Spinal cord series and cases | 2019
Assessment of pain symptoms and quality of life using the International Spinal Cord Injury Data Sets in persons with chronic spinal cord injury.
Abstract
INTRODUCTION\nTraumatic spinal cord injury (SCI) triggers complex changes that can negatively impact health and quality of life. The International SCI Data Sets were developed to enable more comparable data collection on the complex sequelae of SCI across studies. This should facilitate progress in mechanistic understanding and improving treatments of SCI.\n\n\nSTUDY DESIGN\nProspective observational pilot study.\n\n\nOBJECTIVES\nTo collect data on pain symptoms and quality of life (QoL) in adults living with chronic SCI.\n\n\nSETTING\nAcademic medical center, New York, USA.\n\n\nMETHODS\nThe International SCI Basic Pain and Qol Data Sets were used to collect data from participants with chronic SCI (N\u2009=\u200931) at 2 study visits held 6 months apart. The QoL Data Set was also used to collect data from able-bodied persons of similar age and gender distribution (N\u2009=\u200928).\n\n\nRESULTS\nMost participants with SCI had multiple types and locations of pain problems at both study visits, despite reported being treated for pain. At both visits, the worst pain problem type was nociceptive, followed by neuropathic, which was typically rated of higher intensity. QoL scores were significantly lower across all domains of the data set in persons with SCI than able-bodied persons. Persons with pain tended to have lower QoL scores, although this trend was not significant.\n\n\nCONCLUSIONS\nThis study demonstrates the presence, complexity and stability of pain symptoms refractory to treatment and lower quality of life ratings in persons with chronic SCI.\n\n\nSPONSORSHIP\nGrants from the Craig H. Neilsen Foundation, New York Empire Clinical Research Program, New York State Spinal Cord Injury Research Board.