Prevalence of Specific Types of Pain Diagnoses in a Sample of United States Adults
- PMID: 28158163
Prevalence of Specific Types of Pain Diagnoses in a Sample of United States Adults
Abstract
Background: Patients with pain conditions place significant demands on health care services globally. Health economists have reported the annual economic cost of pain in the United States as high as $635 billion. A common challenge in treating patients suffering from chronic pain conditions is accurate diagnosis and treatment.
Objective: The aim of this study was to determine the modern-day prevalence of individual types of pain diagnoses in adults.
Study design: Retrospective analysis of Truven MarketScan® Commercial and Medicare Supplemental database.
Setting: United States patient population with a pain diagnoses from 2000 to 2012.
Methods: Multivariate analysis was used to determine the individual prevalence of specific types of pain diagnoses over a 13-year period.
Patients: We grouped the 6,575,999 patients with ICD-9 pain diagnoses into pain groupings.
Results: We determined the prevalence of pain groupings as back pain (74.7%), chronic pain (10.4%), complex regional pain syndrome (1.2%), degenerative spine disease (63.6%), limb pain (50.0%), neuritis/radiculitis (52.8%), and post-laminectomy syndrome (14.8%).
Limitations: Retrospective and non-randomized study, with a patient cohort that is weighted towards recent years and commercial insurance. Coding discrepancies that are recorded and collected for patients.
Conclusions: The demographic differences and similarities within the subgroups highlighted the concept that pain diagnoses should be considered as separate, but related entities. The present study helps us to better understand the frequency of specific pain diagnoses, and directs future studies to appropriately focus on pain diagnoses based on prevalence. This will allow increased understanding of the variation in pain diagnoses and prevent over-generalization in studies examining pain patients to more accurately reflect the varied subtypes and their economic impact.Duke University Institutional Review Board Protocol: 00053624Key words: Pain diagnoses, CRPS, neuritis, radiculitis, limb pain, degenerative spine disease, back pain, chronic pain, post-laminectomy pain, prevalence, MarketScan.
Similar articles
-
Prevalence of degenerative changes of the spine on magnetic resonance images and radiographs in patients aged 16-45 years with chronic back pain of short duration in the Spondyloarthritis Caught Early (SPACE) cohort.Rheumatology (Oxford). 2016 Jan;55(1):56-65. doi: 10.1093/rheumatology/kev283. Epub 2015 Aug 14. Rheumatology (Oxford). 2016. PMID: 26275972
-
Prevalence of chronic axial pain, inflammatory back pain, and spondyloarthritis in diagnosed psoriasis.Arthritis Care Res (Hoboken). 2015 May;67(6):829-35. doi: 10.1002/acr.22528. Arthritis Care Res (Hoboken). 2015. PMID: 25469666 Free PMC article.
-
Assessment of SpondyloArthritis International Society criteria for axial spondyloarthritis in chronic back pain patients with a high prevalence of HLA-B27.Arthritis Care Res (Hoboken). 2013 Mar;65(3):448-53. doi: 10.1002/acr.21804. Arthritis Care Res (Hoboken). 2013. PMID: 22833469
-
New proposals for the International Classification of Diseases-11 revision of pain diagnoses.J Pain. 2012 Apr;13(4):305-16. doi: 10.1016/j.jpain.2012.01.004. J Pain. 2012. PMID: 22480770
-
Back pain.J Rheumatol Suppl. 2003 Aug;67:26-31. J Rheumatol Suppl. 2003. PMID: 12926648 Review.
Cited by
-
Ketamine for Complex Regional Pain Syndrome: A Narrative Review Highlighting Dosing Practices and Treatment Response.Anesthesiol Clin. 2023 Jun;41(2):357-369. doi: 10.1016/j.anclin.2023.03.005. Epub 2023 Apr 14. Anesthesiol Clin. 2023. PMID: 37245947 Free PMC article. Review.
-
Epidemiology of Upper Limb Complex Regional Pain Syndrome in a Retrospective Cohort of Persons Aged 9-30 Years, 2002-2017.Perm J. 2023 Jun 15;27(2):75-86. doi: 10.7812/TPP/22.170. Epub 2023 May 8. Perm J. 2023. PMID: 37154719 Free PMC article.
-
The leptomeninges as a critical organ for normal CNS development and function: First patient and public involved systematic review of arachnoiditis (chronic meningitis).PLoS One. 2022 Sep 30;17(9):e0274634. doi: 10.1371/journal.pone.0274634. eCollection 2022. PLoS One. 2022. PMID: 36178925 Free PMC article. Review.
-
Preserving independence among under-resourced older adults in the Southeastern United States: existing barriers and potential strategies for research.Int J Equity Health. 2022 Aug 27;21(1):119. doi: 10.1186/s12939-022-01721-5. Int J Equity Health. 2022. PMID: 36030252 Free PMC article. Review.
-
Lack of Neuromodulation Knowledge Among Rural Family Medicine Residents: A Call for Implementation Research.J Pain Res. 2022 Apr 21;15:1183-1189. doi: 10.2147/JPR.S356416. eCollection 2022. J Pain Res. 2022. PMID: 35478998 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical