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
Links to Exploration step
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<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>
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<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>
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<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>
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<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>
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<affiliation countryCode="CM" xml:id="ejp243-aff-0002"><orgDiv>Internal Medicine</orgDiv>
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<orgName>Douala General Hospital</orgName>
<address><country>Cameroon</country>
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<caption><p><b>Table S1.</b>
Comparison of the socio‐demographic and clinical characteristics of chronic pain with or without neuropathic characteristics.</p>
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<caption><p><b>Table S2.</b>
Aetiologies of chronic pain with or without neuropathic characteristics.</p>
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<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>
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<p>None declared</p>
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<note numbered="no" xml:id="ejp243-note-0002"><p><b>Conflicts of interest</b>
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<p>The authors declare that they have no conflict of interest.</p>
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<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>
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<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>
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<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>
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