J Korean Soc Spine Surg.  2018 Sep;25(3):91-98. 10.4184/jkss.2018.25.3.91.

Overview of the Management of Chronic Non-Cancer Pain in Patients with Spinal Disease

• Shin HK
• Nam WD
• Kim DS
• Kim JH
• Kim SK
• Ahn TK
• Kim SS

• KMID: 2421600
• DOI: http://doi.org/10.4184/jkss.2018.25.3.91

Abstract

STUDY DESIGN: Cross-sectional, multi-center survey study.
OBJECTIVES
The objective of this study was to investigate the pain status, pain management methods, and pain experience after treatment among patients suffering from chronic non-cancer pain due to spinal disease. SUMMARY OF LITERATURE REVIEW: No thorough investigation of the current status of chronic non-cancer pain management in patients with spinal disease has recently been reported.
MATERIALS AND METHODS
We surveyed 330 patients with chronic non-cancer pain who visited spine clinics in Korea.
RESULTS
Prior to treatment, 86.7% of the patients had severe pain and 99.4% of the patients had taken oral analgesics for pain control. After treatment, the percent of patients with severe pain was reduced to 42.1%, and 52.4% of patients responded that they experienced intermittent pain. End of dose failure was experienced by 29.1% of patients, and 41.7% of patients experienced pain again 3-6 hours after taking analgesics. Furthermore, 8.2% of patients experienced breakthrough pain, and 29.1% of patients experienced pain that interfered with sleeping.
CONCLUSIONS
Many patients with chronic pain reported experiencing pain due to end of dose failure after medication. As the causes of chronic pain are complex, appropriate analgesics should be considered and selected for effective pain management.

Keyword

Chronic non-cancer pain; Analgesic; End of dose failure (EDF); Breakthrough pain

MeSH Terms

Analgesics
Breakthrough Pain
Chronic Pain
Humans
Korea
Pain Management
Spinal Diseases*
Spine
Analgesics

Figure

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  Fig. 1. The interval of time for intermittent pain.

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