Evidence map›Paper›PMID 41788787›Full record

ArticlePain reports2026

Chronic pain is associated with disability: results from a large, population-based survey in South Africa.

Murray McDonald, Peter R Kamerman, Romy Parker

Abstract read
In one paragraph

Article in Pain reports, 2026. 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
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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Murray McDonaldPain Management Unit, Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0009-0007-3713-1812
Peter R KamermanBrain Function Research Group, Department of Physiology, School of Biomedical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Romy ParkerPain Management Unit, Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic pain significantly contributes to global disability, but data from South Africa and other low- and middle-income countries are limited. Objectives: We assessed the association between chronic pain (pain/discomfort ≥3 months) and disability using data from a large, population-based household survey. As an exploratory analysis, we also assessed for differences between individuals with high-impact chronic pain (HICP) (chronic pain with significant disability) to those with low-impact chronic pain (chronic pain with no disabilities) in demographics and health status variables. Methods: This cross-sectional, descriptive, secondary analysis used data collected in the 2016 South African Demographic and Health Survey, including 10336 adults. Disability was assessed using the Washington Group on Disability items. Statistical analyses were conducted using R v4.2.0 with the Results: Chronic pain prevalence was 18.3% (95% confidence interval [CI]: 16.9-19.7), with 27.8% (95% CI: 25.2-30.5) of individuals with chronic pain experiencing some form of disability. Chronic pain was associated with difficulties in cognition (adjusted odds ratio = 1.74 [95% CI: 1.41-2.14]) and mobility (AOR = 2.07 [95% CI: 1.70-2.52]), but not self-care (AOR = 1.07 [95% CI: 0.71-1.62]). The HICP group represented 1.7% (95% CI: 1.4-2.0) of the population and 9.2% (95%: 7.7-10.7) of those with chronic pain. Compared to the low-impact chronic pain group, the HICP group tended to be older and were more likely to be female, to receive a government grant, and to perceive their health as poor. Conclusion: Weak and moderately strong positive associations were found between chronic pain and greater cognitive and mobility disability, respectively.

Indexed as

Chronic painDisabilityHigh impactSouth Africa

Identifiers

PMID41788787
PMCPMC12959808

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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.