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SAMPOGNA F, ABENI D, GIELER U, TOMAS-ARAGONES L, LIEN L, POOT F, JEMEC GBE, SZABO C, LINDER D, VAN MIDDENDORP H, HALVORSEN JA, BALIEVA F, SZEPIETOWSKI JC, ROMANOV DV, MARRON SE, ALTUNAY IK, FINLAY AY, SALEK SS, KUPFER J, MISERY L, DALGARD FJ. Exploring the EQ-5D Dimension of Pain/Discomfort in Dermatology Outpatients from a Multicentre Study in 13 European Countries. Acta Derm Venereol 2020; 100:5734. [PMCID: PMC9128924 DOI: 10.2340/10.2340/00015555-3477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Pain and discomfort are important symptoms in dermatology. The aim of this cross-sectional, multicentre study was to describe the prevalence of pain/discomfort and its associations in patients with several dermatological conditions across 13 European countries. The outcome was the prevalence of pain/discomfort according to a question of the EQ-5D questionnaire. Data collected from November 2011 to February 2013 were complete for 3,509 consecutive outpatients. Moderate or extreme pain/discomfort was reported by 55.5% of patients and 31.5% of controls with no skin conditions. The highest proportions were reported by patients with hidradenitis suppurativa (92.9%), leg ulcer (81.4%), prurigo (80%) and lichen planus (75.6%). Pain/discomfort was associated with older age, low educational level, clinical severity, flare on scalp or hands, itch, depression, anxiety, low quality of life, and thoughts of suicide. It is important to enquire specifically about pain/discomfort during clinical consultations and to address it when planning a patient’s care.
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Affiliation(s)
- Francesca SAMPOGNA
- Clinical Epidemiology Unit, IDI-IRCCS, Rome, Italy, Departments of Dermatology:
| | - Damiano ABENI
- Clinical Epidemiology Unit, IDI-IRCCS, Rome, Italy, Departments of Dermatology:
| | - Uwe GIELER
- Justus Liebig University, Giessen, Germany
| | | | - Lars LIEN
- Department of Public Health, Hedmark University College, Elverum,National Center for Dual Diagnosis, Innlandet Hospital Trust, Brumundal, Norway
| | | | - Gregor B. E. JEMEC
- Zealand University Hospital, Roskilde, University of Copenhagen, Copenhagen, Denmark
| | - Csanad SZABO
- Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary
| | - Dennis LINDER
- Department of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria
| | - Henriet VAN MIDDENDORP
- Department of Health, Medical and Neuropsychology, Leiden University, Leiden, The Netherlands
| | - Jon Anders HALVORSEN
- Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo
| | | | | | - Dmitry V. ROMANOV
- Department of Psychiatry and Psychosomatics, I. M. Sechenov First Moscow State Medical University (Sechenov University); Mental Health Research Center, Moscow, Russia
| | | | - Ilknur K. ALTUNAY
- University of Health Sciences, Etfal Training and Research Hospital, Dermatology, Istanbul, Turkey
| | | | - Sam S. SALEK
- Department of Pharmacy, Pharmacology and Postgraduate Medicine, School of Life & Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Jörg KUPFER
- Institute of Medical Psychology, Justus Liebig University, Giessen, Germany
| | | | - Florence J. DALGARD
- National Center for Dual Diagnosis, Innlandet Hospital Trust, Brumundal, Norway
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