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Introduction: It is estimated that by 2025 there will be approximately 1.2 billion people above 60 years old. Global projections indicate that by 2050 there will be about 2 billion elders, 80% of them living in developing countries. Researches on the relationship between pain and aging are currently much valued within the health sciences, the ultimate goal being the provision of adequate pain control for the growing number of elders in society. Objectives: To characterize chronic pain in the elderly population and evaluate pain threshold to mechanical stimulation, with emphasis on gender differences. Methods: This study refers to a cross-sectional study to be conducted in convenience samples of a primary care unit (Geraldo Horacio de Paula Souza) that follows elders and the Department of Geriatrics of the university hospital of the School of Medicine of Universidade de São Paulo (Hospital das ClÃnicas). At least 200 participants of each gender, aged 65 or above, will be selected to participate. Chronic pain will be that lasting for six or more months (either continuous or recurrent, as recommended by the International Association For the Study of Pain). Participants will be searched about their demographic and socioeconomic backgrounds, and asked to answer the following questionnaires: the Mini Mental State Examination, a structured questionnaire for activities of daily living, a structured questionnaire for instrumental activities of daily living, Beck Anxiety Inventory, Geriatric Depression Scale, the five dimensions European Quality of Life assessment (EQ5D) and Brief Pain Inventory. Participants will also be evaluated regarding pain threshold to mechanical stimuli using algometer. Descriptive statistics of the sample will be displayed as means, medians, standard deviations and proportions. For testing for differences between males and females, a significance level of 5% will be used. Keywords: elderly, chronic pain, gender.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Male | Male, patients |
| |
| Female | Female patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observation | Other | questionnaire |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity to pressure pain 5 minutes post recruitment | Pain evaluation throught algometer 5 minutes post recruitment | applied minutes 5 after recruitment of the subject. |
| Sensitivity to pressure pain 10 minutes post recruitment | Pain evaluation throught algometer 10 minutes post recruitment | applied minutes 10 after recruitment of the subject. |
| Sensitivity to pressure pain 15 minutes post recruitment | Pain evaluation throught algometer 15 minutes post recruitment | applied minutes 15 after recruitment of the subject. |
| Measure | Description | Time Frame |
|---|---|---|
| Mini Mental State Examination | Mental state evaluation | applied in beginning of the interview |
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Inclusion Criteria:
Exclusion Criteria:
Self representation
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Patient of the geriatrics clinic at the Central Institute (IC) of the Hospital das ClÃnicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP) or the Geraldo Horácio de Paula Souza School of Public Health Center of the University of São Paulo
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade de Sao Paulo | São Paulo | São Paulo | 01239-011 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 3266492 | Result | Valkenburg HA. Epidemiologic considerations of the geriatric population. Gerontology. 1988;34 Suppl 1:2-10. doi: 10.1159/000212980. | |
| 12583868 | Result | Chesterton LS, Barlas P, Foster NE, Baxter DG, Wright CC. Gender differences in pressure pain threshold in healthy humans. Pain. 2003 Feb;101(3):259-266. doi: 10.1016/S0304-3959(02)00330-5. |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D003075 | Coitus |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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| 9520232 | Result | Riley JL 3rd, Robinson ME, Wise EA, Myers CD, Fillingim RB. Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain. 1998 Feb;74(2-3):181-7. doi: 10.1016/s0304-3959(97)00199-1. |
| 23794645 | Result | Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013 Jul;111(1):52-8. doi: 10.1093/bja/aet127. |
| 15561396 | Result | Peat G, Thomas E, Handy J, Croft P. Social networks and pain interference with daily activities in middle and old age. Pain. 2004 Dec;112(3):397-405. doi: 10.1016/j.pain.2004.09.029. |
| D012725 | Sexual Behavior |
| D001519 | Behavior |