Pain assessment in Spanish rheumatology outpatient clinics: EVADOR Study.


Servicio de Reumatología, Hospital de Guadalajara , Guadalajara, España; Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, España. Electronic address: [Email]


BACKGROUND : rheumatic diseases are the most frequent cause of non-malignant chronic pain. In recent years, pain and its management have become more important in rheumatology.
OBJECTIVE : to estimate the prevalence and characteristics of pain associated with rheumatic pathology treated in rheumatology clinics in Spain, as well as their treatment and response to it.
METHODS : Multicentre observational study with two phases (cross-sectional and prospective). Variables were collected from the doctor, patient, pain and its management, comorbidities, therapeutic response and related psychosocial aspects. The differences between de novo (NP) vs follow-up (FP) patients were analyzed.
RESULTS : 34 centres and 1084 patients were included, 32% NP and 68% FP. Pain was present in 86%, was chronic in 81% and neuropathic in 12% of the surveyed population. Fifty percent of the patients would regard their pain as tolerable if its intensity according to the visual numeric scale (VNS) was≤2. Among the FP it was more frequent to have the perception of controlled pain (65.5% vs 49.4%) and to be satisfied with the treatment (53.3% vs. 35.6%). Of these patients, 23.5% had been treated with opioids in the previous month.
CONCLUSIONS : In the last decade, the prevalence of pain in rheumatology in Spain remains high, although it has diminished. The use of opioids, on the other hand, has increased.


Consultas externas,Dolor,Epidemiology,Epidemiología,Outpatient clinic,Pain,Reumatología,Rheumatology,

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