Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐Saharan African elderly
Identifieur interne : 003798 ( Istex/Corpus ); précédent : 003797; suivant : 003799Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐Saharan African elderly
Auteurs : F. K. Lekpa ; S. Ndongo ; O. Ka ; D. Zeba ; C. Compaoré ; A. Pouye ; M. M. Ka ; T. M. DiopSource :
- European Journal of Pain [ 1090-3801 ] ; 2013-07.
English descriptors
- KwdEn :
- Aetiology, Bouhassira, Chronic pain, Chronic spine diseases, Clinical characteristics, Clinical examination, Dakar, Diabetes mellitus, Diabetic neuropathy, Educational attainment, European federation, Female patients, General population, Herpes zoster, Herpes zoster ophthalmicus, Information table, International association, Lower limbs, Main aetiologies, Manual professions, Musculoskeletal pain, Neuropathic, Neuropathic characteristics, Neuropathic pain, Neuropathy, Pain chapters, Pain chapters lekpa, Pain intensity, Pain syndrome, Peripheral neuropathy, Rheumatology division, Rheumatology outpatients, Risk factors, Senegalese african, Study period.
- Teeft :
- Aetiology, Bouhassira, Chronic pain, Chronic spine diseases, Clinical characteristics, Clinical examination, Dakar, Diabetes mellitus, Diabetic neuropathy, Educational attainment, European federation, Female patients, General population, Herpes zoster, Herpes zoster ophthalmicus, Information table, International association, Lower limbs, Main aetiologies, Manual professions, Musculoskeletal pain, Neuropathic, Neuropathic characteristics, Neuropathic pain, Neuropathy, Pain chapters, Pain chapters lekpa, Pain intensity, Pain syndrome, Peripheral neuropathy, Rheumatology division, Rheumatology outpatients, Risk factors, Senegalese african, Study period.
Abstract
Data on characteristics of neuropathic pain (NP) in sub‐Saharan Africa are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (CP) with neuropathic characteristics in sub‐Saharan African elderly with musculoskeletal pain. From January to December 2011, we performed a cross‐sectional study in all Rheumatology outpatients over 60 years at the Center for Gerontology and Geriatrics, Dakar, Senegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (CP) and with a DN4 score ≥ 4 (NP). A complete clinical examination was performed to make the diagnosis of NP ‘definite’ or ‘probable’, and to identify the aetiologies of NP. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported CP. Among them, 28 patients (7.1%) scored ≥4 on the DN4 questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with NP (p < 0.05). The symptoms described by patients with NP, often intricate, were lumboradiculalgia (n = 9), cervico‐brachial neuralgia (n = 3), polyneuropathy (n = 12) and mononeuropathy (n = 6). The presumed aetiologies in patients with NP were: chronic spine diseases (n = 14), painful diabetic peripheral neuropathy (n = 8), Sjögren's syndrome (n = 1), tarsal tunnel syndrome in rheumatoid arthritis (n = 1) and bone metastasis (n = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of NP, well detected by DN4 questionnaire and clinical examination in Senegalese sub‐Saharan African elderly.
Url:
DOI: 10.1002/j.1532-2149.2012.00243.x
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ISTEX:AA8BC2503330503EEDDFF9D88B560C964811C7B1Le document en format XML
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K." last="Lekpa">F. K. Lekpa</name><affiliation><mods:affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</mods:affiliation></affiliation><affiliation><mods:affiliation>Internal Medicine, Rheumatology Division, Douala General Hospital, Cameroon</mods:affiliation></affiliation><affiliation><mods:affiliation>Fernando Kemta LekpaE‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: fklekpa@yahoo.fr</mods:affiliation></affiliation></author><author><name sortKey="Ndongo, S" sort="Ndongo, S" uniqKey="Ndongo S" first="S." last="Ndongo">S. Ndongo</name><affiliation><mods:affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</mods:affiliation></affiliation><affiliation><mods:affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Ka, O" sort="Ka, O" uniqKey="Ka O" first="O." last="Ka">O. Ka</name><affiliation><mods:affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Zeba, D" sort="Zeba, D" uniqKey="Zeba D" first="D." last="Zeba">D. Zeba</name><affiliation><mods:affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Compaore, C" sort="Compaore, C" uniqKey="Compaore C" first="C." last="Compaoré">C. Compaoré</name><affiliation><mods:affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Pouye, A" sort="Pouye, A" uniqKey="Pouye A" first="A." last="Pouye">A. Pouye</name><affiliation><mods:affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Ka, M M" sort="Ka, M M" uniqKey="Ka M" first="M. M." last="Ka">M. M. Ka</name><affiliation><mods:affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</mods:affiliation></affiliation><affiliation><mods:affiliation>Faculty of Medicine, University of Thiès, Senegal</mods:affiliation></affiliation></author><author><name sortKey="Diop, T M" sort="Diop, T M" uniqKey="Diop T" first="T. M." last="Diop">T. M. Diop</name><affiliation><mods:affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">European Journal of Pain</title><title level="j" type="alt">EUROPEAN JOURNAL OF PAIN</title><idno type="ISSN">1090-3801</idno><idno type="eISSN">1532-2149</idno><imprint><biblScope unit="vol">17</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="939">939</biblScope><biblScope unit="page" to="943">943</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2013-07">2013-07</date></imprint><idno type="ISSN">1090-3801</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1090-3801</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aetiology</term><term>Bouhassira</term><term>Chronic pain</term><term>Chronic spine diseases</term><term>Clinical characteristics</term><term>Clinical examination</term><term>Dakar</term><term>Diabetes mellitus</term><term>Diabetic neuropathy</term><term>Educational attainment</term><term>European federation</term><term>Female patients</term><term>General population</term><term>Herpes zoster</term><term>Herpes zoster ophthalmicus</term><term>Information table</term><term>International association</term><term>Lower limbs</term><term>Main aetiologies</term><term>Manual professions</term><term>Musculoskeletal pain</term><term>Neuropathic</term><term>Neuropathic characteristics</term><term>Neuropathic pain</term><term>Neuropathy</term><term>Pain chapters</term><term>Pain chapters lekpa</term><term>Pain intensity</term><term>Pain syndrome</term><term>Peripheral neuropathy</term><term>Rheumatology division</term><term>Rheumatology outpatients</term><term>Risk factors</term><term>Senegalese african</term><term>Study period</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aetiology</term><term>Bouhassira</term><term>Chronic pain</term><term>Chronic spine diseases</term><term>Clinical characteristics</term><term>Clinical examination</term><term>Dakar</term><term>Diabetes mellitus</term><term>Diabetic neuropathy</term><term>Educational attainment</term><term>European federation</term><term>Female patients</term><term>General population</term><term>Herpes zoster</term><term>Herpes zoster ophthalmicus</term><term>Information table</term><term>International association</term><term>Lower limbs</term><term>Main aetiologies</term><term>Manual professions</term><term>Musculoskeletal pain</term><term>Neuropathic</term><term>Neuropathic characteristics</term><term>Neuropathic pain</term><term>Neuropathy</term><term>Pain chapters</term><term>Pain chapters lekpa</term><term>Pain intensity</term><term>Pain syndrome</term><term>Peripheral neuropathy</term><term>Rheumatology division</term><term>Rheumatology outpatients</term><term>Risk factors</term><term>Senegalese african</term><term>Study period</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Data on characteristics of neuropathic pain (NP) in sub‐Saharan Africa are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (CP) with neuropathic characteristics in sub‐Saharan African elderly with musculoskeletal pain. From January to December 2011, we performed a cross‐sectional study in all Rheumatology outpatients over 60 years at the Center for Gerontology and Geriatrics, Dakar, Senegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (CP) and with a DN4 score ≥ 4 (NP). A complete clinical examination was performed to make the diagnosis of NP ‘definite’ or ‘probable’, and to identify the aetiologies of NP. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported CP. Among them, 28 patients (7.1%) scored ≥4 on the DN4 questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with NP (p < 0.05). The symptoms described by patients with NP, often intricate, were lumboradiculalgia (n = 9), cervico‐brachial neuralgia (n = 3), polyneuropathy (n = 12) and mononeuropathy (n = 6). The presumed aetiologies in patients with NP were: chronic spine diseases (n = 14), painful diabetic peripheral neuropathy (n = 8), Sjögren's syndrome (n = 1), tarsal tunnel syndrome in rheumatoid arthritis (n = 1) and bone metastasis (n = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of NP, well detected by DN4 questionnaire and clinical examination in Senegalese sub‐Saharan African elderly.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>neuropathic</json:string><json:string>aetiology</json:string><json:string>neuropathic characteristics</json:string><json:string>bouhassira</json:string><json:string>neuropathic pain</json:string><json:string>chronic pain</json:string><json:string>neuropathy</json:string><json:string>dakar</json:string><json:string>international association</json:string><json:string>chronic spine diseases</json:string><json:string>european federation</json:string><json:string>information table</json:string><json:string>peripheral neuropathy</json:string><json:string>clinical examination</json:string><json:string>musculoskeletal pain</json:string><json:string>manual professions</json:string><json:string>female patients</json:string><json:string>pain chapters</json:string><json:string>main aetiologies</json:string><json:string>rheumatology division</json:string><json:string>general population</json:string><json:string>rheumatology outpatients</json:string><json:string>educational attainment</json:string><json:string>senegalese african</json:string><json:string>pain syndrome</json:string><json:string>diabetic neuropathy</json:string><json:string>pain intensity</json:string><json:string>pain chapters lekpa</json:string><json:string>clinical characteristics</json:string><json:string>herpes zoster ophthalmicus</json:string><json:string>diabetes mellitus</json:string><json:string>lower limbs</json:string><json:string>study period</json:string><json:string>risk factors</json:string><json:string>herpes zoster</json:string></teeft></keywords><author><json:item><name>F.K. Lekpa</name><affiliations><json:string>Center for Gerontology and Geriatrics, Dakar, Senegal</json:string><json:string>Internal Medicine, Rheumatology Division, Douala General Hospital, Cameroon</json:string><json:string>Fernando Kemta LekpaE‐mail:</json:string><json:string>E-mail: fklekpa@yahoo.fr</json:string></affiliations></json:item><json:item><name>S. Ndongo</name><affiliations><json:string>Center for Gerontology and Geriatrics, Dakar, Senegal</json:string><json:string>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</json:string></affiliations></json:item><json:item><name>O. Ka</name><affiliations><json:string>Center for Gerontology and Geriatrics, Dakar, Senegal</json:string></affiliations></json:item><json:item><name>D. Zeba</name><affiliations><json:string>Center for Gerontology and Geriatrics, Dakar, Senegal</json:string></affiliations></json:item><json:item><name>C. Compaoré</name><affiliations><json:string>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</json:string></affiliations></json:item><json:item><name>A. Pouye</name><affiliations><json:string>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</json:string></affiliations></json:item><json:item><name>M.M. Ka</name><affiliations><json:string>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</json:string><json:string>Faculty of Medicine, University of Thiès, Senegal</json:string></affiliations></json:item><json:item><name>T.M. Diop</name><affiliations><json:string>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</json:string></affiliations></json:item></author><articleId><json:string>EJP243</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>shortCommunication</json:string></originalGenre><abstract>Data on characteristics of neuropathic pain (NP) in sub‐Saharan Africa are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (CP) with neuropathic characteristics in sub‐Saharan African elderly with musculoskeletal pain. From January to December 2011, we performed a cross‐sectional study in all Rheumatology outpatients over 60 years at the Center for Gerontology and Geriatrics, Dakar, Senegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (CP) and with a DN4 score ≥ 4 (NP). A complete clinical examination was performed to make the diagnosis of NP ‘definite’ or ‘probable’, and to identify the aetiologies of NP. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported CP. Among them, 28 patients (7.1%) scored ≥4 on the DN4 questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with NP (p > 0.05). The symptoms described by patients with NP, often intricate, were lumboradiculalgia (n = 9), cervico‐brachial neuralgia (n = 3), polyneuropathy (n = 12) and mononeuropathy (n = 6). The presumed aetiologies in patients with NP were: chronic spine diseases (n = 14), painful diabetic peripheral neuropathy (n = 8), Sjögren's syndrome (n = 1), tarsal tunnel syndrome in rheumatoid arthritis (n = 1) and bone metastasis (n = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of NP, well detected by DN4 questionnaire and clinical examination in Senegalese sub‐Saharan African elderly.</abstract><qualityIndicators><score>5.644</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1752</abstractCharCount><pdfWordCount>2704</pdfWordCount><pdfCharCount>16918</pdfCharCount><pdfPageCount>5</pdfPageCount><abstractWordCount>245</abstractWordCount></qualityIndicators><title>Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐Saharan African elderly</title><genre><json:string>brief-communication</json:string></genre><host><title>European Journal of 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with neuropathic characteristics in sub‐Saharan African elderly</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">F.K.</forename><surname>Lekpa</surname></persName><affiliation><orgName>Center for Gerontology and Geriatrics</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation><affiliation><orgName>Internal Medicine</orgName><orgName>Rheumatology Division</orgName><orgName>Douala General Hospital</orgName><address><country key="CM">Cameroon</country></address></affiliation><affiliation>Correspondence Fernando Kemta Lekpa E‐mail: fklekpa@yahoo.fr</affiliation></author><author xml:id="author-0001"><persName><forename type="first">S.</forename><surname>Ndongo</surname></persName><affiliation><orgName>Center for Gerontology and Geriatrics</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation><affiliation><orgName>Clinique Médicale 1</orgName><orgName>Aristide Le Dantec Teaching Hospital</orgName><orgName>Cheikh Anta Diop University</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">O.</forename><surname>Ka</surname></persName><affiliation><orgName>Center for Gerontology and Geriatrics</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">D.</forename><surname>Zeba</surname></persName><affiliation><orgName>Center for Gerontology and Geriatrics</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">C.</forename><surname>Compaoré</surname></persName><affiliation><orgName>Clinique Médicale 1</orgName><orgName>Aristide Le Dantec Teaching Hospital</orgName><orgName>Cheikh Anta Diop University</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">A.</forename><surname>Pouye</surname></persName><affiliation><orgName>Clinique Médicale 1</orgName><orgName>Aristide Le Dantec Teaching Hospital</orgName><orgName>Cheikh Anta Diop University</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">M.M.</forename><surname>Ka</surname></persName><affiliation><orgName>Clinique Médicale 1</orgName><orgName>Aristide Le Dantec Teaching Hospital</orgName><orgName>Cheikh Anta Diop University</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation><affiliation><orgName>Faculty of Medicine</orgName><orgName>University of Thiès</orgName><address><country key="SN">Senegal</country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">T.M.</forename><surname>Diop</surname></persName><affiliation><orgName>Clinique Médicale 1</orgName><orgName>Aristide Le Dantec Teaching Hospital</orgName><orgName>Cheikh Anta Diop University</orgName><address><settlement type="city">Dakar</settlement><country key="SN">Senegal</country></address></affiliation></author><idno type="istex">AA8BC2503330503EEDDFF9D88B560C964811C7B1</idno><idno type="ark">ark:/67375/WNG-C8J4NGGR-F</idno><idno type="DOI">10.1002/j.1532-2149.2012.00243.x</idno><idno type="unit">EJP243</idno><idno type="toTypesetVersion">file:EJP.EJP243.pdf</idno></analytic><monogr><title level="j" type="main">European Journal of Pain</title><title level="j" type="alt">EUROPEAN JOURNAL OF PAIN</title><idno type="pISSN">1090-3801</idno><idno type="eISSN">1532-2149</idno><idno type="book-DOI">10.1002/(ISSN)1532-2149</idno><idno type="book-part-DOI">10.1002/ejp.2013.17.issue-6</idno><idno type="product">EJP</idno><imprint><biblScope unit="vol">17</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="939">939</biblScope><biblScope unit="page" to="943">943</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2013-07"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head><p>Data on characteristics of neuropathic pain (<hi rend="fc">NP</hi>) in sub‐<hi rend="fc">S</hi>aharan <hi rend="fc">A</hi>frica are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (<hi rend="fc">CP</hi>) with neuropathic characteristics in sub‐<hi rend="fc">S</hi>aharan <hi rend="fc">A</hi>frican elderly with musculoskeletal pain. From <hi rend="fc">J</hi>anuary to <hi rend="fc">D</hi>ecember 2011, we performed a cross‐sectional study in all <hi rend="fc">R</hi>heumatology outpatients over 60 years at the <hi rend="fc">C</hi>enter for <hi rend="fc">G</hi>erontology and <hi rend="fc">G</hi>eriatrics, <hi rend="fc">D</hi>akar, <hi rend="fc">S</hi>enegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (<hi rend="fc">CP</hi>) and with a <hi rend="fc">DN4</hi> score ≥ 4 (<hi rend="fc">NP</hi>). A complete clinical examination was performed to make the diagnosis of <hi rend="fc">NP</hi> ‘definite’ or ‘probable’, and to identify the aetiologies of <hi rend="fc">NP</hi>. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported <hi rend="fc">CP</hi>. Among them, 28 patients (7.1%) scored ≥4 on the <hi rend="fc">DN4</hi> questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with <hi rend="fc">NP</hi> (<hi rend="italic">p</hi> < 0.05). The symptoms described by patients with <hi rend="fc">NP</hi>, often intricate, were lumboradiculalgia (<hi rend="italic">n</hi> = 9), cervico‐brachial neuralgia (<hi rend="italic">n</hi> = 3), polyneuropathy (<hi rend="italic">n</hi> = 12) and mononeuropathy (<hi rend="italic">n</hi> = 6). The presumed aetiologies in patients with <hi rend="fc">NP</hi> were: chronic spine diseases (<hi rend="italic">n</hi> = 14), painful diabetic peripheral neuropathy (<hi rend="italic">n</hi> = 8), Sjögren's syndrome (<hi rend="italic">n</hi> = 1), tarsal tunnel syndrome in rheumatoid arthritis (<hi rend="italic">n</hi> = 1) and bone metastasis (<hi rend="italic">n</hi> = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of <hi rend="fc">NP</hi>, well detected by <hi rend="fc">DN4</hi> questionnaire and clinical examination in <hi rend="fc">S</hi>enegalese sub‐<hi rend="fc">S</hi>aharan <hi rend="fc">A</hi>frican elderly.</p></abstract><textClass><keywords rend="tocHeading1"><term>Epidemiology</term></keywords><keywords rend="articleCategory"><term>Short Communication</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/AA8BC2503330503EEDDFF9D88B560C964811C7B1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body" wicri:toSee="Element #text"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="ejp243" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1002/(ISSN)1532-2149</doi><issn type="print">1090-3801</issn><issn type="electronic">1532-2149</issn><idGroup><id type="product" value="EJP"></id></idGroup><titleGroup><title sort="EUROPEAN JOURNAL OF PAIN" type="main">European Journal of Pain</title><title type="short">EJP</title></titleGroup></publicationMeta><publicationMeta level="part" position="07106"><doi>10.1002/ejp.2013.17.issue-6</doi><copyright ownership="thirdParty">© 2012 European Federation of International Association for the Study of Pain Chapters</copyright><numberingGroup><numbering number="17" type="journalVolume">17</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2013-07">July 2013</coverDate></publicationMeta><publicationMeta level="unit" status="forIssue" type="shortCommunication" position="150"><doi>10.1002/j.1532-2149.2012.00243.x</doi><idGroup><id type="unit" value="EJP243"></id></idGroup><countGroup><count number="5" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">Epidemiology</title><title type="articleCategory">Short Communication</title></titleGroup><copyright ownership="thirdParty">© 2012 European Federation of International Association for the Study of Pain Chapters</copyright><eventGroup><event agent="bestset" date="2012-10-11" type="xmlCreated"></event><event date="2012-09-26" type="manuscriptAccepted"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-11-09"></event><event type="firstOnline" date="2012-11-09"></event><event type="publishedOnlineFinalForm" date="2013-05-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-21"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-03"></event></eventGroup><numberingGroup><numbering type="pageFirst">939</numbering><numbering type="pageLast">943</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Correspondence</b></line><line>Fernando Kemta Lekpa</line><line>E‐mail: <email>fklekpa@yahoo.fr</email></line></lineatedText></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:EJP.EJP243.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">Chronic pain with neuropathic characteristics in sub‐Saharan <fc>A</fc>frican elderly</title><title type="shortAuthors">F.<fc>K</fc>. <fc>L</fc>ekpa et al.</title><title type="main">Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐<fc>S</fc>aharan <fc>A</fc>frican elderly</title></titleGroup><creators><creator affiliationRef="#ejp243-aff-0001 #ejp243-aff-0002" corresponding="yes" creatorRole="author" xml:id="ejp243-cr-0001"><personName><givenNames>F.K.</givenNames><familyName>Lekpa</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0001 #ejp243-aff-0003" creatorRole="author" xml:id="ejp243-cr-0002"><personName><givenNames>S.</givenNames><familyName>Ndongo</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0001" creatorRole="author" xml:id="ejp243-cr-0003"><personName><givenNames>O.</givenNames><familyName>Ka</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0001" creatorRole="author" xml:id="ejp243-cr-0004"><personName><givenNames>D.</givenNames><familyName>Zeba</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0003" creatorRole="author" xml:id="ejp243-cr-0005"><personName><givenNames>C.</givenNames><familyName>Compaoré</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0003" creatorRole="author" xml:id="ejp243-cr-0006"><personName><givenNames>A.</givenNames><familyName>Pouye</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0003 #ejp243-aff-0004" creatorRole="author" xml:id="ejp243-cr-0007"><personName><givenNames>M.M.</givenNames><familyName>Ka</familyName></personName></creator><creator affiliationRef="#ejp243-aff-0003" creatorRole="author" xml:id="ejp243-cr-0008"><personName><givenNames>T.M.</givenNames><familyName>Diop</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="SN" xml:id="ejp243-aff-0001"><orgName>Center for Gerontology and Geriatrics</orgName><address><city>Dakar</city><country>Senegal</country></address></affiliation><affiliation countryCode="CM" xml:id="ejp243-aff-0002"><orgDiv>Internal Medicine</orgDiv><orgDiv>Rheumatology Division</orgDiv><orgName>Douala General Hospital</orgName><address><country>Cameroon</country></address></affiliation><affiliation countryCode="SN" xml:id="ejp243-aff-0003"><orgDiv>Clinique Médicale 1</orgDiv><orgDiv>Aristide Le Dantec Teaching Hospital</orgDiv><orgName>Cheikh Anta Diop University</orgName><address><city>Dakar</city><country>Senegal</country></address></affiliation><affiliation countryCode="SN" xml:id="ejp243-aff-0004"><orgDiv>Faculty of Medicine</orgDiv><orgName>University of Thiès</orgName><address><country>Senegal</country></address></affiliation></affiliationGroup><supportingInformation> <supportingInfoItem><mediaResource alt="doc" href="urn-x:wiley:10903801:media:ejp243:ejp243-sup-0001-si"></mediaResource><caption><p><b>Table S1.</b> Comparison of the socio‐demographic and clinical characteristics of chronic pain with or without neuropathic characteristics.</p></caption></supportingInfoItem><supportingInfoItem><mediaResource alt="doc" href="urn-x:wiley:10903801:media:ejp243:ejp243-sup-0002-si"></mediaResource><caption><p><b>Table S2.</b> Aetiologies of chronic pain with or without neuropathic characteristics.</p></caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main"><title type="main">Abstract</title><p>Data on characteristics of neuropathic pain (<fc>NP</fc>) in sub‐<fc>S</fc>aharan <fc>A</fc>frica are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (<fc>CP</fc>) with neuropathic characteristics in sub‐<fc>S</fc>aharan <fc>A</fc>frican elderly with musculoskeletal pain. From <fc>J</fc>anuary to <fc>D</fc>ecember 2011, we performed a cross‐sectional study in all <fc>R</fc>heumatology outpatients over 60 years at the <fc>C</fc>enter for <fc>G</fc>erontology and <fc>G</fc>eriatrics, <fc>D</fc>akar, <fc>S</fc>enegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (<fc>CP</fc>) and with a <fc>DN4</fc> score ≥ 4 (<fc>NP</fc>). A complete clinical examination was performed to make the diagnosis of <fc>NP</fc> ‘definite’ or ‘probable’, and to identify the aetiologies of <fc>NP</fc>. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported <fc>CP</fc>. Among them, 28 patients (7.1%) scored ≥4 on the <fc>DN4</fc> questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with <fc>NP</fc> (<i>p</i> < 0.05). The symptoms described by patients with <fc>NP</fc>, often intricate, were lumboradiculalgia (<i>n</i> = 9), cervico‐brachial neuralgia (<i>n</i> = 3), polyneuropathy (<i>n</i> = 12) and mononeuropathy (<i>n</i> = 6). The presumed aetiologies in patients with <fc>NP</fc> were: chronic spine diseases (<i>n</i> = 14), painful diabetic peripheral neuropathy (<i>n</i> = 8), Sjögren's syndrome (<i>n</i> = 1), tarsal tunnel syndrome in rheumatoid arthritis (<i>n</i> = 1) and bone metastasis (<i>n</i> = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of <fc>NP</fc>, well detected by <fc>DN4</fc> questionnaire and clinical examination in <fc>S</fc>enegalese sub‐<fc>S</fc>aharan <fc>A</fc>frican elderly.</p></abstract></abstractGroup></contentMeta><noteGroup><note numbered="no" xml:id="ejp243-note-0001"><p><b>Funding sources</b></p><p>None declared</p></note><note numbered="no" xml:id="ejp243-note-0002"><p><b>Conflicts of interest</b></p><p>The authors declare that they have no conflict of interest.</p></note></noteGroup></header>
</component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐Saharan African elderly</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Chronic pain with neuropathic characteristics in sub‐Saharan African elderly</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Socio‐demographic and clinical profile of chronic pain with neuropathic characteristics in sub‐Saharan African elderly</title></titleInfo><name type="personal"><namePart type="given">F.K.</namePart><namePart type="family">Lekpa</namePart><affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</affiliation><affiliation>Internal Medicine, Rheumatology Division, Douala General Hospital, Cameroon</affiliation><affiliation>Fernando Kemta LekpaE‐mail:</affiliation><affiliation>E-mail: fklekpa@yahoo.fr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Ndongo</namePart><affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</affiliation><affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">O.</namePart><namePart type="family">Ka</namePart><affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">Zeba</namePart><affiliation>Center for Gerontology and Geriatrics, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Compaoré</namePart><affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Pouye</namePart><affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.M.</namePart><namePart type="family">Ka</namePart><affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</affiliation><affiliation>Faculty of Medicine, University of Thiès, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.M.</namePart><namePart type="family">Diop</namePart><affiliation>Clinique Médicale 1, Aristide Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief-communication" displayLabel="shortCommunication" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-S9SX2MFS-0">brief-communication</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-07</dateIssued><dateCreated encoding="w3cdtf">2012-10-11</dateCreated><dateValid encoding="w3cdtf">2012-09-26</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Data on characteristics of neuropathic pain (NP) in sub‐Saharan Africa are scarce, especially in the elderly. We conducted this study to appreciate the socio‐demographic and clinical profile of chronic pain (CP) with neuropathic characteristics in sub‐Saharan African elderly with musculoskeletal pain. From January to December 2011, we performed a cross‐sectional study in all Rheumatology outpatients over 60 years at the Center for Gerontology and Geriatrics, Dakar, Senegal. In this study, we included patients who experienced musculoskeletal pain for 3 months or longer (CP) and with a DN4 score ≥ 4 (NP). A complete clinical examination was performed to make the diagnosis of NP ‘definite’ or ‘probable’, and to identify the aetiologies of NP. During the study period, 698 outpatients were examined. There were 394 out of the 549 patients over 60 years who reported CP. Among them, 28 patients (7.1%) scored ≥4 on the DN4 questionnaire. Female patients, low educational attainment, manual professions, non‐workers and diabetes were associated with NP (p < 0.05). The symptoms described by patients with NP, often intricate, were lumboradiculalgia (n = 9), cervico‐brachial neuralgia (n = 3), polyneuropathy (n = 12) and mononeuropathy (n = 6). The presumed aetiologies in patients with NP were: chronic spine diseases (n = 14), painful diabetic peripheral neuropathy (n = 8), Sjögren's syndrome (n = 1), tarsal tunnel syndrome in rheumatoid arthritis (n = 1) and bone metastasis (n = 1). No aetiology was identified among three patients. Chronic spine diseases associated with radiculopathies and diabetic neuropathy are the main causes of NP, well detected by DN4 questionnaire and clinical examination in Senegalese sub‐Saharan African elderly.</abstract><note type="additional physical form">Table S1. Comparison of the socio‐demographic and clinical characteristics of chronic pain with or without neuropathic characteristics.Table S2. Aetiologies of chronic pain with or without neuropathic characteristics.</note><relatedItem type="host"><titleInfo><title>European Journal of Pain</title></titleInfo><titleInfo type="abbreviated"><title>EJP</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Short Communication</topic></subject><identifier type="ISSN">1090-3801</identifier><identifier type="eISSN">1532-2149</identifier><identifier type="DOI">10.1002/(ISSN)1532-2149</identifier><identifier type="PublisherID">EJP</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>17</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>939</start><end>943</end><total>5</total></extent></part></relatedItem><identifier type="istex">AA8BC2503330503EEDDFF9D88B560C964811C7B1</identifier><identifier type="ark">ark:/67375/WNG-C8J4NGGR-F</identifier><identifier type="DOI">10.1002/j.1532-2149.2012.00243.x</identifier><identifier type="ArticleID">EJP243</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012 European Federation of International Association for the Study of Pain Chapters© 2012 European Federation of International Association for the Study of Pain Chapters</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/AA8BC2503330503EEDDFF9D88B560C964811C7B1/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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