The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients

  • Lee, Jaemoon (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine) ;
  • Lim, Yun Hee (Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital) ;
  • Hong, Sung Jun (Department of Anesthesiology and Pain Medicine, Hallym University Kangdong Sacred Heart Hospital) ;
  • Jeong, Jae Hun (Department of Anesthesiology and Pain Medicine, Jeong-clinic) ;
  • Choi, Hey Ran (Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital) ;
  • Park, Sun Kyung (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine) ;
  • Kim, Jung Eun (Department of Anesthesiology and Pain Medicine, Hallym University Kangnam Sacred Heart Hospital) ;
  • Park, Eun Hi (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine) ;
  • Kim, Jae Hun (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine)
  • Received : 2020.12.24
  • Accepted : 2021.03.23
  • Published : 2021.07.01
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Abstract

Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL. Results: A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains. Conclusions: Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.

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