Prevalence and correlates of pain and pain treatment in a western Kenya referral hospital

dc.contributor.authorHuang, Kristin T. L.
dc.contributor.authorOwino, Claudio
dc.contributor.authorGramelspacher, Gregory P.
dc.contributor.authorMonahan, Patrick O.
dc.contributor.authorTabbey, Rebeka
dc.contributor.authorHagembe, Mildred
dc.contributor.authorStrother, Robert M.
dc.contributor.authorNjuguna, Festus
dc.contributor.authorVreeman, Rachel C.
dc.contributor.departmentDepartment of Medicine, IU School of Medicineen_US
dc.date.accessioned2016-03-14T12:52:45Z
dc.date.available2016-03-14T12:52:45Z
dc.date.issued2013-10
dc.description.abstractBACKGROUND: Pain is often inadequately evaluated and treated in sub-Saharan Africa (SSA). OBJECTIVE: We sought to assess pain levels and pain treatment in 400 hospitalized patients at a national referral hospital in western Kenya, and to identify factors associated with pain and pain treatment. DESIGN: Using face-validated Kiswahili versions of two single-item pain assessment tools, the Numerical Rating Scale (NRS) and the Faces Pain Scale-Revised (FPS-R), we determined patients' pain levels. Additional data collected included patient demographics, prescribed analgesics, and administered analgesics. We calculated mean pain ratings and pain management index (PMI) scores. RESULTS: Averaged between the NRS and FPS-R, 80.5% of patients endorsed a nonzero level of pain and 30% of patients reported moderate to severe pain. Older patients, patients with HIV, and cancer patients had higher pain ratings. Sixty-six percent of patients had been prescribed analgesics at some point during their hospitalization, the majority of which were nonopioids. A majority of patients (66%) had undertreated pain (negative scores on the PMI). CONCLUSION: This study shows that hospitalized patients in Kenya are experiencing pain and that this pain is often undertreated.en_US
dc.identifier.citationHuang, K. T. L., Owino, C., Gramelspacher, G. P., Monahan, P. O., Tabbey, R., Hagembe, M., … Vreeman, R. C. (2013). Prevalence and Correlates of Pain and Pain Treatment in a Western Kenya Referral Hospital. Journal of Palliative Medicine, 16(10), 1260–1267. http://doi.org/10.1089/jpm.2013.0080en_US
dc.identifier.urihttps://hdl.handle.net/1805/8821
dc.language.isoen_USen_US
dc.publisherMary Ann Liebert, Inc.en_US
dc.relation.isversionof10.1089/jpm.2013.0080en_US
dc.relation.journalJournal of Palliative Medicineen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectAdolescenten_US
dc.subjectAgeden_US
dc.subjectAdulten_US
dc.subjectAged, 80 and overen_US
dc.subjectChilden_US
dc.subjectChild, Preschoolen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectKenya -- Epidemiologyen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectPain -- Epidemiologyen_US
dc.subjectPain Management -- Methodsen_US
dc.subjectPain Measurementen_US
dc.subjectPrevalenceen_US
dc.titlePrevalence and correlates of pain and pain treatment in a western Kenya referral hospitalen_US
dc.typeArticleen_US
ul.alternative.fulltexthttp://pubmed.gov/24032753en_US
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
jpm.2013.0080.pdf
Size:
179.64 KB
Format:
Adobe Portable Document Format
Description:
Main Article
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.88 KB
Format:
Item-specific license agreed upon to submission
Description: