Evidence map›Paper›PMID 40015745›Full record

ArticleBJGP open2025

Chronic pain: prevalence, demographic inequalities, and healthcare utilisation. A primary care database analysis.

Siddesh Shetty, James Scuffell, Dianne Aitken, Mark Ashworth

Abstract read
In one paragraph

Article in BJGP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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

4 authors.

Siddesh ShettySchool of Life Course and Population Sciences, King's College London, London, UK.
James ScuffellSchool of Life Course and Population Sciences, King's College London, London, UK jamie.scuffell@kcl.ac.uk.ORCID https://orcid.org/0000-0002-1468-0989
Dianne AitkenLambeth Together Care Partnership Board, NHS Lambeth Together, London, UK.
Mark AshworthSchool of Life Course and Population Sciences, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain (CP) is an ill-defined condition, often under-recorded in primary care records.

aimTo determine prevalence, evidence of health inequalities, primary care consultation rates, and healthcare utilisation costs of CP. DESIGN &

settingCross-sectional, retrospective study using anonymised primary care data from all GP practices in one inner-city London area.

methodCP was defined on the basis of analgesic medication codes and novel inclusion of diagnostic codes for conditions known to be strongly associated with CP. CP prevalence and consultation rates were determined; comparisons were made with 31 other long-term conditions (LTCs). Consultation cost estimates were based on healthcare professional type and consultation mode.

resultsIn total, 358 889 adult patients were registered in sample practices, with continuous (12-month) healthcare records available for 327 800 (91.3%). CP prevalence was 18.6%; the second most prevalent LTC after anxiety at 21.4%. CP mean annual consultation rates were 15.3 per patient, the highest LTC consultation rate. CP incurred the highest primary care consultation costs of any of the included LTCs. Age was the strongest predictor of CP, particularly in those aged ≥60 years (adjusted odds ratio [AOR] for 60-69 years: 9.32; 95% confidence interval [CI] = 8.83 to 9.84; compared with those aged 18-29 years). Much smaller AORs were found for ethnicity, social deprivation, sex, and non-UK country of birth.

conclusionCP represents the most demanding LTC, in terms of consultation rates and costs, managed in primary care. Yet there is considerable uncertainty about optimal management and alternatives to long-term, high-volume primary care consultation rates.

Indexed as

general practitionershealth inequitiesinequalitiespainprimary healthcare

Identifiers

PMID40015745
PMCPMC12728837

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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.