This paper examines the associations between chronic disease, age, and physical mental health-related quality of life (HRQOL), using data collected in 10 studies representing five conditions. HRQOL was measured SF-36 or shorter subset, SF-12. Physical Component Summary (PCS) Mental (MCS) scores were graphed by condition age increments years, compared to age- sex-adjusted normative data. Linear regression models for PCS MCS controlled available confounders. The sample size 2418 participants...

<h3>Background and Objectives</h3> A better understanding of the pathogenesis chronic postsurgical pain is needed in order to develop effective prevention treatment interventions. The objective this study was evaluate incidence risk factors for women undergoing gynecologic surgery. <h3>Methods</h3> Pain characteristics, opioid consumption, psychologic were captured before 6 months after Analyses included univariate statistics, relative risks (RRs) 95% confidence intervals (95% CIs), modified...

<sec> <title>Introduction</title> Estimates of the prevalence chronic pain worldwide and in Canada are inconsistent. Our primary objectives were to determine by sex age pain-related interference for Canadian men women between 1994 2008. </sec> <title>Methods</title> Using data from seven cross-sectional cycles National Population Health Survey Community Survey, we defined two categorical outcomes, with activities. <title>Results</title> Prevalence ranged 15.1% 1996/97 18.9% 1994/95. Chronic...

Abstract Evidence‐based approaches are assuming prominence in many health‐care fields. The core ideas of evidence‐based health care derive from clinical epidemiology and general internal medicine. concept evidence has yet to be analysed systematically; what counts as may vary across disciplines. Furthermore, the contribution social sciences, particularly qualitative methodology, received scant attention. This paper outlines a model that describes four distinct but related types evidence:...

BACKGROUND: The epidemiology of chronic pain is poorly understood due to a paucity longitudinal studies limiting the ability develop prevention strategies for condition resistant many current therapies. OBJECTIVES: To identify incidence and sociodemographic risk factors in Canadian women men over 12‐year period. METHODS: Using data from National Population Health Survey, individuals who developed pain, defined as presence “usual pain” were identified. cumulative was calculated separately...

SUMMARY Individuals living with chronic pain face daily challenges of managing symptoms, modifying roles and responsibilities, coping the negative emotional consequences pain. Self-management interventions teach a variety strategies to meet these build participants' self-efficacy for their use. These have been delivered in individual, group online formats different conditions. The evidence supports efficacy self-management improving pain, mental health health-related quality life outcomes....

Aim/Objectives/Background: There is a need to predict chronic (Z3mo) postsurgical pain (CPSP). Acute (&lt;7 d) predictor, that is, more severe associated with higher CPSP risk. However, reported associations vary widely. Methods: Using systematic search, we examined between 2 acute measures (pain at rest [PAR] and movement-evoked [MEP]) outcomes (considering severity vs. any “nonzero” only) in 22 studies. Results: Seven studies the relationship both PAR MEP. Of these, 2/7 no association, 3/7...

The reported prevalence of neuropathic pain ranges from 6.9% to 10%; however the only Canadian study 17.9%. objective this was describe epidemiology in Canada. A cross-sectional survey conducted a random sample adults. response rate 21.1% (1504/7134). Likely or possible defined using pain-related diagnosis and positive outcome on Self-Report Leeds Assessment Neuropathic Symptoms Signs scale (S-LANSS) Douleur Neuropathique 4 (DN4) Questions. likely 1.9% 3.4% that 5.8% 8.1% (DN4). highest...

Canadian chronic pain prevalence estimates range from 11% to 66%, are affected by sampling and measurement bias, largely represent urban settings.To estimate factors associated with in southeastern Ontario, a region larger rural than residence.A systematic random start was used contact households. A telephone-administered questionnaire using the Graded Chronic Pain Scale, questions on health care medication use, status, depression demographics, administered consenting adults (18 94 years of...

BACKGROUND: Despite significant progress in the epidemiology of chronic pain adults, major gaps remain our understanding children. In particular, incidence, prevalence and sensory characteristics many types Canadian children are unknown. OBJECTIVES: A study to obtain lifetime point common acute pains, recurrent syndromes pains was conducted a cohort 495 school children, nine 13 years age, eastern Ontario. METHODS: Children reported their experiences described intensity, affect duration...

To examine the relationship between diet and lifestyle, chronic widespread pain (CWP). If persons with CWP have dietary lifestyle habits consistent an increased risk of cancer or cardiovascular disease, it may partially explain evidence in literature suggesting association these diseases.The 1958 British Birth Cohort Study comprises individuals born England, Scotland Wales United Kingdom during one week March 1958. At 45 years age, was recorded using a self-completion questionnaire....

Purpose Physical activity (PA) positively influences health-related quality of life (HRQL), whereas obesity is associated with significant HRQL impairments. Active–obese persons often have similar or lower risk cardiovascular outcomes and mortality than inactive–healthy weight persons; however, the combined PA–weight status effects on are unclear. The aim was to investigate association PA body mass index (BMI) in Canadian adults older adults. Methods Cross-sectional data included 110,986...

Objective: To determine the relative effectiveness of evidence-informed practice using two high compression systems: four-layer (4LB) and short-stretch bandaging (SSB) in community care venous leg ulcers. Design Setting: Pragmatic, multi-centre, parallel-group, open-label, randomized controlled trial conducted 10 centres. Cognitively intact adults (≥18 years) referred for (home or clinic) with a ulceration measuring ≥0.7cm present ≥1 week, an ankle brachial pressure index (ABPI) ≥0.8,...

BACKGROUND: Knee pain is one of the major sources and disability in developed countries, particularly aging populations, primary indication for total knee arthroplasty (TKA) patients with osteoarthritis (OA). OBJECTIVES: To determine presence myofascial OA waitlisted TKA to whether their may be alleviated by trigger point injections. METHODS: Following ethics approval, 25 participants were recruited from wait list elective unilateral at study centre. After providing informed consent, all...

Venous leg ulceration is associated with pain and poor health-related quality of life (HRQL). The purpose this study was to identify demographic clinical characteristics decreased HRQL in patients active venous ulcers.Baseline data were combined from two trials that took place between 2001 2007 (n = 564). Pain measured using the Numeric Scale (NPS), Medical Outcomes Survey 12-item Short Form (SF-12), which generates a Physical (PCS) Mental Component Summary (MCS). Analyses included logistic...

Background Quality and patient safety (PS) are critical components of medical education. This study reports on the self-reported PS competence students postgraduate trainees. Methods The Health Professional Education in Patient Safety Survey was administered to trainees January 2012. dimension scores were compared across learning settings (classroom clinical) year programme. Results Sixty-three percent (255/406) 32% (141/436) responded. In general, both groups most confident their clinical...

Objectives: Several tools have been developed to screen for neuropathic pain. This study examined the sensitivity of Douleur Neuropathique en 4 Questions (DN4) in screening various pain syndromes. Materials and Methods: prospective observational was conducted 7 Canadian academic centers between April 2008 December 2011. All newly admitted patients (n=2199) were approached 789 eligible participants form sample this analysis. Baseline data included demographics, disability, health-related...

We assessed the attitudes of residents and program directors (PD) toward research training in Canadian anesthesiology residency programs. Questionnaires were sent to all 476 Canada a modified questionnaire was PD each 16 programs between November 2003 April 2004. There 60% response rate resident 95% from PDs. Eighty-one percent have mandatory activity, although only 41% think should be mandatory. A majority recently involved project. discrepancy PDs' residents' views about availability some...