Gender differences in pain prevalence, characteristics, assessment and treatment in internal medicine patients: a post-hoc analysis of the FADOI-DOMINO study

  • Giuseppe Civardi Long-term Care and Rehabilitation Unit, Casa di Cura S. Antonino, Piacenza, Italy.
  • Patrizia Mordenti Oncology Department, AUSL di Piacenza, Italy.
  • Gualberto Gussoni Clinical Research Department, FADOI Foundation, Milano, Italy.
  • Cecilia Politi Internal Medicine Unit, City Hospital, Isernia, Italy.
  • Pietro Seghini Oncology Department, AUSL di Piacenza, Italy.
  • Maria Cristina Pasquini Oncology Unit, Hospital Maggiore, Crema (CR), Italy.
  • Stefania Marengo Internal Medicine Department, Hospital Mauriziano, Torino, Italy.
  • Pietro De Bastiani Internal Medicine Unit, Hospital of Oderzo, Treviso, Italy.
  • Antonella Valerio | antonella.valerio@fadoi.org Clinical Research Department, FADOI Foundation, Milano, Italy.
  • Andrea Fontanella Internal Medicine Department, Hospital Fatebenefratelli, Napoli, Italy.

Abstract

Conflicting results come from epidemiological studies on the correlations between gender and pain in hospitalized patients. No specific data are reported in patients admitted to Internal Medicine Units (IMUs). Post-hoc analysis of the FADOI-DOMINO study, performed in 26 IMUs in Italy, with two cross-sectional surveys interspersed with an educational program. The 5200 medical charts of the FADOI-DOMINO study were re-analyzed. The following sex differences were highlighted: i) a greater pain prevalence was evidenced in women in the Pre-phase; ii) among patients with chronic pain, anxiety and depression were significantly more present in women compared with men; iii) oncologic pain was more prevalent in men; in a specular way, nononcologic pain showed a greater prevalence in women in both phases; iv) strong opioids therapy was higher for men. Some sex differences in pain seem to exist in IMUs, although less evident if compared with those previously reported in other settings. A more careful assessment of coexisting conditions such as anxiety, depression or cognitive impairment can result in a better management of these problems.

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Published
2018-09-10
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Original Articles
Keywords:
Pain, gender, Internal Medicine.
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How to Cite
Civardi, G., Mordenti, P., Gussoni, G., Politi, C., Seghini, P., Pasquini, M. C., Marengo, S., De Bastiani, P., Valerio, A., & Fontanella, A. (2018). Gender differences in pain prevalence, characteristics, assessment and treatment in internal medicine patients: a post-hoc analysis of the FADOI-DOMINO study. Italian Journal of Medicine, 12(3), 213-218. https://doi.org/10.4081/itjm.2018.1008

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