NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY

Yıl: 2016 Cilt: 19 Sayı: 1 Sayfa Aralığı: 9 - 18 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY

Öz:
Giriş: Yaşlanma ile birlikte ağrı sıklığında artış olmaktadır. Etkin ağrı tedavisi için ağrı sıklığıve etkileyen faktörleri belirlemek önemlidir. Ancak yaşlılarda nöropatik ağrının epidemiyolojik verisi ile ilgili bilgiler yetersizdir. Çalışmamızda amaç; yaşlı hastalarda nöropatik ağrı sıklığı, nöropatik ağrının sosyodemografik ve klinik özellikler ile ilişkisini belirlemektir.Gereç ve Yöntem: Çalışmaya Türkiye'nin farklı bölgelerinden, 13 merkez fizik tedavi ve rehabilitasyon polikliniklerine ağrı şikayeti ile başvuran 65 yaş üstü 1163 hasta alındı. Klinik ve sosyodemografik veriler yüzyüze sorgulama yöntemi ile elde edildi. Hastalarda nöropatik ağrıyı değerlendirmek için DN 4 ve S-LANSS ağrı ölçeği kullanıldı. DN4 >=4 veya S-LANSS ağrı ölçeği >=12üzerinde olanlarda nöropatik ağrı olduğu kabul edildi. Bulgular: Çalışmaya dahil edilenlerin %52,5'inde (n=610) nöropatik ağrı saptandı. Hastaların %67,5'si 65-74 yaş aralığında ve %72,1'i (n=440) kadındı. Nöropatik ağrısı olanların; %48,4'üilköğretim mezunu, %91,6'sının fiziksel aktivitesi hiç yok ya da çok düşüktü, %56,7'si 4 ve üzeriilaç kullanıyor olarak bulundu. Sonuç: Ağrı şikayeti olan 65 yaş üzeri yaşlılarda nöropatik ağrı sıklığı %52,5 olarak saptandı.Kadınlarda, komorbiditesi olanlarda ,ambulasyon düzeyi kötü olanlarda, yürümede yardımcı cihazkullananlarda ve çoklu ilaç kullananlarda nöropatik ağrı daha sık görülmekte olup yaşlıların nöropatik ağrı açısından sorgulanması etkin tedavi açısından önem taşımaktadır.
Anahtar Kelime:

Konular: Cerrahi

YAŞLILARDA NÖROPATİK A/RI: ÇOK MERKEZLİ ÇALIŞMA

Öz:
Introduction: Aging brings with it an increase in the prevalence of pain. For effective paintreatment, it is important to determine pain prevalence, its nature, and the factors affecting it.However, epidemiologic information on neuropathic pain in the elderly is inadequate. In ourcross-sectional multicenter study, we aimed to determining the prevalence of neuropathic painin elderly patients and the relationship of neuropathic pain with socio-demographic and clinicalfactors.Materials and Method: Thirteen centers in different regions of Turkey. The study included1163 individuals over age 65. Physicians conducted face-to-face interviews to obtain clinical andsocio-demographic data and The Douleur Neuropathic 4 (DN4) and The Self-completed LeedsAssessment of Neuropathic Symptoms and Signs (S-LANSS) pain scales were used to assess neuropathic pain. Patients who scored >=4 or >=12 on the DN4 and S-LANSS scales, respectively, weredetermined to be experiencing neuropathic pain. Results: Neuropathic pain was found in 52.5% of the patients (n=610) in this study.Approximately 67.5% of the patients with neuropathic pain were in the 65-74 age group, and72.1% (n=440) were females. Of the patients who were experiencing neuropathic pain, 48.4%were graduates of primary school, 91.6% engaged in very little or no physical activity, and 56.7%were taking four or more medications. Conclusions: Neuropathic pain prevalence was 52.5% in the elderly over age 65 who hadpresented with pain complaints. Neuropathic pain was more frequently seen in women, patientswith comorbidities, those with poor levels of ambulation, those using walking aids, and thoseusing multiple drugs. Interrogating the elderly for neuropathic pain seems important for effective treatment.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Lindstrom V, Andersson K, Lintrup M, Holst G, Berglund J.Prevalence of sleep problems and pain among the elderly in Sweden. J Nutr Health Aging 2012;16(2):180-3. (PMID:22323355).
  • 2. Kutsal YG, Özdemir O, Karahan S, et al. Musculoskeletal pain in elderly patients with osteoporosis: A multicenter study. Turk J Phys Med Rehab 2012;58(4):263-6.
  • 3. Haanpää ML, Backonja MM, Bennett MI, et al. Assessment of neuropathic pain in primary care. Am J Med 2009;122(10 Suppl):S13-21.(PMID:19801048).
  • 4. Torrance N, Smith BH, Bennett MI, Lee AJ. The epidemiology of chronic pain of predominantly neuropathic origin. Results from a general population survey. J Pain 2006;7(4):281- 9.(PMID:16618472).
  • 5. Bouhassira D, Lantéri-Minet M, Attal N, Laurent B, Touboul C. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain2008;136(3):380- 7.(PMID:17888574).
  • 6. van Kollenburg EG, Lavrijsen JC, Verhagen SC, Zuidema SU, Schalkwijk A, Vissers KC. Prevalence, causes, and treatment of neuropathic pain in Dutch nursing home residents: a retrospective chart review. J Am Geriatr Soc 2012;60(8):1418- 25.(PMID:22788732).
  • 7. O'Connor AB. Neuropathic pain: quality-of-life impact, costs and cost effectiveness of therapy. Pharmacoeconomics 2009;27(2):95-112.(PMID:19254044).
  • 8. Jay GW, Barkin RL. Neuropathic pain: Etiology, pathophysiology, mechanisms, and evaluations. Dis Mon 2014;60(1):6- 47.(PMID:24507705).
  • 9. Vieira AS, Baptista AF, Mendes L, et al. Impact of neuropathic pain at the population level. J Clin Med Res 2014;6(2):111-9. (PMID:24578752).
  • 10. van Hecke O, Austin SK, Khan RA, Smith BH, Torrance N. Neuropathic pain in the general population: A systematic review of epidemiological studies. Pain 2014;155(4):654-62. (PMID:24291734).
  • 11. Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Standards for outcome assessment. Phys Ther 1986;66(10):1530-9. (PMID:3763704).
  • 12. Bouhassira D, Attal N, Alchaar H, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 2005;114(1-2):29-36. (PMID:15733628).
  • 13. Hamdan A, Luna JD, Del Pozo E, Gálvez R. Diagnostic accuracy of two questionnaires for the detection of neuropathic pain in the Spanish population. Eur J Pain 2014;18(1):101-9. (PMID:23776139).
  • 14. Hochman JR, Davis AM, Elkayam J, Gagliese L, Hawker GA. Neuropathic pain symptoms on the modified painDETECT correlate with signs of central sensitization in knee osteoarthritis. Osteoarthritis Cartilage 2013;21(9):1236-42. (PMID:23973136).
  • 15. Cho SI, Lee CH, Park GH, Park CW, Kim HO. Use of SLANSS, a Tool for Screening Neuropathic Pain, for Predicting Postherpetic Neuralgia in Patients After Acute Herpes Zoster Events: A Single-Center, 12-Month, Prospective Cohort Study. J Pain 2014;15(2):149-56. (PMID:24342706).
  • 16. Koc R, Erdemoglu AK. Validity and reliability of the Turkish Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire. Pain Med 2010;11(7):1107-14. (PMID:20456071).
  • 17. Unal-Cevik I, Sarioglu-Ay S, Evcik D. A comparison of the DN4 and LANSS questionnaires in the assessment of neuropathic pain: validity and reliability of the Turkish version of DN4. J Pain 2010;11(11):1129-35. (PMID:20418179).
  • 18. Toth C, Lander J, Wiebe S. The prevalence and impact of chronic pain with neuropathicpain symptoms in the general population. Pain Med 2009;10(5):918-29. (PMID:19594844).
  • 19. Freynhagen R, Baron R, Gockel U, Tölle TR. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin 2006;22(10):1911-20. (PMID:17022849).
  • 20. Amris K, Jespersen A, Bliddal H. Self-reported somatosensory symptoms of neuropathicpain in fibromyalgia and chronic widespread pain correlate with tender point count and pressurepain thresholds. Pain 2010;151(3):664-9. (PMID:20832941).
  • 21. Vaegter HB, Andersen PG, Madsen MF, Handberg G, etal. Prevalence of neuropathic pain according to the IASP grading system in patients with chronic non-malignant pain. Pain Med2014;15(1):120-7. (PMID:24165161).
  • 22. Bennett MI, Smith BH, Torrance N, Potter J. The S-LANSS score for identifying pain of predominantly neuropathic origin: validation for use in clinical and postal research. J Pain 2005;6(3):149-58. (PMID:15772908).
  • 23. Kaki AM.Pain clinic experience in a teaching hospital in Western, Saudi Arabia. Relationship of patient's age and gender to various types of pain. Saudi Med J 2006;27(12):1882-6. (PMID:17143369).
  • 24. Perez C, Galvez R, Huelbes S, et al. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Health Qual Life Outcomes2007;5:66. (PMID:18053212).
  • 25. Cohen SP, Mao J. Neuropathicpain: mechanisms and their clinical implications.BMJ2014;5;348:f7656. (PMID:24500412).
  • 26. Harifi G, Amine M, Ait Ouazar M,et al. Prevalence of chronic pain with neuropathic characteristics in the Moroccan general population: a national survey. Pain Med 2013;14(2):287-92. (PMID:23241023).
  • 27. Lekpa FK, Ndongo S, Ka O, et al. Socio-demographic and clinical profile of chronic pain with neuropathic characteristics in sub-Saharan African elderly. Eur J Pain 2013;17(6):939-43. (PMID:23138975).
APA GÖKÇE KUTSAL Y, eyigor s, DOAN A, Zardoust S, DURMUS B, Evcik F, GUNAYDIN R, Sahin N, AYDENİZ A, ÖZTOP P, GÖKKAYA K, HİZMETLİ S, BORMAN P, Paker N, DEMİR G, KAYALAR G, AYDIN E, ÖZYEMİŞCİ Ö (2016). NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. , 9 - 18.
Chicago GÖKÇE KUTSAL Yeşim,eyigor sibel,DOAN Asuman,Zardoust Sasan,DURMUS BEKIR,Evcik Fatma Deniz,GUNAYDIN Rezzan,Sahin Nilay,AYDENİZ Ali,ÖZTOP Pınar,GÖKKAYA Kutay O,HİZMETLİ Sami,BORMAN Pınar,Paker Nurdan,DEMİR Gülseren,KAYALAR Gülseren,AYDIN Ezgi,ÖZYEMİŞCİ Özden NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. (2016): 9 - 18.
MLA GÖKÇE KUTSAL Yeşim,eyigor sibel,DOAN Asuman,Zardoust Sasan,DURMUS BEKIR,Evcik Fatma Deniz,GUNAYDIN Rezzan,Sahin Nilay,AYDENİZ Ali,ÖZTOP Pınar,GÖKKAYA Kutay O,HİZMETLİ Sami,BORMAN Pınar,Paker Nurdan,DEMİR Gülseren,KAYALAR Gülseren,AYDIN Ezgi,ÖZYEMİŞCİ Özden NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. , 2016, ss.9 - 18.
AMA GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. . 2016; 9 - 18.
Vancouver GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. . 2016; 9 - 18.
IEEE GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö "NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY." , ss.9 - 18, 2016.
ISNAD GÖKÇE KUTSAL, Yeşim vd. "NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY". (2016), 9-18.
APA GÖKÇE KUTSAL Y, eyigor s, DOAN A, Zardoust S, DURMUS B, Evcik F, GUNAYDIN R, Sahin N, AYDENİZ A, ÖZTOP P, GÖKKAYA K, HİZMETLİ S, BORMAN P, Paker N, DEMİR G, KAYALAR G, AYDIN E, ÖZYEMİŞCİ Ö (2016). NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. Türk Geriatri Dergisi, 19(1), 9 - 18.
Chicago GÖKÇE KUTSAL Yeşim,eyigor sibel,DOAN Asuman,Zardoust Sasan,DURMUS BEKIR,Evcik Fatma Deniz,GUNAYDIN Rezzan,Sahin Nilay,AYDENİZ Ali,ÖZTOP Pınar,GÖKKAYA Kutay O,HİZMETLİ Sami,BORMAN Pınar,Paker Nurdan,DEMİR Gülseren,KAYALAR Gülseren,AYDIN Ezgi,ÖZYEMİŞCİ Özden NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. Türk Geriatri Dergisi 19, no.1 (2016): 9 - 18.
MLA GÖKÇE KUTSAL Yeşim,eyigor sibel,DOAN Asuman,Zardoust Sasan,DURMUS BEKIR,Evcik Fatma Deniz,GUNAYDIN Rezzan,Sahin Nilay,AYDENİZ Ali,ÖZTOP Pınar,GÖKKAYA Kutay O,HİZMETLİ Sami,BORMAN Pınar,Paker Nurdan,DEMİR Gülseren,KAYALAR Gülseren,AYDIN Ezgi,ÖZYEMİŞCİ Özden NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. Türk Geriatri Dergisi, vol.19, no.1, 2016, ss.9 - 18.
AMA GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. Türk Geriatri Dergisi. 2016; 19(1): 9 - 18.
Vancouver GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY. Türk Geriatri Dergisi. 2016; 19(1): 9 - 18.
IEEE GÖKÇE KUTSAL Y,eyigor s,DOAN A,Zardoust S,DURMUS B,Evcik F,GUNAYDIN R,Sahin N,AYDENİZ A,ÖZTOP P,GÖKKAYA K,HİZMETLİ S,BORMAN P,Paker N,DEMİR G,KAYALAR G,AYDIN E,ÖZYEMİŞCİ Ö "NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY." Türk Geriatri Dergisi, 19, ss.9 - 18, 2016.
ISNAD GÖKÇE KUTSAL, Yeşim vd. "NEUROPATHIC PAIN IN ELDERLY: A MULTICENTER STUDY". Türk Geriatri Dergisi 19/1 (2016), 9-18.