Pain clinic experience in a teaching hospital in Western Saudi Arabia. Relationship of patient’s age and gender to various types of pain

Journal: Saudi Med J. 2006 Dec;27(12):1882-6. Author and affiliation: Kaki AM. Department of Anesthesia, Faculty of Medicine, King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia. [E-mail: ] PMID: 17143369

Objective: To show the practice of a pain clinic in Saudi Arabia, to estimate the prevalence of various types of chronic pain managed there, and to find the relationship of patient's age and gender to type of pain.

Methods: A retrospective study was carried out over a period of 5 years (January 2000 – December 2004) at a teaching hospital in Jeddah. A total of 1,686 patients’ data was reviewed, including the given diagnosis, types of pain, and demographic data.

n The common age was 50-59 years (25.4%), with a preponderance of females (56.8%) over males (43.2%).
n Given diagnosis of low back pain (LBP) was the most common (45.4%), followed by painful neuralgia (15.6%), headache (9.7%), cancer pain (8.7%), and cervicobrachialgia (8.1%).
n The prevalence among females of Fibromyalgia (7.9%), headache (12.1%), and cervicobrachialgia (10.7%) was more common than among males (2.4%), (6.4%), and (4.7%) respectively.
n While painful neuralgia was more frequent among males (19.9%) than females (12.3%) (p<0.001).
n Low back pain showed higher prevalence among old patients, while headache and sickle cell disease were more common among younger age group.
n Combined nociceptive and neuropathic pain was the most common pathophysiological type observed (39%), followed by nociceptive pain (36.2%), and the least common was psychological pain (2.7%).

Conclusion: Various types of chronic pain managed in the pain clinic requ[ire] full understanding of pain neurophysiology as well as familiarity with contributing factors to the prevalence of pain.

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