Epidemiology of Chronic Pain in the Latium Region, Italy: A Cross-Sectional Study on the Clinical Characteristics of Patients Attending Pain Clinics

Roberto Latina, Maria Grazia De Marinis, Felice Giordano, John Frederick Osborn, Diana Giannarelli, Ettore Di Biagio, Giustino Varrassi, Julita Sansoni, Laura Bertini, Giovanni Baglio, Daniela D'Angelo, Gianni Colini Baldeschi, Michela Piredda, Massimiliano Carassiti, Arianna Camilloni, Antonella Paladini, Giuseppe Casale, Chiara Mastroianni, Paolo Notaro, Paolo DiamantiStefano Coaccioli, Gianfranco Tarsitani, Maria Sofia Cattaruzza, PRG Lucareli, Pain Researchers Grp Latium Region

Research output: Contribution to journalArticlepeer-review

Abstract

In Italy, chronic pain affects more than a quarter of the population, whereas the average European prevalence is 21 even after the passing of law 38/2010 (the right to access pain management in Italy), which created a regional network for the diagnosis and treatment of noncancer chronic pain. Italian epidemiologic studies on chronic pain are scanty, and this observational, multicenter, cross-sectional study is the first to investigate the clinical characteristics of patients who attended the pain management clinics in the Latium Region, Italy, for the management of their noncancer chronic pain. A total of 1,606 patients (mean age 56.8 years, standard deviation +/- 11.4), 67 were analyzed. Severe pain was present in 54570 p = .02; and 55.25.9 p <.001, respectively). Chronic pain was musculoskeletal (45, mixed (34, and neuropathic (21. In more than 60 chronic pain was continuous, and in 208 months; long-lasting pain was often neuropathic. Low back (33.4 and lower limbs (28.2 were the main locations. Severe intensity of pain was statistically significantly associated with female gender (odds ratio [OR] 1.39; 95[CI] 1.06-1.84); with International Classification of Diseases, Ninth Revision, codes for chronic pain syndrome (OR 2.14; 95.55-2.95); and with continuous pain (OR 2.02; 95.54-2.66). Neuropathic pain and mixed pain were significantly associated with number of sites, and a trend seemed to be present (OR 2.11 and 3.02 for 2 and 3 thorn sites; 95.59-2.79 and 2.00-4.55, respectively). (C) 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
Original languageEnglish
Pages (from-to)373-381
Number of pages9
JournalPain Management Nursing
Volume20
Issue number4
DOIs
Publication statusPublished - Aug 1 2019

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