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Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
Published on: February 16, 2017
[Clinical pattern of patients cared for at pain clinic by first time]
Alfredo Covarrubias-Gómez1, Uriah Guevara-López, Argelia Lara-Solares
1Departamento de Medicina del Dolor y Paliativa, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. alfredocov@yahoo.com
Background:
Epidemiological studies about frequency and prevalence of chronic pain in Mexico are scarce. However, it has been documented that chronic pain is a frequent complain in general population and mainly in older adults. It influences physical patient capacity and it impacts social health services with its expensive cost. Our objective was to identify the clinical pattern of patients attending at a Pain Clinic by first time.
Methods:
We conducted a descriptive-retrospective study, in a five years period, with patients attending a Pain Clinic by first time. We collected demographic data and information about the cause of pain (malignant vs. non-malignant etiology), its intensity by visual analogue scale (VAS), and type (somatic, visceral, neuropathic and mixed).
Results:
1453 clinical records were analyzed. Women were more affected; the average age was 59 +/- 16 years; non-malignant pain and neuropathic pain were more frequent; the intensity average was 6 +/- 2, and it increases with age.
Conclusions:
It is necessary to generate epidemiological studies to fundament health policies regarding the management of these patients.
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