Drug dependence in patients with chronic pain: A retrospective study.

Abstract:

:Drug dependence, which can exist concurrently with chronic pain, is seen as one of the major causes of rapidly increasing medical expenses. However, drug dependence in patients with chronic pain has not been evaluated. The aim of this study was to identify the risk factors for drug dependence in patients with chronic noncancer pain.This retrospective study included 151 patients with chronic noncancer pain (43 males, 108 females; mean age, 72 years). Low back pain (LBP) occurred in 96 patients, whereas 22 had shoulder pain, 8 had hip pain, and 77 had knee pain. Patients were divided into drug dependence and nondrug dependence groups based on the Severity of Dependence Scale (SDS) scores. Patients with SDS scores ≥5 and <5 were classified into drug dependence and nondrug dependence groups, respectively. All patients completed self-report questionnaires. Factors that predict drug dependence were identified by performing univariate and multivariate analyses.Sixty (40%) of the 151 patients met the SDS criteria for drug dependence. Significant differences were found between patients with and without drug dependence for the LBP, hip pain, number of medications, and for the Numerical Rating Scale, Pain Disability Assessment Scale (PDAS), Hospital Anxiety and Depression Scale, and Pain Catastrophizing Scale (PCS) scores. Multiple regression analysis identified LBP, hip pain, PCS, and PDAS scores as factors related to drug dependence in patients with chronic noncancer pain.Drug dependence tends to differ in patients based on the location of their chronic pain. Pain catastrophizing and disability indicated a greater tendency for drug dependence. Thus, PCS and PDAS scores are useful screening tools for predicting drug dependence in patients with chronic pain.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Tetsunaga T,Tetsunaga T,Nishida K,Kanzaki H,Misawa H,Takigawa T,Shiozaki Y,Ozaki T

doi

10.1097/MD.0000000000012748

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

e12748

issue

40

eissn

0025-7974

issn

1536-5964

pii

00005792-201810050-00104

journal_volume

97

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Complete clinical and functional recovery following low-dose methotrexate related paraparesis in a patient with compound c.1298A>C AND c.677C>T MTHFR polymorphism: A case report.

    abstract:RATIONALE:The mechanisms of action of MTX (methotrexate) in the treatment of RA (rheumatoid arthritis) and PsA (psoriatic arthritis) is related to its antifolic activity, due to the high affinity for enzymes that require folate cofactors as dihydrofolate reductase and to the anti-inflammatory activity derivated from th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013350

    authors: Saviola G,Abdi-Ali L,Sacco S,Comini L,Plewnia K,Rossi M,Orrico A

    更新日期:2018-12-01 00:00:00

  • Prospective Evaluation of Pharmacogenomics and Metabolite Measurements upon Azathioprine Therapy in Inflammatory Bowel Disease: An Observational Study.

    abstract::Up to approximately 40% to 50% of patients discontinue thiopurine therapy during the course of inflammatory bowel disease (IBD). We investigated the role of the metabolite thiopurine in IBD treatment. This was a prospective study. IBD patients receiving azathioprine (AZA) were prospectively included. Thiopurine methyl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003326

    authors: Fangbin Z,Xiang G,Liang D,Hui L,Xueding W,Baili C,Huichang B,Yinglian X,Peng C,Lizi Z,Yanjun C,Feng X,Minhu C,Min H,Pinjin H

    更新日期:2016-04-01 00:00:00

  • A term vaginal delivery by a patient with traumatic tetraplegia: A case report.

    abstract:RATIONALE:About 60,0000 people are involved in traffic accident each year in China and spinal cord injury (SCI) often occurs. Pregnant women with paraplegia is rare, and they face higher risk during pregnancy and childbirth. PATIENT CONCERNS:We report a case of a 35-year-old patient with SCI, who had vaginal forceps d...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010445

    authors: Yao C,Xu Y,Dai L,Lv Y,Xu X,Ye W

    更新日期:2018-04-01 00:00:00

  • The association between IUGR and maternal inherited thrombophilias: A case-control study.

    abstract::One of the risk factors for vascular obstetric complications, such as intrauterine growth restriction (IUGR), is inherited thrombophilias. Nevertheless, routine screening for thrombophilias is not endorsed in pregnant women due to their low prevalence and conflicting results of published studies regarding the usefulne...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012799

    authors: Dugalić S,Petronijevic M,Stefanovic A,Jeremic K,Petronijevic SV,Soldatovic I,Pantic I,Djunic I,Jokic Z,Djokovic F,Dotlic J,Zaric M,Todorovic J

    更新日期:2018-10-01 00:00:00

  • Primary epiploic appendagitis as an unusual cause of acute abdominal pain in a middle-aged male: A case report.

    abstract:RATIONALE:Primary epiploic appendagitis (PEA) is a rare cause of acute abdomen caused by spontaneous torsion or venous thrombosis of epiploic appendices, it commonly manifests with acute lower quadrant pain, thus may mimic acute diverticulitis, appendicitis, or mesenteric infarction. PATIENT CONCERNS:In this case repo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016846

    authors: Yang L,Jia M,Han P

    更新日期:2019-08-01 00:00:00

  • Plate fixation versus intramedullary nail or Knowles pin fixation for displaced midshaft clavicle fractures: A meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Plate fixation and intramedullary nail/Knowles pin fixation methods are commonly used to treat displaced midshaft clavicle fractures. However, the differences between these 2 methods are unclear. OBJECTIVE:This meta-analysis aimed to compare plate fixation and intramedullary nail/Knowles pin fixation for di...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022284

    authors: Li L,Yang X,Xing F,Jiang J,Tang X

    更新日期:2020-09-25 00:00:00

  • Hypokalemia associated with a solitary pulmonary nodule: A case report.

    abstract:BACKGROUND:Differential diagnosis of hypokalemia and adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome often presents challenging in endocrinology and requires careful clinical, biochemical, radiological, and pathological investigations. Hypokalemia is a common abnormality and systematic approach is requi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005046

    authors: Saeian S,Ghayumi SMA,Shams M

    更新日期:2016-12-01 00:00:00

  • A 53-year-old man with a sclerosing rib lesion: A case report.

    abstract:RATIONALE:Sclerosing osteomyelitis of Garré is a rare condition that occurs most commonly in tubular bones and the mandible. Its nontypical symptoms, low morbidity, and insidious process make its diagnosis difficult at an early stage. In this article, we reported a case of chronic sclerosing osteomyelitis which occurre...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008692

    authors: Bai S,Zhang H,Li Z,Li D,Li H

    更新日期:2017-11-01 00:00:00

  • Disabling tremor induced by long-term use of sodium valproate and lamotrigine: Case report.

    abstract:RATIONALE:Sodium valproate (VPA) and lamotrigine (LTG) are widely used antiepileptic drugs, disabling postural, and action tremors after using LTG with VPA were reported in 1993. However, in this study, we describe a patient in whom disabling resting-type tremor induced by 2-year use of VPA and LTG. PATIENT CONCERNS:A...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008711

    authors: He ZF,Chen J,Zhou CN,Rao Z,Wang XH

    更新日期:2017-11-01 00:00:00

  • An uncommon cause of gastric outlet obstruction: A case report.

    abstract:RATIONALE:Metastatic involvement of the gastrointestinal tract is an uncommon scenario encountered in the clinical practice. Our case represents a gastric outlet obstruction (GOO) as a consequence of distant Transitional cell carcinoma (TCC) metastasis without any lymph node involvement in association with inflammatory...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007059

    authors: Bandireddy M,Baffy N

    更新日期:2017-06-01 00:00:00

  • Enterococcal bacteremia: clinical features, the risk of endocarditis, and management.

    abstract::The enterococci, members of the group D streptococci and the predominant aerobic streptococci of the gastrointestinal and female genital tracts, have long been recognized as significant pathogens in infective endocarditis. Over the past 2 decades, enterococci have become increasingly important nosocomial pathogens, re...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Maki DG,Agger WA

    更新日期:1988-07-01 00:00:00

  • Improvement in renal prognosis with prompt hemodialysis in hyperosmolar hyperglycemic state-related rhabdomyolysis: A case report.

    abstract:RATIONALE:Acute kidney injury is common and correctable in patients with a hyperosmolar hyperglycemic state (HHS). Nevertheless, hyperglycemic crisis may also contribute to the development of rhabdomyolysis, which can worsen renal function and lead to high mortality in such patients. PATIENT CONCERNS:Herein, we report...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013647

    authors: Chen IW,Lin CW

    更新日期:2018-12-01 00:00:00

  • Topical steroids eye drops in conjunctival reactive lymphoid hyperplasia: Case report.

    abstract:RATIONALE:Conjunctival lymphoproliferative lesions constitute a significant diagnostic challenge and it is essential to exclude neoplastic lesions. Histopathological and immunohistochemical tests are very useful in establishing the correct diagnosis. Reactive lymphoid hyperplasia (RLH) is part of a spectrum of lymphocy...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008656

    authors: Moraes BRM,Nascimento MVDD,Neto EDDS,Santo RM

    更新日期:2017-11-01 00:00:00

  • Effects of prior anterior cruciate ligament reconstruction on clinical outcomes associated with total knee arthroplasty: A protocol of retrospective analysis.

    abstract:BACKGROUND:The argument on the clinical effects of previous anterior cruciate ligament (ACL) reconstruction on total knee arthroplasty (TKA) remains to be resolved. The aim of the current study was to compare operative and postoperative outcomes of patients undergoing TKA after ACL reconstruction with a matched cohort ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020767

    authors: Wang LZ,Liu AH,Wen DJ,Zhou YT

    更新日期:2020-06-19 00:00:00

  • Clinical significance of increased cerebellar default-mode network connectivity in resting-state patients with drug-naive somatization disorder.

    abstract::The cerebellum has been proven to be connected to the brain network, as in the default-mode network (DMN), among healthy subjects and patients with psychiatric disorders. However, whether or not abnormal cerebellar DMN connectivity exists and what its clinical significance is among drug-naive patients with somatizatio...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004043

    authors: Wang H,Guo W,Liu F,Chen J,Wu R,Zhang Z,Yu M,Li L,Zhao J

    更新日期:2016-07-01 00:00:00

  • Sedative reduction method for children with intussusception.

    abstract::Intussusception is common emergency condition in children. Pneumatic or hydrostatic reduction (HR) is considered the first-choice management strategy in cases lacking indications for surgical intervention. Generally, sedatives are not used in children undergoing interventional radiology procedures. Surgical management...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018956

    authors: Doo JW,Kim SC

    更新日期:2020-01-01 00:00:00

  • Hemodialysis Is Associated With Increased Peripheral Artery Occlusive Disease Risk Among Patients With End-Stage Renal Disease: A Nationwide Population-Based Cohort Study.

    abstract::To investigate the effect of different dialysis modalities on the incidence of peripheral artery occlusive disease (PAOD) among patients with end-stage renal disease (ESRD) in a large population-based cohort study. The cohort study included 26,927 ESRD patients who underwent hemodialysis (17,737 patients, hemodialysis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001164

    authors: Lin CS,Chen SJ,Sung CC,Lin CL,Lin SH,Cheng SM,Wang IK,Huang WS,Kao CH

    更新日期:2015-07-01 00:00:00

  • Image quality of mixed convolution kernel in thoracic computed tomography.

    abstract::The mixed convolution kernel alters his properties geographically according to the depicted organ structure, especially for the lung. Therefore, we compared the image quality of the mixed convolution kernel to standard soft and hard kernel reconstructions for different organ structures in thoracic computed tomography ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005309

    authors: Neubauer J,Spira EM,Strube J,Langer M,Voss C,Kotter E

    更新日期:2016-11-01 00:00:00

  • VEGF levels in plasma in relation to metabolic control, inflammation, and microvascular complications in type-2 diabetes: A cohort study.

    abstract::The vascular endothelial growth factor (VEGF) level in human circulation may reflect the severity of endothelial dysfunction in patients with diabetes mellitus, which leads to diabetic microvascular complications.We determined plasma VEGF levels as well as metabolic control and inflammatory factors in 26 healthy subje...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010415

    authors: Zhang Q,Fang W,Ma L,Wang ZD,Yang YM,Lu YQ

    更新日期:2018-04-01 00:00:00

  • Application of ultrasound in a congenital cystic adenomatoid malformation in an adult: A case report.

    abstract:INTRODUCTION:Congenital cystic adenomatoid malformation (CCAM) is a rare developmental lung abnormality, that typically manifests in neonates and infants but rarely in adults. Ultrasound is an important method of diagnosing CCAM in neonates and infants; however, few articles have reported the value of transthoracic lun...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023505

    authors: Xu W,Wen Q,Zha L,Liu C,Huang P

    更新日期:2020-12-04 00:00:00

  • Invasive bacterial infections in Gambians with sickle cell anemia in an era of widespread pneumococcal and hemophilus influenzae type b vaccination.

    abstract::There is relatively little data on the etiology of bacterial infections in patients with sickle cell anemia (SCA) in West Africa, and no data from countries that have implemented conjugate vaccines against both Streptococcus pneumoniae and Haemophilus influenzae type b (Hib).We conducted a retrospective analysis of SC...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005512

    authors: Soothill G,Darboe S,Bah G,Bolarinde L,Cunnington A,Anderson ST

    更新日期:2016-12-01 00:00:00

  • Diagnosis of hereditary diffuse leukoencephalopathy with neuroaxonal spheroids based on next-generation sequencing in a family: Case report and literature review.

    abstract:RATIONALE:Hereditary diffuse leukoencephalopathy with neuroaxonal spheroids (HDLS) is a rare disease with white matter lesions of the central nervous system, and it usually has autosomal dominant inheritance. Its pathogenesis and causes are complex, and it has obvious clinical and genetic heterogeneities; also, it is c...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000015802

    authors: Shi T,Li J,Tan C,Chen J

    更新日期:2019-05-01 00:00:00

  • Chronic autoimmune disorders are increased in coeliac disease: A case-control study.

    abstract::Coeliac disease (CD) is an autoimmune disorder of the small bowel associated with increased risk of additional autoimmune diseases (ADs).To investigate the prevalence of ADs in a population of adult coeliac patients.This was a retrospective case-control study. Data from coeliac patients and controls referred to a tert...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008562

    authors: Bibbò S,Pes GM,Usai-Satta P,Salis R,Soro S,Quarta Colosso BM,Dore MP

    更新日期:2017-11-01 00:00:00

  • Combination of pembrolizumab and imatinib in a patient with double KIT mutant melanoma: A case report.

    abstract:RATIONALE:The treatment of metastatic melanoma has been revolutionized in the past decade because of the development of immunotherapies and targeted therapies. Despite these developments, there is still an unmet clinical need for more advanced combination therapies for the subset of patients who remain resistant to imm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017769

    authors: Abdou Y,Kapoor A,Hamad L,Ernstoff MS

    更新日期:2019-11-01 00:00:00

  • A child infected with severe acute respiratory syndrome coronavirus 2 presenting with diarrhea without fever and cough: A case report.

    abstract:RATIONALE:Coronavirus disease 2019 (COVID-19), now a global pandemic, has spread to a large number of countries around the world. Symptoms of COVID-19 can range from mild to severe, including fever, cough, shortness of breath, and pneumonia. Some cases even remain asymptomatic. Data regarding the epidemiological and cl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021427

    authors: Liu Q,Zhang Y,Long Y

    更新日期:2020-08-14 00:00:00

  • Impact of diabetes mellitus and chronic liver disease on the incidence of dementia and all-cause mortality among patients with dementia.

    abstract::This study investigated the effects of the presence of type 2 diabetes mellitus (T2D) and/or chronic liver disease (CLD) on the incidence and prognosis of dementia during a 10-year period in Korea using a nationwide population-based dataset from the Korea National Health Insurance Service.To assess the impact of T2D a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008753

    authors: Kim HM,Lee YH,Han K,Lee BW,Kang ES,Kim J,Cha BS

    更新日期:2017-11-01 00:00:00

  • Diagnostic value of radionuclide in bone metastasis after breast cancer surgery: A protocol of systematic review.

    abstract:BACKGROUND:The objective of this study is to evaluate the accuracy of radionuclide in diagnosis of bone metastasis (BM) after breast cancer surgery (BCS). METHODS:The electronic databases (Cochrane Library, MEDLINE, EMBASE, Web of Science, CBM, and CNKI) will be systematically and comprehensively searched until June 1...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021585

    authors: Lian QX,Zhao W,Li G,Jin LJ,Nie HJ

    更新日期:2020-08-14 00:00:00

  • A case report of recurrent acute pancreatitis associated with life threatening atypical hemolytic uremic syndrome.

    abstract:INTRODUCTION:Hemolytic uremic syndrome (HUS) is a thrombotic microangiopathy defined by the sudden onset of hemolytic anemia, thrombocytopenia, and acute kidney injury (AKI). HUS is categorized as either typical, caused by Shiga toxin-producing Escherichia coli infection, or atypical HUS (aHUS), usually complement medi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019731

    authors: Jean-Marie EM,Cho JJ,Trevino JG

    更新日期:2020-05-29 00:00:00

  • Prognostic role of platelet-lymphocyte ratio in colorectal cancer: A systematic review and meta-analysis.

    abstract::Many studies have been reported that platelet-lymphocyte ratio (PLR) may be associated with the prognosis of colorectal cancer (CRC), but the results are inconsistent. Current opinion on the prognostic role of the PLR in CRC is inconsistent and inconclusive. Therefore, we conduct a meta-analysis that combines these st...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000003837

    authors: Tan D,Fu Y,Su Q,Wang H

    更新日期:2016-06-01 00:00:00

  • Dopaminergic Therapy Modulates Cortical Perfusion in Parkinson Disease With and Without Dementia According to Arterial Spin Labeled Perfusion Magnetic Resonance Imaging.

    abstract::Arterial spin labeling (ASL) magnetic resonance imaging analyses allow for the quantification of altered cerebral blood flow, and provide a novel means of examining the impact of dopaminergic treatments. The authors examined the cerebral perfusion differences among 17 Parkinson disease (PD) patients, 17 PD with dement...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002206

    authors: Lin WC,Chen PC,Huang YC,Tsai NW,Chen HL,Wang HC,Lin TK,Chou KH,Chen MH,Chen YW,Lu CH

    更新日期:2016-02-01 00:00:00