Cited by 632Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsPain Management and Opioid Use

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Chronic pain epidemiology and its clinical relevance

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van Hecke, O, Torrance, N, Smith, B.H.·2013·British Journal of Anaesthesia

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Abstract

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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Background
Avaliação do acompanhamento farmacoterapêutico de idosos hospitalizados em uso de analgésicos opioides
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“Several risk factors have been identified in epidemiological studies of pain, such as old age, female sex, low individual socioeconomic status (SES) and physical inactivity (van Hecke et al., 2013).”
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“Los estudios consultados al respecto apoyan estas posibles diferencias en la actuación de factores moduladores de la percepción del dolor, como son los sociodemográficos, clínicos, psicológicos y biológicos que se habrían de tener en cuenta en la valoración y en el tratamiento (29).”
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“[5] Van Hecke O, Torrance N, Smith BH.”
Background
Prevalence and correlates of psychiatric comorbidity in chronic pain patients: A hospital-based study
Chaudhury, S., Javdekar, A., Patel, V., & Saldanha, D. (2019) · Medical Journal of Dr D Y Patil Vidyapeeth · doi:10.4103/mjdrdypu.mjdrdypu_57_18 · Cited by 1
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Medicina conductual: trabajo en la clínica del dolor del Hospital Juárez de México
Hernández-Gálvez, G. A., Gálvez, A. L. B., Salazar-Díaz, D., & Hernández-Solís, P. (2020) · Revista del Hospital Juárez de México · doi:10.24875/rhjm.m20000008 · Cited by 1
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“Although important advances have been made in understanding pain mechanisms, enabling new treatment modalities, chronic pain management is generally unsatisfactory and most persist for many years [29].”
Background
Pain in older adults
Horgas, A. L., & Elliott, A. F. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-816094-7.00012-x · Cited by 2
Prevalência de dor crônica em idosos: revisão integrativa da literatura / Prevalence of chronic pain in the older adults: an integrative literature review
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Prevalencia de dolor crónico en personas adultas en Costa Rica, enero-2020 a marzo-2021
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Understanding the impact of the COVID-19-related lockdown in university workers. Identifying groups through cluster analysis
Sola, H. D., Salazar, A., Palomo‐Osuna, J., Dueñas, M., Failde, I., & Moral-Muñoz, J. A. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e12483 · Cited by 2
“In line with the characteristics of this group, CP is known to be higher among women and related to anxiety and depression as the most common mental problems [36, 37, 38, 39].”
A Pre- and Post-Implantable Pain Device Procedure Assessment Model: Psychiatric Symptoms, Functioning, and Goals
Garcia, M. A., Emami, A. S., Blau, L. E., & Rutledge, T. R. (2023) · Pain Management · doi:10.2217/pmt-2022-0087 · Cited by 1
ANF therapy® for pain management, feasibility, satisfaction, perceived symptom reduction and side effects: a real-world multisite observational study
de la Vega, R., Heinisuo, I. A., López-Martínez, A. E., Serrano‐Ibáñez, E. R., Ruiz-Párraga, G. T., Ramírez‐Maestre, C., & Esteve, R. (2023) · Journal of Physical Therapy Science · doi:10.1589/jpts.35.768 · Cited by 1
“Pain effects on quality of life and disability are well-documented 3 ) as well as the significant economic impact on the patients and healthcare systems 4, 5 ) .”
Background
Psychosoziales Wohlbefinden und mögliche Wechselwirkungen mit Nacken- und Schulterbeschwerden
Jedlicka, F. C., Guelen, E., & Fehrmann, E. (2024) · Manuelle Medizin · doi:10.1007/s00337-023-01021-1 · Cited by 1
Häufigkeit von chronischem Schmerz im Alter, Schmerzmechanismen und Schmerzchronifizierung, Schmerzursachen und Neuroplastizität – Besonderheiten beim älteren Menschen
Lenth, M., & Schwarz, H. (2024) · Osteologie/Osteology · doi:10.1055/a-2231-3713 · Cited by 1
“Chronische Schmerzen treten nach aktuellem Kenntnisstand häufiger bei Frauen auf [3, 4] und es gibt Hinweise, dass Frauen ins - besondere mit Hinblick auf die Schmerzstärke sensibler sind [5].”
Background
Embodied pain, chronic pain, and Grahek's legacy
Milojević, M., & Subotić, V. (2023) · Belgrade Philosophical Annual · doi:10.5937/bpa2302071m · Cited by 1
Maximising pain services for frail older adults, the views of healthcare professionals and commissioners: findings from the pain in older people with frailty (POPPY) study
Wright, A. N., Antcliff, D., Kime, N. H., Harrison, N., Mossabir, R., Suleman, A., Förster, A., & Brown, L. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06554-9 · Cited by 1
The diagnosis and treatment of acute pain in the practice of a family doctor
Korzh, K. (2018) · Shidnoevropejskij zurnal vnutrisnoi ta simejnoi medicini · doi:10.15407/internalmed2018.01.040 · Cited by 1
Cohort Studies in the Understanding of Chronic Musculoskeletal Pain
Santiesteban, C. S. (2018) · InTech eBooks · doi:10.5772/intechopen.75517 · Cited by 1

Authors: van Hecke, O., Torrance, N., & Smith, B. H.
Affiliations: University of Dundee (GB)
Corresponding author: Smith, B.H.
ORCID: Torrance, N
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)
DOI: 10.1093/bja/aet123
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 1617 d)
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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