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      Journal of Pain Research (submit here)

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      Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients

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          Abstract

          Background

          Chronic low back pain (CLBP) and chronic neck pain (CNP) have become a serious medical and socioeconomic problem in recent decades. Patients suffering from chronic pain seem to have a higher prevalence of sleep disorders.

          Purpose

          To calculate the prevalence of sleep deprivation in patients with CLBP and CNP and to evaluate the factors that may contribute to sleep impairment.

          Methods

          This study was a retrospective evaluation of 1016 patients with CNP and CLBP who consulted an orthopedic department at a university hospital. Factors assessed were gender, age, diagnosis, grade of sleep deprivation, pain intensity, chronification grade, and migrational background. Pearson’s chi-squared test was performed to calculate the relationship between these factors and the grade of sleep deprivation. Regression analysis was performed to explore the correlation between the grade of sleep deprivation and age, pain intensity, and chronification grade.

          Results

          A high prevalence of sleep deprivation (42.22%) was calculated in patients with CNP and CLBP, even when analgesics had been taken. About 19.88% of the patients reported serious sleep impairments (ie, <4 hours of sleep per night). The grade of sleep deprivation did not correlate with the gender or age distribution. A significant relationship was found between the grade of sleep deprivation and pain intensity, failed back surgery syndrome, and patients with a migrational background. There was a moderate relationship with intervertebral disc disease and no relationship with spinal stenosis.

          Conclusion

          Sleep disturbance should be assessed when treating patients with CNP or CLBP, especially in patients with higher pain intensity, failed back surgery syndrome, and a migrational background. Further research is needed to explore the complex relationship of sleep disturbance and chronic pain.

          Author and article information

          Journal
          J Pain Res
          J Pain Res
          Journal of Pain Research
          Dove Medical Press
          1178-7090
          2013
          28 December 2012
          : 6
          : 1-6
          Affiliations
          [1 ]Department of Orthopedic Surgery, University of Ulm, Ulm, Germany
          [2 ]Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany
          Author notes
          Correspondence: Juraj Artner, Department of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, D-89081 Ulm, Germany, Tel +49 731 177 5111, Fax +49 160 9459 6140, Email j.artner@ 123456gmail.com
          Article
          jpr-6-001
          10.2147/JPR.S36386
          3536352
          23300350
          2c3fb8b8-3731-4e51-993a-12f2309a21d0
          © 2013 Artner et al, publisher and licensee Dove Medical Press Ltd.

          This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

          History
          Categories
          Original Research

          Anesthesiology & Pain management
          sleep disturbance,impairment,chronic low back pain,failed back surgery,disc disease,spinal stenosis,spondylolisthesis,migrational background,prevalence

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