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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Burden of disease of chronic pain in Colombia
Pieralessandro Lasalvia1,2, Yaneth Gil-Rojas1, Diego Rosselli1,2
1Department of Economic Studies, Neuroeconomix, Bogotá, Colombia.
Insights
Chronic pain significantly impacts Colombia, causing substantial years lived with disability (DALYs). Low back pain, osteoarthritis, and cancer pain are major contributors, highlighting the need for public health attention.
Area of Science:
- Public Health
- Epidemiology
- Pain Medicine
Background:
- Chronic pain is a significant global health issue.
- Understanding its burden is crucial for effective public health strategies.
- Colombia lacks comprehensive data on chronic pain's disease burden.
Purpose of the Study:
- To quantify the burden of chronic pain in Colombia.
- To estimate disability-adjusted life years (DALYs) attributable to chronic pain.
- To identify specific chronic pain conditions contributing most to the disease burden.
Main Methods:
- Utilized the Global Burden of Disease (GBD) methodology.
- Included diagnostic codes for lumbar pain, osteoarthritis, neuropathic pain, and cancer pain.
- Estimated prevalent cases using local data and literature, focusing on years lived with disability.
Main Results:
- An estimated 5,545,019 individuals suffer from chronic pain in Colombia.
- Chronic pain accounts for 491,626 DALYs, or 976 DALYs per 100,000 inhabitants.
- Low back pain, osteoarthritis, and cancer-related pain were the leading causes of disability.
Conclusions:
- Chronic pain represents a substantial disease burden in Colombia.
- Low back pain, osteoarthritis, and cancer pain are key drivers of this burden.
- Chronic pain warrants inclusion in Colombia's public health agenda.
Objectives:
To assess the burden of disease of chronic pain in Colombia.
Methods:
We estimated disability adjusted life years (DALYs) attributable to chronic pain using Global Burden of Disease (GBD) method. We identified diagnostic codes related to chronic pain considering lumbar pain, osteoarthritis, post-herpetic neuralgia, diabetic neuropathy, cancer-related pain, and others. We estimated the prevalent cases by sex and age-group using local administrative databases and literature. We assumed that pain would not cause premature death, so we only estimated years lived with disability using disability weights obtained from the GBD. We used a prevalence-based approach, without discounting or age-group adjustment. We calculated total DALYs and DALYs/100,000 inhabitants.
Results:
We estimated a total of 5,545,019 patients with chronic pain. We calculated 491,626 DALYs or 976 DALYs/100,000 inhabitants attributable to chronic pain. Low back pain, osteoarthritis, and cancer-related pain were the most important groups.
Conclusions:
This study estimates that chronic pain contributes a significant quantity of DALYs, especially related to low back pain, osteoarthritis, and cancer-related pain. Chronic pain should be considered in the public health agenda.
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