Abstract：
:Shoulder pain is common in primary care and has an unfavourable outcome in many patients. Information about predictors of outcome is scarce and inconsistent. The objective of this study was to develop clinical prediction rules for calculating the absolute risk of persistent shoulder symptoms for individual patients, 6 weeks and 6 month after the first consultation in general practice. A prospective cohort study with 6 months follow-up was carried out in three geographic areas in The Netherlands. In this study, 587 patients with a new episode of shoulder pain were included. The main outcome measure was persistent symptoms at 6 weeks and 6 months, perceived by the patient. Potential predictors included the results of a physical examination, sociodemographic variables, disease characteristics (duration of symptoms, pain intensity, disability and comorbidity), physical activity, physical workload and psychosocial factors. Response rates to the follow-up questionnaires were 83% at 6 weeks and 92% at 6 months. A longer duration of symptoms, gradual onset of pain and high pain severity at presentation were consistently associated with persistent symptoms at 6 weeks and 6 months. The discriminative validity of our prediction rules was satisfactory with area under the curves of 0.74 (95% CI 0.70, 0.79) at 6 weeks and 0.67 (95% CI 0.63, 0.71) at 6 months. The performance of our rules needs to be tested in other populations of patients with shoulder pain to enable valid and reliable use of the rules in everyday clinical practice.
journal_name
Painjournal_title
Painauthors
Kuijpers T,van der Windt DAWM,Boeke JPA,Twisk JWR,Vergouwe Y,Bouter LM,van der Heijden GJMGdoi
10.1016/j.pain.2005.11.004keywords:
subject
Has Abstractpub_date
2006-02-01 00:00:00pages
276-285issue
3eissn
0304-3959issn
1872-6623pii
00006396-200602000-00006journal_volume
120pub_type
临床试验,杂志文章相关文献
PAIN文献大全abstract：:Chronic severe cervico-facial pain syndrome associated with a whiplash-type injury was successfully treated with epidural spinal cord stimulation. The patient had been in pain for 9 years, responding temporarily only to stellate ganglion blocks. The patient has now been painless for 18 months. We have been unable to f...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/s0304-3959(98)00218-8
更新日期：1999-03-01 00:00:00
abstract：:For genetic research to contribute more fully to furthering our knowledge of neuropathic pain, we require an agreed, valid, and feasible approach to phenotyping, to allow collaboration and replication in samples of sufficient size. Results from genetic studies on neuropathic pain have been inconsistent and have met wi...
journal_title：Pain
pub_type： 杂志文章,评审
doi：10.1097/j.pain.0000000000000335
更新日期：2015-11-01 00:00:00
abstract：:Slow-release strong opioids (SRSO) are indicated in patients with severe chronic pain. Side effects, lack of efficacy and risk of dependency limit their use in clinical practice. The aim of this study was to explore prescription patterns of SRSO in Swedish real-world data on patients with a diagnosis related to chroni...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2012.07.011
更新日期：2012-12-01 00:00:00
abstract：:The somatosensory abnormalities in 20 men and 7 women (mean age 67 years, range 53-81) with central post-stroke pain (CPSP) have been analysed in detail with traditional neurological tests and quantitative methods. The cerebrovascular lesions were located in the lower brain-stem in 8 patients, involved the thalamus in...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(89)90128-0
更新日期：1989-05-01 00:00:00
abstract：:There are few prospective studies assessing risk factors for onset of temporomandibular (TMD) pain disorders in any age group. The aim of this prospective cohort study was to identify risk factors for onset of clinically significant TMD pain (i.e., pain meeting research diagnostic criteria for myofascial pain and/or a...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2006.10.012
更新日期：2007-06-01 00:00:00
abstract：:Tricyclic antidepressants (TCAs) have been found to be useful in the management of a variety of chronic pain conditions, although there is little published regarding the potential efficacy of this class of drug as an adjunct for the control of acute postoperative pain and related symptoms. Twenty-eight patients underg...
journal_title：Pain
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0304-3959(93)90166-M
更新日期：1993-03-01 00:00:00
abstract：:Tailored treatment based on individual risk factors is an area with promise to improve options for pain relief. Musculoskeletal pain has a biopsychosocial nature, and multiple factors should be considered when determining risk for chronic pain. This study investigated whether subgroups comprised genetic and psychologi...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.0000000000000012
更新日期：2015-01-01 00:00:00
abstract：:Previous research has demonstrated that intravenously administered cannabinoids produce potent antinociception in rodents. The present study examined the ability of 16 cannabinoid analogs to produce antinociception and hypothermia after intrathecal administration. Fifteen of the compounds tested produced significant i...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(92)90004-U
更新日期：1992-10-01 00:00:00
abstract：:Calcitonin gene-related peptide (CGRP) is a 37-amino acid peptide found primarily in the C and Aδ sensory fibers arising from the dorsal root and trigeminal ganglia, as well as the central nervous system. Calcitonin gene-related peptide was found to play important roles in cardiovascular, digestive, and sensory functi...
journal_title：Pain
pub_type： 杂志文章,评审
doi：10.1097/j.pain.0000000000000831
更新日期：2017-04-01 00:00:00
abstract：:The analgesic efficacy of the novel anxiolytic buspirone in tests of acute thermal, mechanical and formalin-induced chemical-inflammatory pain were examined. Buspirone produced dose- and time-dependent analgesia in all nociceptive tests, with greatest effects against chemical and mechanical pain. Buspirone was less po...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(89)90181-4
更新日期：1989-10-01 00:00:00
abstract：:The N-methyl-D-aspartic acid (NMDA) receptor antagonist D, L-2-amino-5-phosphonopentanoic acid (AP5) caused a stronger inhibition of wind-up in single wide dynamic range (WDR) neurons after carrageenan inflammation compared with control neurons without inflammation in the receptive field. This indicates that even a sh...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/S0304-3959(99)00155-4
更新日期：1999-12-01 00:00:00
abstract：:Musculoskeletal trauma and pain can sensitize central pain mechanisms, but whether these normalize on recovery is unknown. This study compared the extent of pain referral in individuals recovered from a musculoskeletal trauma and healthy controls. Twenty pain-free participants recovered from a shoulder fracture and 20...
journal_title：Pain
pub_type： 杂志文章,评审
doi：10.1097/j.pain.0000000000001234
更新日期：2018-10-01 00:00:00
abstract：:Chronic pain is currently considered a public health problem with high costs to the individual and society. To improve prevention and treatment of chronic pain, epidemiologic studies are mandatory for assessing chronic pain. The aims of this study were to estimate the prevalence of chronic pain in the adult Danish pop...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2012.07.023
更新日期：2012-12-01 00:00:00
abstract：:Behavioral analgesic techniques such as distraction reduce pain in both clinical and experimental settings. Individuals differ in the magnitude of distraction-induced analgesia, and additional study is needed to identify the factors that influence the pain relieving effects of distraction. Catastrophizing, a set of ne...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2009.11.012
更新日期：2010-05-01 00:00:00
abstract：:A variety of molecules released by inflammatory reactions in the dorsal root and dorsal root ganglion (DRG) may play important roles in the pathology of neuronal abnormalities in lumbar disc herniation. In order to elucidate the pathophysiological mechanisms of painful radiculopathy, secondary to lumbar disc herniatio...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/s0304-3959(02)00068-4
更新日期：2002-09-01 00:00:00
abstract：:To elucidate the mechanisms of antinociception mediated by the dopaminergic descending pathway in the spinal cord, we investigated the actions of dopamine (DA) on substantia gelatinosa (SG) neurons by in vivo whole-cell patch-clamp methods. In the voltage-clamp mode (V(H)=-70mV), the application of DA induced outward ...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2010.09.034
更新日期：2011-01-01 00:00:00
abstract：:In order to understand how nociceptive information is processed in the spinal dorsal horn we need to unravel the complex synaptic circuits involving interneurons, which constitute the vast majority of the neurons in laminae I-III. The main limitation has been the difficulty in defining functional populations among the...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2013.05.001
更新日期：2013-12-01 00:00:00
abstract：:The left dorsolateral prefrontal cortex (DLPFC) is involved in the experience and modulation of pain, and may be an important node linking pain and cognition. Repetitive transcranial magnetic stimulation (rTMS) to the left DLPFC can reduce chronic and experimental pain. However, whether left DLPFC rTMS can influence t...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000001350
更新日期：2018-12-01 00:00:00
abstract：:The effects of vibratory stimulation on muscular pain threshold were investigated in 28 healthy subjects. Pain sensation was evaluated by the subjects' verbal reports in response to electrical stimulation of the vastus medialis muscle. Concomitant variations of blink response evoked as a component of the startle react...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(86)90046-1
更新日期：1986-02-01 00:00:00
abstract：:Pain stimulates some behaviors (e.g., withdrawal responses) but depresses many other behaviors (e.g., feeding). Pain-stimulated behaviors are widely used in preclinical research on pain and analgesia, but human and veterinary medicine often rely on measures of functional impairment and pain-depressed behavior to diagn...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2009.04.010
更新日期：2009-07-01 00:00:00
abstract：:This study analyzed the relationship between the density of intraepidermal nerve fibers (IENF) and the characteristics of either nociceptive laser-evoked potentials (LEPs) or contact heat-evoked potentials (CHEPs) in patients with painful sensory polyneuropathy with the aim to determine which parameters of LEPs and CH...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2010.11.012
更新日期：2011-02-01 00:00:00
abstract：:Somatovisceral convergence was demonstrated in recordings from 15 of 16 spinothalamic tract cells in the lower thoracic spinal cords of anesthetized monkeys. Inputs were produced by mechanical (or sometimes electrical) stimulation of the skin over the lower trunk and by electrical stimulation of the greater splanchnic...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(81)90002-6
更新日期：1981-10-01 00:00:00
abstract：:In a double-blind, cross-over study, ibuprofen (600 mg), a peripherally-acting selective kappa-opioid receptor agonist (7.5 mg), or placebo were given orally in experiments on healthy volunteers 1 h before assessment of pain thresholds to radiant heat and of pain ratings to controlled mechanical impact stimuli. Mechan...
journal_title：Pain
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/S0304-3959(98)00062-1
更新日期：1998-06-01 00:00:00
abstract：:OnabotulinumtoxinA (onabotA) has shown efficacy in chronic migraine (CM). Its mechanism of action, however, remains obscure. We have analysed whether treatment with onabotA is able to induce changes in interictal plasma calcitonin gene-related peptide (CGRP) concentrations, which have been shown to be increased in pat...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000000119
更新日期：2015-05-01 00:00:00
abstract：:The aims of this study were two-fold: first, to simplify the method for creating a recently described neuropathic pain model in the rat, and second, to evaluate the effects of a number of drugs with analgesic or antihyperalgesic properties, in this model. Continuous intravenous vincristine infusion (1-100 microg kg(-1...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/S0304-3959(01)00294-9
更新日期：2001-07-01 00:00:00
abstract：:We describe qualitative and quantitative development and preliminary validation of the Patient Assessment for Low Back Pain-Impacts (PAL-I), a patient-reported outcome measure for use in chronic low back pain (cLBP) clinical trials. Concept elicitation and cognitive interviews (qualitative methods) were used to identi...
journal_title：Pain
pub_type： 杂志文章
doi：10.1097/j.pain.0000000000001309
更新日期：2018-10-01 00:00:00
abstract：:Cultures differ as to typical linguistic reports and classifications of pain. In some languages upwards of a dozen specific pain terms are in common use, each indicating a particular pain experience. In other languages a single inclusive term is the norm, perhaps with optional qualifiers added to make desired distinct...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/0304-3959(80)90025-1
更新日期：1980-08-01 00:00:00
abstract：:Coping with the demands of pain diminishes self-regulatory capacity and causes self-regulatory fatigue, which then leads to deteriorated executive task performance. It has been suggested that optimism can counteract the depletion of self-regulatory capacity. This study employed a 2 (optimism/no optimism)×2 (pain/no pa...
journal_title：Pain
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pain.2013.10.014
更新日期：2014-02-01 00:00:00
abstract：:The perception of pain is determined by a combination of genetic, neurobiological, cultural, and emotional factors. Recent studies have demonstrated an association between specific genotypes and pain perception. Particular focus has been given to the triallelic polymorphism in the promoter region of the serotonin tran...
journal_title：Pain
pub_type： 杂志文章
doi：10.1016/j.pain.2013.05.011
更新日期：2013-08-01 00:00:00
abstract：:Conditioned pain modulation (CPM) is a phenomenon that may be tested with a dynamic quantitative sensory test that assesses the inhibitory aspect of this pain modulatory network. Although CPM has been adopted as a clinical assessment tool in recent years, the stability of the measure has not been determined over long ...
journal_title：Pain
pub_type： 临床试验,杂志文章
doi：10.1016/j.pain.2013.06.038
更新日期：2013-12-01 00:00:00
