"Pain elsewhere" and the impact of knee pain in older people
"Pain elsewhere" and the impact of knee pain in older people
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DOI：
10.1002/art.21218
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发表时间：
2005-08-01
影响因子：
--
通讯作者：
Jinks, C
中科院分区：
文献类型：
--
作者：
Croft, P;Jordan, K;Jinks, C
客观的。调查膝盖疼痛伴随其他部位疼痛的频率，并确定膝盖以外的“其他部位疼痛”的存在是否会影响膝盖相关的残疾或膝盖疼痛对健康和心理状态的影响。方法。一项调查邮寄给了英国北斯塔福德郡 3 个全科诊所注册的 8,995 名个人（年龄：50 岁）。患者在人体模型上记录疼痛，并完成 Short-Form 36 健康调查、医院焦虑和抑郁量表以及西安大略大学和麦克马斯特大学骨关节炎指数。响应者被分类为没有疼痛、膝盖疼痛伴或不伴其他部位疼痛、或其他疼痛（膝盖不疼痛，但其他部位疼痛）。那些患有膝盖疼痛或其他疼痛的人根据其他部位的疼痛程度进行细分。结果。调整后的调查回复率为70%。 57% 患有膝盖疼痛的受访者至少有 2 个其他关节区域也有疼痛。在膝盖疼痛组和其他疼痛组中，其他部位的疼痛都与较低的身体功能以及焦虑和抑郁相关（膝盖疼痛组的相关性更强）。即使在调整了年龄、性别、肥胖、疼痛的偏侧性和抑郁之后，仅患有膝盖疼痛的患者的膝盖疼痛和残疾程度也比那些膝盖疼痛和其他部位疼痛的患者要轻。结论。大多数膝盖疼痛的人都有多个关节部位疼痛。对于临床医生和研究人员来说，这一点的重要性在于，当其他部位存在疼痛时，膝盖疼痛和相关残疾的严重程度会更严重。这一发现对于患有膝关节疼痛的老年人的管理和治疗具有重要意义。
Objective. To investigate how often knee pain is accompanied by pain elsewhere and to determine whether the presence of "pain elsewhere" than the knee influences either knee-related disability or the impact of knee pain on health and psychological status.Methods. A survey was mailed to 8,995 individuals (age :50 years) registered with 3 general practices in North Staffordshire in the UK. Patients recorded pain on a manikin and completed the Short-Form 36 health survey, the Hospital Anxiety and Depression Scale, and the Western Ontario and McMaster Universities Osteoarthritis Index. Responders were categorized as having no pain, knee pain with or without pain elsewhere, or other pain (no knee pain, but pain elsewhere). Those with knee pain or other pain were subdivided by the extent of pain elsewhere.Results. The adjusted survey response rate was 70%. Fifty-seven percent of responders with knee pain had pain in at least 2 other joint areas. Pain elsewhere was associated with lower physical function and with anxiety and depression both in the knee-pain group and in the other-pain group (associations were stronger in the knee-pain group). Knee pain and disability were less severe in those with knee pain alone than in those with knee pain and pain elsewhere, even after adjusting for age, sex, obesity, laterality of pain, and depression.Conclusion. Most people with knee pain have multiple joint site pain. The importance of this to clinicians and researchers is that the severity of knee pain and related disability is worse in the presence of pain elsewhere. This finding has implications for the management and treatment of older people with knee pain.