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Pain, medication use, and health-related quality of life in older persons with postherpetic neuralgia: results from a population-based survey

Persons over the age of 65 years with postherpetic neuralgia (PHN) pain were recruited for this study via advertisements in 24 US newspapers and mailed a questionnaire that addressed pain intensity, pain interference, and health-related quality of life. Respondents were also asked about their use of medication for shingles pain. A total of 385 persons completed the survey; 61% were over 75 years old. Mean duration of PHN was 3.3 years. Only about one-half had taken prescription medication for shingles pain during the prior week; dosages were typically low. Mean pain interference (0- to 10-point scale) with general activity was 3.7, mood--4.3, relations with other people--3.0, sleep--3.8, and enjoyment of life--4.5. Mean pain interference with general activity--3.7, mood--4.3, relations with other people--3.0, sleep--3.8, and enjoyment of life--4.5. Respondents rated their overall health as 65.7 on a 100-point scale. PHN causes substantial pain, dysfunction, and poor health-related quality of life in older persons, many of whom might be undertreated. The researchers suggest that many older persons over the age of 65 with PHN experience longstanding, severe, and debilitating pain and poor health-related quality of life, and their levels of dissatisfaction with treatment are high. Oster G, Harding G, Dukes E, Edelsberg J, Cleary PD. J Pain. 2005 Jun;6(6):356-63.


Read more: PMID 15943957
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15943957&query_hl=36

Credit: National Center for Biotechnology Information (NCBI) at the National Library of Medicine (NLM).



Department of Pain Medicine and Palliative Care
Beth Israel Medical Center, New York City
©2005 Continuum Health Partners, Inc.
www.stoppain.org/pain_medicine