Chronic pain in Parkinson's disease: The cross-sectional French DoPaMiP survey

Pain is a frequent, but poorly studied symptom of Parkinson's disease (PD). DoPaMiP survey aimed to assess the prevalence of chronic pain in PD, to describe PD patients with chronic pain, and to record analgesic consumption. About 450 parkinsonian patients underwent structured standardized clin...

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Veröffentlicht in:Movement disorders 2008-07, Vol.23 (10), p.1361-1369
Hauptverfasser: Nègre-Pagès, Laurence, Regragui, Wafa, Bouhassira, Didier, Grandjean, Héléne, Rascol, Olivier
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container_end_page 1369
container_issue 10
container_start_page 1361
container_title Movement disorders
container_volume 23
creator Nègre-Pagès, Laurence
Regragui, Wafa
Bouhassira, Didier
Grandjean, Héléne
Rascol, Olivier
description Pain is a frequent, but poorly studied symptom of Parkinson's disease (PD). DoPaMiP survey aimed to assess the prevalence of chronic pain in PD, to describe PD patients with chronic pain, and to record analgesic consumption. About 450 parkinsonian patients underwent structured standardized clinical examination and completed self‐reported questionnaires in a cross sectional survey. Pains related or unrelated to PD were identified according to predefined criteria. About 98 patients with other chronic disorders than PD were examined to assess if pain was more frequent in PD than in this population. Two thirds parkinsonian patients (278 of 450) had chronic pain. Twenty‐five patients with non‐chronic pain (
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DoPaMiP survey aimed to assess the prevalence of chronic pain in PD, to describe PD patients with chronic pain, and to record analgesic consumption. About 450 parkinsonian patients underwent structured standardized clinical examination and completed self‐reported questionnaires in a cross sectional survey. Pains related or unrelated to PD were identified according to predefined criteria. About 98 patients with other chronic disorders than PD were examined to assess if pain was more frequent in PD than in this population. Two thirds parkinsonian patients (278 of 450) had chronic pain. Twenty‐five patients with non‐chronic pain (&lt;3‐month duration) were excluded from subsequent analysis. Twenty six percent (111 of 425) parkinsonian patients had pain unrelated to PD (“non‐PD‐pain”, caused mainly by osteoarthritis), while 39.3% (167 of 425) had chronic pain related to PD (“PD‐pain”). In this last group, PD was the sole cause of pain in 103 and indirectly aggravated pain of another origin (mainly osteoarthritis) in 64. Parkinsonian patients with “PD‐pain” were younger at PD onset, had more motor complications, more severe depressive symptoms than those without pain or with “non‐PD pain.” “PD‐pain” was more intense (P = 0.03), but was less frequently reported to doctors (P = 0.02), and was associated with less frequent analgesic consumption than “non‐PD‐pain.” Pain was twice more frequent in PD patients than in patients without PD after adjustment for osteo‐articular comorbidities (OR = 1.9; 95% CI 1.2–3.2). Chronic pain is frequent but underreported in PD. 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Prion diseases ; Depression - epidemiology ; Depression - etiology ; Drug Utilization - statistics &amp; numerical data ; Female ; France - epidemiology ; Health Surveys ; Humans ; Male ; Medical sciences ; Middle Aged ; Neurology ; Outpatients - statistics &amp; numerical data ; Pain - drug therapy ; Pain - epidemiology ; Pain - etiology ; Pain Measurement ; Parkinson Disease - physiopathology ; parkinson's disease ; Sleep Disorders, Intrinsic - epidemiology ; Sleep Disorders, Intrinsic - etiology</subject><ispartof>Movement disorders, 2008-07, Vol.23 (10), p.1361-1369</ispartof><rights>Copyright © 2008 Movement Disorder Society</rights><rights>2008 INIST-CNRS</rights><rights>Copyright 2008 Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5132-e15c5cc960c4a06590461e222f3d7573b5d1a90ebbc76da9150b4c91ec4e9a7a3</citedby><cites>FETCH-LOGICAL-c5132-e15c5cc960c4a06590461e222f3d7573b5d1a90ebbc76da9150b4c91ec4e9a7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmds.22142$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmds.22142$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20608354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18546344$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nègre-Pagès, Laurence</creatorcontrib><creatorcontrib>Regragui, Wafa</creatorcontrib><creatorcontrib>Bouhassira, Didier</creatorcontrib><creatorcontrib>Grandjean, Héléne</creatorcontrib><creatorcontrib>Rascol, Olivier</creatorcontrib><creatorcontrib>DoPaMiP Study Group</creatorcontrib><title>Chronic pain in Parkinson's disease: The cross-sectional French DoPaMiP survey</title><title>Movement disorders</title><addtitle>Mov. Disord</addtitle><description>Pain is a frequent, but poorly studied symptom of Parkinson's disease (PD). DoPaMiP survey aimed to assess the prevalence of chronic pain in PD, to describe PD patients with chronic pain, and to record analgesic consumption. About 450 parkinsonian patients underwent structured standardized clinical examination and completed self‐reported questionnaires in a cross sectional survey. Pains related or unrelated to PD were identified according to predefined criteria. About 98 patients with other chronic disorders than PD were examined to assess if pain was more frequent in PD than in this population. Two thirds parkinsonian patients (278 of 450) had chronic pain. Twenty‐five patients with non‐chronic pain (&lt;3‐month duration) were excluded from subsequent analysis. Twenty six percent (111 of 425) parkinsonian patients had pain unrelated to PD (“non‐PD‐pain”, caused mainly by osteoarthritis), while 39.3% (167 of 425) had chronic pain related to PD (“PD‐pain”). In this last group, PD was the sole cause of pain in 103 and indirectly aggravated pain of another origin (mainly osteoarthritis) in 64. Parkinsonian patients with “PD‐pain” were younger at PD onset, had more motor complications, more severe depressive symptoms than those without pain or with “non‐PD pain.” “PD‐pain” was more intense (P = 0.03), but was less frequently reported to doctors (P = 0.02), and was associated with less frequent analgesic consumption than “non‐PD‐pain.” Pain was twice more frequent in PD patients than in patients without PD after adjustment for osteo‐articular comorbidities (OR = 1.9; 95% CI 1.2–3.2). Chronic pain is frequent but underreported in PD. 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Twenty six percent (111 of 425) parkinsonian patients had pain unrelated to PD (“non‐PD‐pain”, caused mainly by osteoarthritis), while 39.3% (167 of 425) had chronic pain related to PD (“PD‐pain”). In this last group, PD was the sole cause of pain in 103 and indirectly aggravated pain of another origin (mainly osteoarthritis) in 64. Parkinsonian patients with “PD‐pain” were younger at PD onset, had more motor complications, more severe depressive symptoms than those without pain or with “non‐PD pain.” “PD‐pain” was more intense (P = 0.03), but was less frequently reported to doctors (P = 0.02), and was associated with less frequent analgesic consumption than “non‐PD‐pain.” Pain was twice more frequent in PD patients than in patients without PD after adjustment for osteo‐articular comorbidities (OR = 1.9; 95% CI 1.2–3.2). Chronic pain is frequent but underreported in PD. Awareness of this problem should be increased and the assessment of analgesic strategies improved. © 2008 Movement Disorder Society</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18546344</pmid><doi>10.1002/mds.22142</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Age Factors
Analgesics - therapeutic use
Biological and medical sciences
Chronic Disease
chronic pain
Comorbidity
cross sectional survey
Cross-Sectional Studies
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Depression - epidemiology
Depression - etiology
Drug Utilization - statistics & numerical data
Female
France - epidemiology
Health Surveys
Humans
Male
Medical sciences
Middle Aged
Neurology
Outpatients - statistics & numerical data
Pain - drug therapy
Pain - epidemiology
Pain - etiology
Pain Measurement
Parkinson Disease - physiopathology
parkinson's disease
Sleep Disorders, Intrinsic - epidemiology
Sleep Disorders, Intrinsic - etiology
title Chronic pain in Parkinson's disease: The cross-sectional French DoPaMiP survey
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