Cited by 124Chronic Disease Management StrategiesMusculoskeletal pain and rehabilitationPain Management and Opioid Use

Experience and Management of Chronic Pain Among Patients With Other Complex Chronic Conditions

Open access
Butchart, Amy, Kerr, Eve A., Heisler, Michele, Piette, John D., Krein, Sarah L.·2009·The Clinical Journal of Pain

Abstract

OBJECTIVE: Managing multiple chronic health conditions is a significant challenge. The purpose of this study was to examine the experience and management of chronic pain among adult patients with other complex chronic conditions, specifically diabetes and heart failure (HF). METHODS: We surveyed 624 US Department of Veterans Affairs primary care patients in 3 study groups: 184 with HF, 221 with diabetes, and 219 general primary care users. We compared health status and function between those with and without chronic pain within the 3 study groups. Among those with chronic pain, we compared pain location, severity, and treatment across groups. RESULTS: More than 60% in each group reported chronic pain, with the majority reporting pain in the back, hip, or knee. In all groups, patients with chronic pain were more likely to report fair or poor health than those without pain (P<0.05). In the HF and diabetes groups, a higher percentage of patients with pain were not working because of health reasons. Of those with pain, more than 70% in each group took medications for pain; more than one-half managed pain with rest or sedentary activities; and less than 50% used exercise for managing their pain. DISCUSSION: Chronic pain is a prevalent problem that is associated with poor functioning among multimorbid patients. Better management of chronic pain among complex patients could lead to significant improvements in health status, functioning, and quality of life and possibly also improve the management of their other major chronic health conditions.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1097/ajp.0b013e31818bf574

Cites

32 of 32 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Recent studies call into question the good tolerability and efficacy of paracetamol, and circumspection is needed about even this basic treatment.

    “However, recent studies call this into question, and we need a degree of circumspection about even this basic treatment [16, 43].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Butchart, A., Kerr, E. A., Heisler, M., Piette, J. D., & Krein, S. L.
Affiliations
  • Health Services Research & Development (US)
  • University of Michigan (US)
Corresponding author
  • Butchart, Amy
  • Kerr, Eve A.
  • Heisler, Michele
  • Piette, John D.
  • Krein, Sarah L.
Venue
The Clinical Journal of Pain
Published
2009-05
Volume
25
Issue
4
Pages
293-298
ISSN
0749-8047 (ISSN-L)
OpenAlex
W2158947028
Cited by
124
References
32
Citations by year
2026: 5 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 3 · 2021: 6 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 13 · 2016: 10 · 2015: 5 · 2014: 11 · 2013: 7 · 2012: 9
FWCI
5.34
Type
journal article
Language
en
Open access
Locations
  • Clinical Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (P60DK020572, P30DK092926)
Topics
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
chronic pain, multimorbidity, diabetes mellitus, heart failure, veterans, pain management, analgesic use, work disability, health status, quality of life, primary care
MeSH terms
Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Heart Failure, Humans, Male, Middle Aged, Pain, Retrospective Studies, Risk Factors, United States, United States Department of Veterans Affairs, Comorbidity, Incidence, Treatment Outcome, Risk Assessment, Diabetes Complications, Pain Management

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review