Kujawska Agnieszka, Androsiuk Joanna, Perkowski Radosław, Kujawski Sławomir, Simon Corey B, Bhatt Ravi R, Jahanshad Neda, Hapidou Eleni G, Cai Yurun, Hajec Weronika, Husejko Jakub, Zalewski Paweł, Kędziora-Kornatowska Kornelia
Department of Exercise Physiology and Functional Anatomy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 85-094, Bydgoszcz, Poland.
Cardiology and Cardiac Surgery Department, 10th Military Research Hospital and Polyclinic IPHC in Bydgoszcz, Bydgoszcz, Poland.
Sci Rep. 2025 Apr 11;15(1):12369. doi: 10.1038/s41598-025-96664-6.
Over one-third of patients with chronic pain report pain at multiple anatomical sites. The current study examined the co-localization of pain and its intensity over a 2-year follow-up period. Kendall rank correlation coefficient (denoted as tau) was applied for the co-occurrence of pain in specific locations. Individuals over the age of 60 years were recruited from the general population in Poland (N = 205, 60-88 years old). The lumbar spine was the most frequently occurring site for chronic pain, present in 31% of individuals at baseline and in 38% after 2 years. The number of pain sites did not change over 2 years (p = 0.53). An increase of co-occurrence between anatomical sites for pain was noted after 2 years. Cervical spine pain co-occurred with pain in the thoracic spine (tau = 0.31), lumbar spine (tau = 0.45), chest (tau = 0.18), hips (tau = 0.17), legs (tau = 0.18), knee(s) (tau = 0.31), and feet (tau = 0.17). The observed increase in pain co-occurrence over 2 years suggests the need for modified approaches to pain treatment in older adults.
超过三分之一的慢性疼痛患者报告在多个解剖部位疼痛。本研究在2年的随访期内检查了疼痛及其强度的共定位情况。肯德尔等级相关系数（记为tau）用于特定部位疼痛的共现情况。从波兰普通人群中招募了60岁以上的个体（N = 205，年龄在60 - 88岁之间）。腰椎是慢性疼痛最常出现的部位，基线时31%的个体存在该部位疼痛，2年后为38%。疼痛部位的数量在2年中没有变化（p = 0.53）。2年后发现疼痛的解剖部位之间共现情况增加。颈椎疼痛与胸椎疼痛（tau = 0.31）、腰椎疼痛（tau = 0.45）、胸部疼痛（tau = 0.18）、髋部疼痛（tau = 0.17）、腿部疼痛（tau = 0.18）、膝关节疼痛（tau = 0.31）和足部疼痛（tau = 0.17）共现。观察到的2年中疼痛共现情况的增加表明需要对老年人的疼痛治疗方法进行改进。
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