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Classification of neck/shoulder pain in epidemiological research: A comparison of personal and occupational characteristics, disability and prognosis among 12,195 workers from 18 countries

Classification of neck/shoulder pain in epidemiological research: A comparison of personal and occupational characteristics, disability and prognosis among 12,195 workers from 18 countries
Classification of neck/shoulder pain in epidemiological research: A comparison of personal and occupational characteristics, disability and prognosis among 12,195 workers from 18 countries
To inform case definition for neck/shoulder pain in epidemiological research, we compared levels of disability, patterns of association, and prognosis for pain that was limited to the neck or shoulders (LNSP) and more generalised musculoskeletal pain that involved the neck or shoulder(s) (GPNS). Baseline data on musculoskeletal pain, disability, and potential correlates were collected by questionnaire from 12,195 workers in 47 occupational groups (mostly office workers, nurses, and manual workers) in 18 countries (response rate = 70%). Continuing pain after a mean interval of 14 months was ascertained through a follow-up questionnaire in 9150 workers from 45 occupational groups. Associations with personal and occupational factors were assessed by Poisson regression and summarised by prevalence rate ratios (PRRs). The 1-month prevalence of GPNS at baseline was much greater than that of LNSP (35.1% vs 5.6%), and it tended to be more troublesome and disabling. Unlike LNSP, the prevalence of GPNS increased with age. Moreover, it showed significantly stronger associations with somatising tendency (PRR 1.6 vs 1.3) and poor mental health (PRR 1.3 vs 1.1); greater variation between the occupational groups studied (prevalence ranging from 0% to 67.6%) that correlated poorly with the variation in LNSP; and was more persistent at follow-up (72.1% vs 61.7%). Our findings highlight important epidemiological distinctions between subcategories of neck/shoulder pain. In future epidemiological research that bases case definitions on symptoms, it would be useful to distinguish pain that is localised to the neck or shoulder from more generalised pain that happens to involve the neck/shoulder region.
0304-3959
1028-1036
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Sarquis, Leila M., Coggon, David, Ntani, Georgia, Walker-Bone, Karen, Palmer, Keith, Felli, Vanda E., Harari, Raul, Barrero, Lope H, Felknor, Sarah A., Gimeno, David, Cattrell, Anna, Vargas-Prada, Sergio, Bonzini, Matteo, Solidaki, Eleni, Merisalu, Eda, Habib, Rima R., Sadeghiari, Farideh, Kadir, M. Masood, Warnakulasuriya, Sudath S.P., Matsudaira, Ko, Nyantumbu, Busisiwe, Sim, Malcolm R., Harcombe, Helen, Cox, Ken, Marziale, Maria H., Harari, Florencia, Freire, Rocio, Harari, Natalia, Monroy, Magda V., Quintana, Leonardo A., Rojas, Marianela, Harris, E. Clare, Serra, Consol, Martinez, J. Miguel, Delclos, George, Benavides, Fernando G., Carugno, Michele, Ferrario, Marco M., Pesatori, Angela C., Chatzi, Leda, Bitsios, Panos, Kogevinas, Manolis, Oha, Kristel, Freimann, Tiina, Sadeghian, Ali, Peiris-John, Roshini J., Sathiakumar, Nalini, Wickremasinghe, A. Rajitha, Yoshimura, Noriko, Kelsall, Helen L., Hoe, Victor C.W., Urquhart, Donna M., Derrett, Sarah, McBride, David, Herbison, Peter, Gray, Andrew and Salazar Vega, Eduardo J. (2016) Classification of neck/shoulder pain in epidemiological research: A comparison of personal and occupational characteristics, disability and prognosis among 12,195 workers from 18 countries. Pain, 157 (5), 1028-1036. (doi:10.1097/j.pain.0000000000000477).

Record type: Article

Abstract

To inform case definition for neck/shoulder pain in epidemiological research, we compared levels of disability, patterns of association, and prognosis for pain that was limited to the neck or shoulders (LNSP) and more generalised musculoskeletal pain that involved the neck or shoulder(s) (GPNS). Baseline data on musculoskeletal pain, disability, and potential correlates were collected by questionnaire from 12,195 workers in 47 occupational groups (mostly office workers, nurses, and manual workers) in 18 countries (response rate = 70%). Continuing pain after a mean interval of 14 months was ascertained through a follow-up questionnaire in 9150 workers from 45 occupational groups. Associations with personal and occupational factors were assessed by Poisson regression and summarised by prevalence rate ratios (PRRs). The 1-month prevalence of GPNS at baseline was much greater than that of LNSP (35.1% vs 5.6%), and it tended to be more troublesome and disabling. Unlike LNSP, the prevalence of GPNS increased with age. Moreover, it showed significantly stronger associations with somatising tendency (PRR 1.6 vs 1.3) and poor mental health (PRR 1.3 vs 1.1); greater variation between the occupational groups studied (prevalence ranging from 0% to 67.6%) that correlated poorly with the variation in LNSP; and was more persistent at follow-up (72.1% vs 61.7%). Our findings highlight important epidemiological distinctions between subcategories of neck/shoulder pain. In future epidemiological research that bases case definitions on symptoms, it would be useful to distinguish pain that is localised to the neck or shoulder from more generalised pain that happens to involve the neck/shoulder region.

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Accepted/In Press date: 22 December 2015
Published date: 1 May 2016

Identifiers

Local EPrints ID: 412795
URI: http://eprints.soton.ac.uk/id/eprint/412795
ISSN: 0304-3959
PURE UUID: 3749b78d-8877-4164-aa97-d5ad0697f8ee
ORCID for David Coggon: ORCID iD orcid.org/0000-0003-1930-3987
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459
ORCID for E. Clare Harris: ORCID iD orcid.org/0000-0001-8037-566X

Catalogue record

Date deposited: 01 Aug 2017 16:31
Last modified: 24 Feb 2021 02:36

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Contributors

Author: Leila M. Sarquis
Author: David Coggon ORCID iD
Author: Georgia Ntani
Author: Keith Palmer
Author: Vanda E. Felli
Author: Raul Harari
Author: Lope H Barrero
Author: Sarah A. Felknor
Author: David Gimeno
Author: Anna Cattrell
Author: Sergio Vargas-Prada
Author: Matteo Bonzini
Author: Eleni Solidaki
Author: Eda Merisalu
Author: Rima R. Habib
Author: Farideh Sadeghiari
Author: M. Masood Kadir
Author: Sudath S.P. Warnakulasuriya
Author: Ko Matsudaira
Author: Busisiwe Nyantumbu
Author: Malcolm R. Sim
Author: Helen Harcombe
Author: Ken Cox
Author: Maria H. Marziale
Author: Florencia Harari
Author: Rocio Freire
Author: Natalia Harari
Author: Magda V. Monroy
Author: Leonardo A. Quintana
Author: Marianela Rojas
Author: E. Clare Harris ORCID iD
Author: Consol Serra
Author: J. Miguel Martinez
Author: George Delclos
Author: Fernando G. Benavides
Author: Michele Carugno
Author: Marco M. Ferrario
Author: Angela C. Pesatori
Author: Leda Chatzi
Author: Panos Bitsios
Author: Manolis Kogevinas
Author: Kristel Oha
Author: Tiina Freimann
Author: Ali Sadeghian
Author: Roshini J. Peiris-John
Author: Nalini Sathiakumar
Author: A. Rajitha Wickremasinghe
Author: Noriko Yoshimura
Author: Helen L. Kelsall
Author: Victor C.W. Hoe
Author: Donna M. Urquhart
Author: Sarah Derrett
Author: David McBride
Author: Peter Herbison
Author: Andrew Gray
Author: Eduardo J. Salazar Vega

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