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Unexplained severe chronic pain in general practice.

J J Kerssens1, P F M Verhaak, A I M Bartelds

  • 1Netherlands Institute for Health Services Research, The Netherlands. j.kerssens@nivel.nl

European Journal of Pain (London, England)
|May 31, 2002
PubMed
Summary
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This study found unexplained severe chronic pain (USCP) affects 7.91 per 1000 patients in general practice. Prevalence varied by age, with older adults experiencing higher rates of this disabling condition.

Area of Science:

  • General Practice
  • Pain Medicine
  • Epidemiology

Background:

  • Chronic pain significantly impacts daily life, causing discomfort and disability.
  • Unexplained severe chronic pain (USCP) represents a distinct clinical challenge in primary care settings.
  • Understanding the prevalence and characteristics of USCP is crucial for effective patient management.

Purpose of the Study:

  • To determine the prevalence of unexplained severe chronic pain (USCP) within general practice.
  • To describe the medical and psychological profiles of patients diagnosed with USCP.
  • To provide insights into the demographic distribution and pain characteristics of USCP.

Main Methods:

  • A cross-sectional study involving 45 general practitioners (GPs) across 35 practices in the Netherlands.

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  • Inclusion criteria specified patients aged 18-75 with pain lasting ≥6 months, severe enough for clinical attention and causing disability.
  • Pain assessment utilized the IASP taxonomy for medical aspects and the MPI for psychological dimensions.

    • Main Results:

    • The overall prevalence of USCP was estimated at 7.91 per 1000 patients.
    • Prevalence ranged from 1.87 in younger age groups to 13.50 per 1000 in the 55-59 age bracket.
    • Lower back and lower limbs were most affected; 31% reported pain in over three body sites, with a mean pain severity of 3.7/6.

    Conclusions:

    • The prevalence of USCP in Dutch general practices is 7.91 per 1000 patients, with higher rates in older individuals.
    • The study's lower prevalence compared to other chronic pain research is attributed to focusing on unexplained, severe pain over longer durations.
    • Findings highlight the need for targeted interventions and further research into the complex nature of USCP.