Chronic Pain

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Charles G. Helmick - One of the best experts on this subject based on the ideXlab platform.

  • Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
    MMWR. Morbidity and mortality weekly report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Carla E. Zelaya, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

  • prevalence of Chronic Pain and high impact Chronic Pain among adults united states 2016
    Morbidity and Mortality Weekly Report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Carla Zelaya, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

James M. Dahlhamer - One of the best experts on this subject based on the ideXlab platform.

  • Chronic Pain and High-impact Chronic Pain Among U.S. Adults, 2019.
    NCHS data brief, 2020
    Co-Authors: Carla E. Zelaya, James M. Dahlhamer, Jacqueline W. Lucas, Eric M. Connor
    Abstract:

    Chronic Pain (1) and Chronic Pain that frequently limits life or work activities, referred to in this report as high-impact Chronic Pain (2), are among the most common reasons adults seek medical care (3) and are associated with decreased quality of life, opioid dependence, and poor mental health (1,4,5). This report examines Chronic Pain and high-impact Chronic Pain in the past 3 months among U.S. adults aged 18 and over by selected demographic characteristics and urbanization level.

  • Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
    MMWR. Morbidity and mortality weekly report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Carla E. Zelaya, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

  • prevalence of Chronic Pain and high impact Chronic Pain among adults united states 2016
    Morbidity and Mortality Weekly Report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Carla Zelaya, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

Michael Von Korff - One of the best experts on this subject based on the ideXlab platform.

  • Graded Chronic Pain scale revised: mild, bothersome, and high-impact Chronic Pain.
    Pain, 2020
    Co-Authors: Michael Von Korff, Lynn Debar, Erin E. Krebs, Robert D. Kerns, Richard A. Deyo, Francis J. Keefe
    Abstract:

    Drawing on advances in Chronic Pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact Chronic Pain. Graded Chronic Pain Scale-Revised was validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence of Chronic Pain (Pain present most or every day, prior 3 months) was 40.5%: 15.4% with mild Chronic Pain (lower Pain intensity and interference); 10.1% bothersome Chronic Pain (moderate to severe Pain intensity with lower interference with life activities); and 15.0% high-impact Chronic Pain (sustained Pain-related activity limitations). Persons with mild Chronic Pain vs those without Chronic Pain showed small differences on 10 health status indicators (unfavorable health perceptions, activity limitations, and receiving long-term opioid therapy), with nonsignificant differences for 7 of 10 indicators. Persons with bothersome vs mild Chronic Pain differed significantly on 6 of 10 indicators (eg, negative Pain coping beliefs, psychological distress, unfavorable health perceptions, and Pain-related interference with overall activities). Persons with high-impact Chronic Pain differed significantly from those with mild Chronic Pain on all 10 indicators. Persons with high-impact Chronic Pain, relative to those with bothersome Chronic Pain, were more likely to have substantial activity limitations (significant differences for 4 of 5 disability indicators) and more often received long-term opioid therapy. Graded Chronic Pain Scale-Revised strongly predicted 5 activity-limitation indicators with area under receiver operating characteristic curve coefficients of 0.76 to 0.89. We conclude that the 5-item Graded Chronic Pain Scale-Revised and its scoring rules provide a brief, simple, and valid method for assessing Chronic Pain.

  • Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
    MMWR. Morbidity and mortality weekly report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Carla E. Zelaya, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

  • prevalence of Chronic Pain and high impact Chronic Pain among adults united states 2016
    Morbidity and Mortality Weekly Report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Carla Zelaya, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

Jacqueline W. Lucas - One of the best experts on this subject based on the ideXlab platform.

  • Chronic Pain and High-impact Chronic Pain Among U.S. Adults, 2019.
    NCHS data brief, 2020
    Co-Authors: Carla E. Zelaya, James M. Dahlhamer, Jacqueline W. Lucas, Eric M. Connor
    Abstract:

    Chronic Pain (1) and Chronic Pain that frequently limits life or work activities, referred to in this report as high-impact Chronic Pain (2), are among the most common reasons adults seek medical care (3) and are associated with decreased quality of life, opioid dependence, and poor mental health (1,4,5). This report examines Chronic Pain and high-impact Chronic Pain in the past 3 months among U.S. adults aged 18 and over by selected demographic characteristics and urbanization level.

  • Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
    MMWR. Morbidity and mortality weekly report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Carla E. Zelaya, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

  • prevalence of Chronic Pain and high impact Chronic Pain among adults united states 2016
    Morbidity and Mortality Weekly Report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Carla Zelaya, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

Lynn Debar - One of the best experts on this subject based on the ideXlab platform.

  • Graded Chronic Pain scale revised: mild, bothersome, and high-impact Chronic Pain.
    Pain, 2020
    Co-Authors: Michael Von Korff, Lynn Debar, Erin E. Krebs, Robert D. Kerns, Richard A. Deyo, Francis J. Keefe
    Abstract:

    Drawing on advances in Chronic Pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact Chronic Pain. Graded Chronic Pain Scale-Revised was validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence of Chronic Pain (Pain present most or every day, prior 3 months) was 40.5%: 15.4% with mild Chronic Pain (lower Pain intensity and interference); 10.1% bothersome Chronic Pain (moderate to severe Pain intensity with lower interference with life activities); and 15.0% high-impact Chronic Pain (sustained Pain-related activity limitations). Persons with mild Chronic Pain vs those without Chronic Pain showed small differences on 10 health status indicators (unfavorable health perceptions, activity limitations, and receiving long-term opioid therapy), with nonsignificant differences for 7 of 10 indicators. Persons with bothersome vs mild Chronic Pain differed significantly on 6 of 10 indicators (eg, negative Pain coping beliefs, psychological distress, unfavorable health perceptions, and Pain-related interference with overall activities). Persons with high-impact Chronic Pain differed significantly from those with mild Chronic Pain on all 10 indicators. Persons with high-impact Chronic Pain, relative to those with bothersome Chronic Pain, were more likely to have substantial activity limitations (significant differences for 4 of 5 disability indicators) and more often received long-term opioid therapy. Graded Chronic Pain Scale-Revised strongly predicted 5 activity-limitation indicators with area under receiver operating characteristic curve coefficients of 0.76 to 0.89. We conclude that the 5-item Graded Chronic Pain Scale-Revised and its scoring rules provide a brief, simple, and valid method for assessing Chronic Pain.

  • Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
    MMWR. Morbidity and mortality weekly report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Carla E. Zelaya, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.

  • prevalence of Chronic Pain and high impact Chronic Pain among adults united states 2016
    Morbidity and Mortality Weekly Report, 2018
    Co-Authors: James M. Dahlhamer, Michael Von Korff, Lynn Debar, Robert D. Kerns, Jacqueline W. Lucas, Richard L. Nahin, Sean Mackey, Linda Porter, Carla Zelaya, Charles G. Helmick
    Abstract:

    Chronic Pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of Chronic Pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of Chronic Pain and high-impact Chronic Pain (i.e., Chronic Pain that frequently limits life or work activities) to reliably establish the prevalence of Chronic Pain and aid in the development and implementation of population-wide Pain interventions (5). National estimates of high-impact Chronic Pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite Chronic Pain, providing a better understanding of the population in need of Pain services. To estimate the prevalence of Chronic Pain and high-impact Chronic Pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had Chronic Pain and 8.0% of U.S. adults (19.6 million) had high-impact Chronic Pain, with higher prevalences of both Chronic Pain and high-impact Chronic Pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target Pain management interventions.