Pain Burden in the CASiRe International Cohort of Sickle Cell Patients: United States and Ghana

Abstract Objectives Sickle Cell Disease (SCD) is a genetic blood disorder affecting over 1 million people globally. The aim of this analysis is to explore the pain burden of patients with SCD in two countries: the United States and Ghana. Methods The Consortium for the Advancement of Sickle Cell Res...

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Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2022-08, Vol.23 (8), p.1379-1386
Hauptverfasser: Zempsky, William T, Yanaros, Mary, Sayeem, Mohammed, Boruchov, Donna, Piccone, Connie M, Manwani, Deepa, Strunk, Crawford, Tartaglione, Immacolata, Colombatti, Raffaella, Akatue, Sophia, Oteng, Bianca, Owda, Ahmed, Bamfo, Rose, Wilson, Samuel, Rivers, Angela, Farooq, Fatimah, Urbonya, Rebekah, Boatemaa, Gifty Dankwah, Rao, Sudha, Inusa, Baba, Antwi-Boasiako, Charles, Segbefia, Catherine, Sey, Fredericka, Andemariam, Biree, Asare, Eugenia Vicky, Campbell, Andrew D
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container_issue 8
container_start_page 1379
container_title Pain medicine (Malden, Mass.)
container_volume 23
creator Zempsky, William T
Yanaros, Mary
Sayeem, Mohammed
Boruchov, Donna
Piccone, Connie M
Manwani, Deepa
Strunk, Crawford
Tartaglione, Immacolata
Colombatti, Raffaella
Akatue, Sophia
Oteng, Bianca
Owda, Ahmed
Bamfo, Rose
Wilson, Samuel
Rivers, Angela
Farooq, Fatimah
Urbonya, Rebekah
Boatemaa, Gifty Dankwah
Rao, Sudha
Inusa, Baba
Antwi-Boasiako, Charles
Segbefia, Catherine
Sey, Fredericka
Andemariam, Biree
Asare, Eugenia Vicky
Campbell, Andrew D
description Abstract Objectives Sickle Cell Disease (SCD) is a genetic blood disorder affecting over 1 million people globally. The aim of this analysis is to explore the pain burden of patients with SCD in two countries: the United States and Ghana. Methods The Consortium for the Advancement of Sickle Cell Research (CASiRe) was created to better understand the clinical severity of patients with SCD worldwide. Data regarding gender, SCD genotype, prior medical diagnoses, and validated pain burden measures were analyzed from the CASiRe database. The Sickle Cell Pain Burden Interview (SCPBI) was used to assess pain burden, the impact of pain on physical, emotional, and social function. Results Most subjects identified as Black/African American (n = 298, 97.0%). Patient ages ranged from 6 to 73 years. 35.9% resided in the United States, 64.1% resided in Ghana, 40.9% were men, and 58.7% were women. The mean SCPBI score for US SCD patients was 6.53(±5.89) vs 4.04(±5.10) for Ghanaian patients, P 
doi_str_mv 10.1093/pm/pnac023
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The aim of this analysis is to explore the pain burden of patients with SCD in two countries: the United States and Ghana. Methods The Consortium for the Advancement of Sickle Cell Research (CASiRe) was created to better understand the clinical severity of patients with SCD worldwide. Data regarding gender, SCD genotype, prior medical diagnoses, and validated pain burden measures were analyzed from the CASiRe database. The Sickle Cell Pain Burden Interview (SCPBI) was used to assess pain burden, the impact of pain on physical, emotional, and social function. Results Most subjects identified as Black/African American (n = 298, 97.0%). Patient ages ranged from 6 to 73 years. 35.9% resided in the United States, 64.1% resided in Ghana, 40.9% were men, and 58.7% were women. The mean SCPBI score for US SCD patients was 6.53(±5.89) vs 4.04(±5.10) for Ghanaian patients, P &lt;0.001. Pain burden was higher in US men vs Ghanaian men (6.74(±5.68) vs 3.54(±4.46), P = .003) and in US women vs Ghanaian women (6.37 ± 6.06 vs 4.44(±5.54), P = .032). Pain burden was higher in US patients than Ghanaian patients for both the Hb SC/SBeta+ genotype (5.40(±5.29) vs 2.82(±4.86), P = .054) and Hb SS/SBeta0 genotype (6.79(±6.01) vs 4.49(±5.13), P = .003). Pain burden was significantly higher in SCD patients with comorbid conditions independent of geographic origin including stroke, cholecystectomy, gallstones, depression, and headache. Discussion US patients with SCD have a higher pain burden than Ghanaian patients. Further studies should investigate underlying contributors to pain burden in these populations and further explore the etiology of geographic differences in pain.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnac023</identifier><identifier>PMID: 35166851</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Care and treatment ; Cholecystectomy ; Chronic pain ; Complications and side effects ; Demographic aspects ; Development and progression ; Epidemiology ; Ethnicity ; Etiology ; Genotype &amp; phenotype ; Genotypes ; Health aspects ; Pain ; Pain management ; Patients ; Sickle cell anemia ; Sickle cell disease</subject><ispartof>Pain medicine (Malden, Mass.), 2022-08, Vol.23 (8), p.1379-1386</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c371t-c5b5f1a30ca93336c8d17e16f44873b8637e45b86bfa82fe9da33664f8d3f87f3</cites><orcidid>0000-0003-4438-5187</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35166851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zempsky, William T</creatorcontrib><creatorcontrib>Yanaros, Mary</creatorcontrib><creatorcontrib>Sayeem, Mohammed</creatorcontrib><creatorcontrib>Boruchov, Donna</creatorcontrib><creatorcontrib>Piccone, Connie M</creatorcontrib><creatorcontrib>Manwani, Deepa</creatorcontrib><creatorcontrib>Strunk, Crawford</creatorcontrib><creatorcontrib>Tartaglione, Immacolata</creatorcontrib><creatorcontrib>Colombatti, Raffaella</creatorcontrib><creatorcontrib>Akatue, Sophia</creatorcontrib><creatorcontrib>Oteng, Bianca</creatorcontrib><creatorcontrib>Owda, Ahmed</creatorcontrib><creatorcontrib>Bamfo, Rose</creatorcontrib><creatorcontrib>Wilson, Samuel</creatorcontrib><creatorcontrib>Rivers, Angela</creatorcontrib><creatorcontrib>Farooq, Fatimah</creatorcontrib><creatorcontrib>Urbonya, Rebekah</creatorcontrib><creatorcontrib>Boatemaa, Gifty Dankwah</creatorcontrib><creatorcontrib>Rao, Sudha</creatorcontrib><creatorcontrib>Inusa, Baba</creatorcontrib><creatorcontrib>Antwi-Boasiako, Charles</creatorcontrib><creatorcontrib>Segbefia, Catherine</creatorcontrib><creatorcontrib>Sey, Fredericka</creatorcontrib><creatorcontrib>Andemariam, Biree</creatorcontrib><creatorcontrib>Asare, Eugenia Vicky</creatorcontrib><creatorcontrib>Campbell, Andrew D</creatorcontrib><title>Pain Burden in the CASiRe International Cohort of Sickle Cell Patients: United States and Ghana</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objectives Sickle Cell Disease (SCD) is a genetic blood disorder affecting over 1 million people globally. The aim of this analysis is to explore the pain burden of patients with SCD in two countries: the United States and Ghana. Methods The Consortium for the Advancement of Sickle Cell Research (CASiRe) was created to better understand the clinical severity of patients with SCD worldwide. Data regarding gender, SCD genotype, prior medical diagnoses, and validated pain burden measures were analyzed from the CASiRe database. The Sickle Cell Pain Burden Interview (SCPBI) was used to assess pain burden, the impact of pain on physical, emotional, and social function. Results Most subjects identified as Black/African American (n = 298, 97.0%). Patient ages ranged from 6 to 73 years. 35.9% resided in the United States, 64.1% resided in Ghana, 40.9% were men, and 58.7% were women. The mean SCPBI score for US SCD patients was 6.53(±5.89) vs 4.04(±5.10) for Ghanaian patients, P &lt;0.001. Pain burden was higher in US men vs Ghanaian men (6.74(±5.68) vs 3.54(±4.46), P = .003) and in US women vs Ghanaian women (6.37 ± 6.06 vs 4.44(±5.54), P = .032). Pain burden was higher in US patients than Ghanaian patients for both the Hb SC/SBeta+ genotype (5.40(±5.29) vs 2.82(±4.86), P = .054) and Hb SS/SBeta0 genotype (6.79(±6.01) vs 4.49(±5.13), P = .003). Pain burden was significantly higher in SCD patients with comorbid conditions independent of geographic origin including stroke, cholecystectomy, gallstones, depression, and headache. Discussion US patients with SCD have a higher pain burden than Ghanaian patients. Further studies should investigate underlying contributors to pain burden in these populations and further explore the etiology of geographic differences in pain.</description><subject>Care and treatment</subject><subject>Cholecystectomy</subject><subject>Chronic pain</subject><subject>Complications and side effects</subject><subject>Demographic aspects</subject><subject>Development and progression</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Etiology</subject><subject>Genotype &amp; phenotype</subject><subject>Genotypes</subject><subject>Health aspects</subject><subject>Pain</subject><subject>Pain management</subject><subject>Patients</subject><subject>Sickle cell anemia</subject><subject>Sickle cell disease</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90VFrFDEQAOAgiq3VF3-ABEQQ4dpks5vs-nYe2hYKLZ59DnPZiZe6m2yT7IP_3hx3KhUpeZiQfDPMMIS85uyUs06cTePZ5MGwSjwhx7yp5KKWQj093CuhmiPyIqU7xrisW_GcHImGS9k2_JjoG3Cefppjj56WW94iXS3X7ivSS58xesgueBjoKmxDzDRYunbmx1AUDgO9Kd_oc_pIb73L2NN1hoyJgu_p-RY8vCTPLAwJXx3iCbn98vnb6mJxdX1-uVpeLYxQPC9Ms2ksB8EMdEIIadqeK-TS1nWrxKYt82DdlLix0FYWux6KkrVte2FbZcUJeb-vO8VwP2PKenTJlBbBY5iTrmTVMclKoULf_kPvwlwGHXaq6wpSTP5V32FA7bwNOYLZFdVLpSQTjeCsqNP_qHJ6HJ0JHq0r7w8SPuwTTAwpRbR6im6E-FNzpnfb1NOoD9ss-M2h03kzYv-H_l5fAe_2IMzTY4V-Adl7pFE</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Zempsky, William T</creator><creator>Yanaros, Mary</creator><creator>Sayeem, Mohammed</creator><creator>Boruchov, Donna</creator><creator>Piccone, Connie M</creator><creator>Manwani, Deepa</creator><creator>Strunk, Crawford</creator><creator>Tartaglione, Immacolata</creator><creator>Colombatti, Raffaella</creator><creator>Akatue, Sophia</creator><creator>Oteng, Bianca</creator><creator>Owda, Ahmed</creator><creator>Bamfo, Rose</creator><creator>Wilson, Samuel</creator><creator>Rivers, Angela</creator><creator>Farooq, Fatimah</creator><creator>Urbonya, Rebekah</creator><creator>Boatemaa, Gifty Dankwah</creator><creator>Rao, Sudha</creator><creator>Inusa, Baba</creator><creator>Antwi-Boasiako, Charles</creator><creator>Segbefia, Catherine</creator><creator>Sey, Fredericka</creator><creator>Andemariam, Biree</creator><creator>Asare, Eugenia Vicky</creator><creator>Campbell, Andrew D</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4438-5187</orcidid></search><sort><creationdate>20220801</creationdate><title>Pain Burden in the CASiRe International Cohort of Sickle Cell Patients: United States and Ghana</title><author>Zempsky, William T ; Yanaros, Mary ; Sayeem, Mohammed ; Boruchov, Donna ; Piccone, Connie M ; Manwani, Deepa ; Strunk, Crawford ; Tartaglione, Immacolata ; Colombatti, Raffaella ; Akatue, Sophia ; Oteng, Bianca ; Owda, Ahmed ; Bamfo, Rose ; Wilson, Samuel ; Rivers, Angela ; Farooq, Fatimah ; Urbonya, Rebekah ; Boatemaa, Gifty Dankwah ; Rao, Sudha ; Inusa, Baba ; Antwi-Boasiako, Charles ; Segbefia, Catherine ; Sey, Fredericka ; Andemariam, Biree ; Asare, Eugenia Vicky ; Campbell, Andrew D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-c5b5f1a30ca93336c8d17e16f44873b8637e45b86bfa82fe9da33664f8d3f87f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Care and treatment</topic><topic>Cholecystectomy</topic><topic>Chronic pain</topic><topic>Complications and side effects</topic><topic>Demographic aspects</topic><topic>Development and progression</topic><topic>Epidemiology</topic><topic>Ethnicity</topic><topic>Etiology</topic><topic>Genotype &amp; 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The aim of this analysis is to explore the pain burden of patients with SCD in two countries: the United States and Ghana. Methods The Consortium for the Advancement of Sickle Cell Research (CASiRe) was created to better understand the clinical severity of patients with SCD worldwide. Data regarding gender, SCD genotype, prior medical diagnoses, and validated pain burden measures were analyzed from the CASiRe database. The Sickle Cell Pain Burden Interview (SCPBI) was used to assess pain burden, the impact of pain on physical, emotional, and social function. Results Most subjects identified as Black/African American (n = 298, 97.0%). Patient ages ranged from 6 to 73 years. 35.9% resided in the United States, 64.1% resided in Ghana, 40.9% were men, and 58.7% were women. The mean SCPBI score for US SCD patients was 6.53(±5.89) vs 4.04(±5.10) for Ghanaian patients, P &lt;0.001. Pain burden was higher in US men vs Ghanaian men (6.74(±5.68) vs 3.54(±4.46), P = .003) and in US women vs Ghanaian women (6.37 ± 6.06 vs 4.44(±5.54), P = .032). Pain burden was higher in US patients than Ghanaian patients for both the Hb SC/SBeta+ genotype (5.40(±5.29) vs 2.82(±4.86), P = .054) and Hb SS/SBeta0 genotype (6.79(±6.01) vs 4.49(±5.13), P = .003). Pain burden was significantly higher in SCD patients with comorbid conditions independent of geographic origin including stroke, cholecystectomy, gallstones, depression, and headache. Discussion US patients with SCD have a higher pain burden than Ghanaian patients. Further studies should investigate underlying contributors to pain burden in these populations and further explore the etiology of geographic differences in pain.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>35166851</pmid><doi>10.1093/pm/pnac023</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4438-5187</orcidid></addata></record>
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1526-4637
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source Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Care and treatment
Cholecystectomy
Chronic pain
Complications and side effects
Demographic aspects
Development and progression
Epidemiology
Ethnicity
Etiology
Genotype & phenotype
Genotypes
Health aspects
Pain
Pain management
Patients
Sickle cell anemia
Sickle cell disease
title Pain Burden in the CASiRe International Cohort of Sickle Cell Patients: United States and Ghana
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