were considered a DRP, regardless of eGFR (16).”
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“Moreover, chronic pain, which is the most prevalent physical comorbidity included in our composite outcome, is also more commonly found in women than in men in the general population [30, 31].”
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Cellular and Molecular Mechanisms of Calcium/Calmodulin-Dependent Protein Kinase II in Chronic Pain
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“Introduction Chronic pain represents a major public health concern with a high prevalence ranging from 19–50% of the population (van Hecke et al., 2013; Macfarlane, 2016; Zhou et al., 2016b).”
Brenner-Fließer, M., Huberts, J. D. W., & Wippert, P. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020207 · Cited by 49
“Moreover, the development of chronic pain has a multidimensional aetiology and is moderated by health behaviour,(11) as well as social(12) and psychological factors.(13) For these reasons, we hypothesise that different SES indicators will lead to different degrees of association in the genesis of CBLP.”
BackgroundHCN Channels: New Therapeutic Targets for Pain Treatment
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BRD4 Inhibition Attenuates Inflammatory Pain by Ameliorating NLRP3 Inflammasome-Induced Pyroptosis
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“One fifth of the European population is affected by chronic pain, and most of the afflicted are women and elderly people (1).”
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“Further studies about the pathophysiology of pain, including its sensory and emotional aspects, are still needed for a better understanding of its etiology [2].”
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Plazier, M., Ost, J., Stassijns, G., De Ridder, D., & Vanneste, S. (2015) · Clinical Rheumatology · doi:10.1007/s10067-014-2736-6 · Cited by 45
Neurotrophic factors and their inhibitors in chronic pain treatment
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“For all types of chronic pain, estimates of prevalence have risen to 20% (van Hecke, Torrance, and Smith 2013; Breivik et al. 2006).”
BackgroundSocial Factors, Disability, and Depressive Symptoms in Adults With Chronic Pain
Solé, E., Racine, M., Tomé‐Pires, C., Galán, S., Jensen, M. P., & Miró, J. (2020) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000815 · Cited by 53
“The inclusion criteria were (1) being able to speak, read, and write Spanish, (2) being at least 18 years old, and (3) having chronic pain (ie, reporting a persistent pain problem for the last 3 mo or longer, and having pain on at least half of the days in the past 6 mo).”
BackgroundMethodQiu, Y., Ma, Y., & Huang, X. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.881779 · Cited by 44
Tong, H., Kong, E., Zhang, H., Lu, J., Huang, K., Ding, R., Wang, H., Li, J., Han, C., & Yuan, H. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.02.027 · Cited by 47
“As one of the most common and complex health problems, NP generates a huge socioeconomic burden [2] .”
BackgroundMore than meets the eye: visual attention biases in individuals reporting chronic pain
Fashler, S. R., & Katz, J. D. (2014) · Journal of Pain Research · doi:10.2147/jpr.s67431 · Cited by 49
Levels of physical activity in people with chronic pain
Parker, R., Bergman, E., Mntambo, A., Stubbs, S., & Wills, M. (2017) · South African Journal of Physiotherapy · doi:10.4102/sajp.v73i1.323 · Cited by 43
Miller, R. M., & Kaiser, R. S. (2018) · Current Pain and Headache Reports · doi:10.1007/s11916-018-0663-y · Cited by 42
Prevention of chronic post-surgical pain: the importance of early identification of risk factors
Tawfic, Q. A., Kumar, K., Pirani, Z., & Armstrong, K. (2017) · Journal of Anesthesia · doi:10.1007/s00540-017-2339-x · Cited by 44
“The burden to the healthcare system is both in terms of financial cost, and resource utilization [17, 18].”
BackgroundKetamine for the Treatment of Chronic Pain: A Comprehensive Review
Israel, J. E., Pierre, S. S., Ellis, E., Hanukaai, J. S., Noor, N., Varrassi, G., Wells, M., & Kaye, A. D. (2021) · Health Psychology Research · doi:10.52965/001c.25535 · Cited by 48
Mohammadi, S. A., & Christie, M. J. (2014) · Molecular Pain · doi:10.1186/1744-8069-10-64 · Cited by 40
Roizenblatt, S., de Souza, A. A. L., Palombini, L., Godoy, L. M., Tufik, S. B., & Bittencourt, L. (2015) · PLoS ONE · doi:10.1371/journal.pone.0142726 · Cited by 40
Prevalence and Risk Factors for Chronic Abdominal Pain After Roux-en-Y Gastric Bypass Surgery
Gormsen, J., Burcharth, J., Gögenür, I., & Helgstrand, F. (2019) · Annals of Surgery · doi:10.1097/sla.0000000000003356 · Cited by 39
“Other confounders could be health-seeking behavioral traits and individual perception, which would lead to underestimation of the prevalence of chronic abdominal pain.(45,46) Overall 68% of the patients answered”
BackgroundFactors associated with chronic and acute back pain in Wales, a cross-sectional study
Jonsdottir, S., Ahmed, H., Tómasson, K., & Carter, B. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2477-4 · Cited by 39
Muhammad, T., & Rashid, M. (2021) · Depression and Anxiety · doi:10.1002/da.23239 · Cited by 40
Karlsson, L., Gerdle, B. U. C., Takala, E., Andersson, G., & Larsson, B. K. (2018) · Journal of Pain Research · doi:10.2147/jpr.s149826 · Cited by 44
Effect of mito-TEMPO, a mitochondria-targeted antioxidant, in rats with neuropathic pain
Li, Z., Li, R., Sun, Y., Dou, M., Yang, W., He, S., & Zhang, Y. (2018) · Neuroreport · doi:10.1097/wnr.0000000000001105 · Cited by 38
The Role of Toxins in the Pursuit for Novel Analgesics
Maatuf, Y., Geron, M., & Priel, A. (2019) · Toxins · doi:10.3390/toxins11020131 · Cited by 38
Pain in neuropsychiatry: Insights from animal models
Bravo, L., Llorca-Torralba, M., Suárez‐Pereira, I., & Berrocoso, E. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.04.029 · Cited by 41
Muralidharan, A., Kuo, A., Jacob, M., Lourdesamy, J., Carvalho, L. M. S. P. D., Nicholson, J. R., Corradini, L., & Smith, M. T. (2016) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2016.00088 · Cited by 37
Chronic pain impact on rodents’ behavioral repertoire
Cunha, A. M., Pereira-Mendes, J., Almeida, A., Guimarães, M. R., & Leite‐Almeida, H. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.09.022 · Cited by 38
Pain and chronic pain epidemiology
Dorner, T. E. (2017) · Wiener klinische Wochenschrift · doi:10.1007/s00508-017-1301-0 · Cited by 37
Quality of life in chronic pain patients: Illness‐ and wellness‐focused coping as moderators
Pereira, M. G., Carvalho, C., Costa, E. C. V., Leite, Â. M. T., & Almeida, V. M. (2020) · PsyCh Journal · doi:10.1002/pchj.410 · Cited by 46
Buehlmann, D., Ielacqua, G. D., Xandry, J., & Rudin, M. (2018) · Pain · doi:10.1097/j.pain.0000000000001388 · Cited by 36
Recent trends in acupuncture for chronic pain: A bibliometric analysis and review of the literature
Huang, L., Xu, G., Sun, M., Yang, C., Luo, Q., Tian, H., Zhou, Z., Liu, Y., Huang, F., Liang, F., et al. (2023) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2023.102915 · Cited by 41
Metadata
- Authors
- van Hecke, O., Torrance, N., & Smith, B. H.
- Affiliations
- University of Dundee (GB)
- Corresponding author
- Smith, B.H.
- Venue
- British Journal of Anaesthesia
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 111
- Issue
- 1
- Pages
- 13-18
- ISSN
- 0007-0912 (ISSN-L)
- OpenAlex
- W1972647407
- Cited by
- 632
- References
- 83
- Citations by year
- 2026: 22 · 2025: 42 · 2024: 59 · 2023: 55 · 2022: 58 · 2021: 77 · 2020: 72 · 2019: 61 · 2018: 48 · 2017: 47 · 2016: 38 · 2015: 28 · 2014: 22 · 2013: 2
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- British Journal of Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- chronic pain, pain epidemiology, risk factors, sociodemographic factors, psychological factors, biological factors, pain prevention, pain management, women, older adults, relative deprivation
- MeSH terms
- Age Factors, Mental Disorders, Europe, Female, Humans, Male, Pain Measurement, Risk Factors, Sex Factors, Socioeconomic Factors, Comorbidity, Genetic Predisposition to Disease, Chronic Pain
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