Evidence map›Paper›PMID 28491208›Full record

ArticleThe Pan African medical journal2017

Joint pain epidemiology and analgesic usage in Madagascar.

Luc Hervé Samison, Fidiniaina Mamy Randriatsarafara, Stéphane Ralandison

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 98% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Luc Hervé SamisonUniversity of Antananarivo, Hospital Joseph Ravaoahangy Andrianavalona, Antananarivo, Madagascar.
Fidiniaina Mamy RandriatsarafaraUniversity of Antananarivo, Centre Hospitalier de Soavinandriana, Antananarivo, Madagascar.
Stéphane RalandisonUniversity of Toamasina, Hospital Morafeno, Toamasina, Madagascar.
University of Antananarivo · MGUniversity of Toamasina · MG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo describe the epidemiology of joint pains and document analgesics usage in an African context.

methodsPatients suffering from joint pain were recruited from nine sites located in Antananarivo, Madagascar, including 6 hospital services and 3 clinics. Doctors collected information on the etiology and characteristics of the patients' pain. Analgesics prescribed by these doctors were also documented.

resultsIn total, 400 patients were enrolled in the study (52.5% women, mean age of 42.34 years ± 17.7 [4-86]). Pain of mechanical type was found in 260 participants, 65%; 95% CI [60.1% to 69.6%] and inflammatory type pains in 128 cases 32%; 95% CI [27.5% to 36.9%]. Mixed pains were found in 12 patients (3%). The median duration of pain prior to the consultation was 6.5 days. The average pain intensity was 57.9 ± 19.9 mm of a total of 100 mm maximum on a visual analogue scale, VAS. The etiologies of mechanical type pains were dominated by fracture, common low back pain and tendonitis. Arthrosis was the dominant cause of inflammatory type pain, followed by rheumatoid arthritis and gout. NSAIDs (74.5%) were the most frequently prescribed analgesics followed by paracetamol (49.5%), weak opioids (23%) and corticosteroids (12.25%). Two-thirds of medical prescriptions (65.3%) were of combined analgesics.

conclusionThese findings demonstrated that mechanical type pains were the main reason for consultations for joint pain in these situations in Antananarivo, Madagascar. The most frequently prescribed pain-relieving medications were NSAIDs, paracetamol, weak opioids and corticosteroids. This descriptive study may be a useful starting point for further epidemiological studies of pain in the African context.

Indexed as

AcetaminophenAdolescentAdrenal Cortex HormonesAdultAgedAged, 80 and overAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalArthralgiaChildChild, PreschoolCross-Sectional StudiesFemaleHumansMadagascarAcetaminophenAdrenal Cortex HormonesAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalAfricaanalgesicArhtralgiajoint diseaseMadagascar

Identifiers

PMID28491208
PMCPMC5410003
OpenAlexW2592798725

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.