Fibromyalgia & musculoskeletal pain

The Problem of Pain in Rheumatology: Variations in Case Definitions Derived From Chronic Pain Phenotyping Algorithms Using Electronic Health Records

J RheumatolPublished Cross-sectional study

Main finding · Chronic pain prevalenceResult — go to the resultOverestimation 10%

Authors' conclusion

This is the first empirical study to our knowledge that shows that established common modes of phenotyping chronic pain can lead to substantially varying estimates of the number of patients with chronic pain.

Study context

Population
Patients with autoimmune rheumatic diseases
Participants
3,042 patients
Exposure
15 case definitions for chronic pain (combinations of pain scores, diagnostic codes, analgesic medications, pain interventions) vs a well-validated phenotyping algorithm
Outcome
Chronic pain prevalence by case definition
Methodological detailselectronic health record phenotyping algorithms
  • Electronic health record phenotyping algorithms

Main finding

Chronic pain prevalence

Overestimation

10%

By group

As reported in the abstract

Observational data: associations, not effects.

Original publication

The Problem of Pain in Rheumatology: Variations in Case Definitions Derived From Chronic Pain Phenotyping Algorithms Using Electronic Health Records. J Rheumatol. Published 15 December 2023. doi:10.3899/jrheum.2023-0416

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