ArticleBritish journal of anaesthesia2024
Pain after combat injury in male UK military personnel deployed to Afghanistan.
Article in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Combat Injury, Limb Loss, Traumatic Brain Injury, and Psychosocial Outcomes Among Military Personnel.JAMA network open · 2026Article
- Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States combat veterans.Journal of behavioral medicine · 2026Article
- Novel Musculoskeletal Hypotheses in the Armed Services Trauma and Rehabilitation Outcome (ADVANCE) Cohort: Development and Application of Sparse Group Factor Analysis Methodology.Journal of medical Internet research · 2026Article
- Understanding long-term physical and psychosocial outcomes from conflict to rehabilitation through the ADVANCE cohort.Communications medicine · 2026Review
- Combat injury, pain, and mental health outcomes in US Army service members.Psychological medicine · 2026Article
- Biases in the measurement of health-related quality of life in the EQ-5D-5L among those with serious physical traumatic injuries: the ADVANCE cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Outcomes of a veteran-specific pain management programme by remote technology-based delivery: An observational study.British journal of pain · 2026Article
- Influence of major trauma and lower limb loss on radiographic progression and incidence of knee osteoarthritis and pain: a comparative and predictive analysis from the ADVANCE study.Arthritis research & therapy · 2026Article
- Relationships between combat injury, pain, mobility and post-service employment: the ADVANCE study.Occupational and environmental medicine · 2026Article
- Pain Beliefs in the Military: A Qualitative Study Exploring the Perspectives of Instructors Within the Canadian Armed Forces on How Pain Is Addressed in Basic Training and the Broader Military Culture.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Self-reported prescription medication use and polypharmacy following physical combat injury in the UK: the ADVANCE cohort study.Frontiers in pharmacology · 2026Article
- Evaluating the physical and psychosocial impact of serious physical combat injuries in UK armed forces personnel-the ADVANCE cohort study.European journal of epidemiology · 2025Article
- Knowledge, mechanisms, and intervention of the polytrauma clinical triad in military pain medicine.The Korean journal of pain · 2025Review
- Phantom Limb Pain Assessment Tools: A Literature Review Exploring Strengths and Limitations.Archives of rehabilitation research and clinical translation · 2025Review
- Current perspectives on the mental health of UK military personnel and veterans.British medical bulletin · 2025Review
- How can Blood Flow Restriction Exercise be Utilised for the Management of Persistent Pain Following Complex Injuries in Military Personnel? A Narrative Review.Sports medicine - open · 2025Review
- Chronic pain as a long-term burden for veterans.British journal of pain · 2025Article
- Veterans in Northern Ireland: Evaluation of chronic pain experience, service type, and physical and mental health functioning.British journal of pain · 2025Article
Corrections and comments
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Authors and funding
16 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic pain after injury poses a serious health burden. As a result of advances in medical technology, ever more military personnel survive severe combat injuries, but long-term pain outcomes are unknown. We aimed to assess rates of pain in a representative sample of UK military personnel with and without combat injuries.
methodsWe used data from the ADVANCE cohort study (ISRCTN57285353). Individuals deployed as UK armed forces to Afghanistan were recruited to include those with physical combat injuries, and a frequency-matched uninjured comparison group. Participants completed self-reported questionnaires, including 'overall' pain intensity and self-assessment of post-traumatic stress disorder, anxiety, and depression.
resultsA total of 579 participants with combat injury, including 161 with amputations, and 565 uninjured participants were included in the analysis (median 8 yr since injury/deployment). Frequency of moderate or severe pain was 18% (n=202), and was higher in the injured group (n=140, 24%) compared with the uninjured group (n=62, 11%, relative risk: 1.1, 95% confidence interval [CI]: 1.0-1.2, P<0.001), and lower in the amputation injury subgroup (n=31, 19%) compared with the non-amputation injury subgroup (n=109, 26%, relative risk: 0.9, 95% CI: 0.9-1.0, P=0.034). Presence of at least moderate pain was associated with higher rates of post-traumatic stress (RR: 3.7, 95% CI: 2.7-5.0), anxiety (RR: 3.2, 95% CI: 2.4-4.3), and depression (RR: 3.4, 95% CI: 2.7-4.5) after accounting for injury.
conclusionCombat injury, but not amputation, was associated with a higher frequency of moderate to severe pain intensity in this cohort, and pain was associated with adverse mental health outcomes.
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