Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL. Results: A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains. Conclusions: Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.
Abstract
Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL. Results: A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains. Conclusions: Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.
참고문헌 (44)
- Maihöfner C, "Complex regional pain syndromes : new pathophysiological concepts and therapies", Eur J Neurol, 17, pp.649~660 (2010)
- 채원석, "Reduction in mechanical allodynia in complex regional pain syndrome patients with ultrasound-guided pulsed radiofrequency treatment of the superficial peroneal nerve", The Korean Journal of Pain, 29(4), pp.266~269 (2016), 대한통증학회
- 전승규, "Do Severity Score and Skin Temperature Asymmetry Correlate with the Subjective Pain Score in the Patients with Complex Regional Pain Syndrome?", The Korean Journal of Pain, 27(4), pp.339~344 (2014), 대한통증학회
- Shin NY, "Impaired recognition of social emotion in patients with complex regional pain syndrome", J Pain, 14, pp.1304~1309 (2013)
- Marinus J, "Clinical expression profiles of complex regional pain syndrome, fibromyalgia and a-specific repetitive strain injury: more common denominators than pain?", Disabil Rehabil, 28, pp.351~362 (2006)
- Kim H, "Epidemiology of complex regional pain syndrome in Korea : an electronic population health data study", PLoS One, 13, pp.e0198147~ (2018)
- Treede RD, "A classification of chronic pain for ICD-11", Pain, 156, pp.1003~1007 (2015)
- Fishman S, "Bonica’s management of pain", pp.xxxiii~ (2010), Williams & Wilkins
- Harden RN, "Complex regional pain syndrome: practical diagnostic and treatment guidelines, 4th edition", Pain Med, 14, pp.180~229 (2013)
- Rand SE, "Complex regional pain syndrome : current diagnostic and treatment considerations", Curr Sports Med Rep, 18, pp.325~329 (2019)
- 손홍석, "Impaired Empathic Abilities among Patients with Complex Regional Pain Syndrome (Type I)", PSYCHIATRY INVESTIGATION, 13(1), pp.34~42 (2016), 대한신경정신의학회[DOI]
- Goebel A, "Complex regional pain syndrome in adults", Rheumatology (Oxford), 50, pp.1739~1750 (2011)
- Bruehl S, "External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteria. International Association for the Study of Pain", Pain, 81, pp.147~154 (1999)
- Lee WJ, "Prognostic factors in complex regional pain syndrome type 1 occurring in the Korean army", Pain Med, 20, pp.1989~1996 (2019)
- Galer BS, "Course of symptoms and quality of life measurement in Complex Regional Pain Syndrome : a pilot survey", J Pain Symptom Manage, 20, pp.286~292 (2000)
- Birklein F, "Complex regional pain syndrome : an optimistic perspective", Neurology, 84, pp.89~96 (2015)
- Grieve S, "Complex regional pain syndrome : an international survey of clinical practice", Eur J Pain, 23, pp.1890~1903 (2019)
- Littlejohn G, "Therapy : bisphosphonates for early complex regional pain syndrome", Nat Rev Rheumatol, 9, pp.199~200 (2013)
- Joo Eun Kang, "Relationship between Complex Regional Pain Syndrome and Working Life: A Korean Study", Journal of Korean Medical Science, 27(8), pp.929~933 (2012), 대한의학회[DOI]
- Li Z, "Diagnosis and management of complex regional pain syndrome complicating upper extremity recovery", J Hand Ther, 18, pp.270~276 (2005)
- Se Jin Ok, "Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block", The Korean Journal of Pain, 23(1), pp.70~73 (2010), 대한통증학회
- Chee Kean Chen, "Percutaneous T2 and T3 Radiofrequency Sympathectomy for Complex Regional Pain Syndrome Secondary to Brachial Plexus Injury: A Case Series", The Korean Journal of Pain, 26(4), pp.401~405 (2013), 대한통증학회
- Woolf CJ, "Neuronal plasticity : increasing the gain in pain", Science, 288, pp.1765~1769 (2000)
- Geertzen JH, "Reflex sympathetic dystrophy of the upper extremity--a 5.5-year follow-up. Part I. Impairments and perceived disability", Acta Orthop Scand Suppl, 279, pp.12~18 (1998)
- Vaneker M, "Impairments as measured by ISS do not greatly change between one and eight years after CRPS 1 diagnosis", Eur J Pain, 10, pp.639~644 (2006)
- Miller MH, "Chronic upper limb pain syndrome(repetitive strain injury)in the Australian workforce : a systematic cross sectional rheumatological study of 229 patients", J Rheumatol, 15, pp.1705~1712 (1988)
- Savaş S, "The effect of sequel symptoms and signs of Complex Regional Pain Syndrome type 1 on upper extremity disability and quality of life", Rheumatol Int, 29, pp.545~550 (2009)
- Kemler MA, "Health-related quality of life in chronic refractory reflex sympathetic dystrophy(complex regional pain syndrome type I)", J Pain Symptom Manage, 20, pp.68~76 (2000)
- Kemler MA, "The impact of chronic pain on life in the household", J Pain Symptom Manage, 23, pp.433~441 (2002)
- DeGood DE, "A psychosocial and behavioral comparison of reflex sympathetic dystrophy, low back pain, and headache patients", Pain, 54, pp.317~322 (1993)
- Theadom A, "Exploring the role of sleep and coping in quality of life in fibromyalgia", J Psychosom Res, 62, pp.145~151 (2007)
- Kothari DJ, "Positive affect and pain : mediators of the within-day relation linking sleep quality to activity interference in fibromyalgia", Pain, 156, pp.540~546 (2015)
- Grandner MA, "Habitual sleep duration associated with selfreported and objectively determined cardiometabolic risk factors", Sleep Med, 15, pp.42~50 (2014)
- Liu Y, "Sleep duration and chronic diseases among U.S. adults age 45 years and older: evidence from the 2010 Behavioral Risk Factor Surveillance System", Sleep, 36, pp.1421~1427 (2013)
- Gallicchio L, "Sleep duration and mortality : a systematic review and meta-analysis", J Sleep Res, 18, pp.148~158 (2009)
- Zhai L, "Sleep duration and depression among adults : a meta-analysis of prospective studies", Depress Anxiety, 32, pp.664~670 (2015)
- Sharma A, "A web-based crosssectional epidemiological survey of complex regional pain syndrome", Reg Anesth Pain Med, 34, pp.110~115 (2009)
- Sathvik BS, "An assessment of the quality of life in hemodialysis patients using the WHOQOL-BREF questionnaire", Indian J Nephrol, 18, pp.141~149 (2008)
- Chiu WT, "Use of the WHOQOL-BREF for evaluating persons with traumatic brain injury", J Neurotrauma, 23, pp.1609~1620 (2006)
- Feldman SI, "Pain, negative mood, and perceived support in chronic pain patients : a daily diary study of people with reflex sympathetic dystrophy syndrome", J Consult Clin Psychol, 67, pp.776~785 (1999)
- Sandroni P, "Complex regional pain syndrome type I : incidence and prevalence in Olmsted county, a population-based study", Pain, 103, pp.199~207 (2003)
- Brunner F, "Poor prognostic factors in complex regional pain syndrome 1 : a Delphi survey", J Rehabil Med, 43, pp.783~786 (2011)
- 이도형, "Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome", PSYCHIATRY INVESTIGATION, 11(1), pp.32~38 (2014), 대한신경정신의학회
- Su Jung Lee, "Successful removal of permanent spinal cord stimulators in patients with complex regional pain syndrome after complete relief of pain", The Korean Journal of Pain, 32(1), pp.47~50 (2019), 대한통증학회[DOI]