Satisfaction With Quality of Life Poststroke: Effect of Sex Differences in Pain Response

Ivonne Marie Bergés, Kenneth Ottenbacher, Yong Fang Kuo, Pamela M. Smith, David Smith, Glenn V. Ostir

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Bergés I-M, Ottenbacher KJ, Kuo Y-F, Smith PM, Smith D, Ostir GV. Satisfaction with quality of life poststroke: effect of sex differences in pain response. Objective: To study the relationship between sex differences among men and women in the response to pain and the effect on satisfaction with quality of life (QOL) in poststroke patients approximately 90 days after discharge from inpatient medical rehabilitation. Design: Cross-sectional design. Setting: Community based. Participants: The sample included 1724 patients (877 men, 847 women) aged 40 years and older with a history of stroke, according to information obtained from the IT HealthTrack database. The average age was 68.7 years; 79.3% were non-Hispanic white. Interventions: Not applicable. Main Outcome Measure: Satisfaction with QOL. Results: Pain ratings for both the men and the women were significant and inversely associated with satisfaction with QOL after adjustments for possible confounding factors. However, among men with stroke, each 1-point increase in pain rating was associated with an 18% decreased odds of being satisfied with QOL (odds ratio [OR], .81; 95% confidence interval [CI], .77-.86). Conversely, among women with stroke, each 1-point increase in pain rating was associated with an 11% decreased odds of being satisfied with QOL (OR=.89; 95% CI, .84-.95). Conclusions: Our data indicate that pain after stroke is significantly associated with reduced satisfaction with QOL, particularly among men. Increased awareness and treatment of pain may improve satisfaction with QOL. Our findings suggest that sex differences and pain response are clinically important factors in examining satisfaction with QOL in the poststroke population.

Original languageEnglish (US)
Pages (from-to)413-417
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume88
Issue number4
DOIs
StatePublished - Apr 2007

Fingerprint

Sex Characteristics
Quality of Life
Pain
Stroke
Odds Ratio
Confidence Intervals
Inpatients
Rehabilitation
Outcome Assessment (Health Care)
Databases
Population

Keywords

  • Pain
  • Quality of life
  • Rehabilitation
  • Sex
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Satisfaction With Quality of Life Poststroke : Effect of Sex Differences in Pain Response. / Bergés, Ivonne Marie; Ottenbacher, Kenneth; Kuo, Yong Fang; Smith, Pamela M.; Smith, David; Ostir, Glenn V.

In: Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 4, 04.2007, p. 413-417.

Research output: Contribution to journalArticle

Bergés, Ivonne Marie ; Ottenbacher, Kenneth ; Kuo, Yong Fang ; Smith, Pamela M. ; Smith, David ; Ostir, Glenn V. / Satisfaction With Quality of Life Poststroke : Effect of Sex Differences in Pain Response. In: Archives of Physical Medicine and Rehabilitation. 2007 ; Vol. 88, No. 4. pp. 413-417.
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abstract = "Berg{\'e}s I-M, Ottenbacher KJ, Kuo Y-F, Smith PM, Smith D, Ostir GV. Satisfaction with quality of life poststroke: effect of sex differences in pain response. Objective: To study the relationship between sex differences among men and women in the response to pain and the effect on satisfaction with quality of life (QOL) in poststroke patients approximately 90 days after discharge from inpatient medical rehabilitation. Design: Cross-sectional design. Setting: Community based. Participants: The sample included 1724 patients (877 men, 847 women) aged 40 years and older with a history of stroke, according to information obtained from the IT HealthTrack database. The average age was 68.7 years; 79.3{\%} were non-Hispanic white. Interventions: Not applicable. Main Outcome Measure: Satisfaction with QOL. Results: Pain ratings for both the men and the women were significant and inversely associated with satisfaction with QOL after adjustments for possible confounding factors. However, among men with stroke, each 1-point increase in pain rating was associated with an 18{\%} decreased odds of being satisfied with QOL (odds ratio [OR], .81; 95{\%} confidence interval [CI], .77-.86). Conversely, among women with stroke, each 1-point increase in pain rating was associated with an 11{\%} decreased odds of being satisfied with QOL (OR=.89; 95{\%} CI, .84-.95). Conclusions: Our data indicate that pain after stroke is significantly associated with reduced satisfaction with QOL, particularly among men. Increased awareness and treatment of pain may improve satisfaction with QOL. Our findings suggest that sex differences and pain response are clinically important factors in examining satisfaction with QOL in the poststroke population.",
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AB - Bergés I-M, Ottenbacher KJ, Kuo Y-F, Smith PM, Smith D, Ostir GV. Satisfaction with quality of life poststroke: effect of sex differences in pain response. Objective: To study the relationship between sex differences among men and women in the response to pain and the effect on satisfaction with quality of life (QOL) in poststroke patients approximately 90 days after discharge from inpatient medical rehabilitation. Design: Cross-sectional design. Setting: Community based. Participants: The sample included 1724 patients (877 men, 847 women) aged 40 years and older with a history of stroke, according to information obtained from the IT HealthTrack database. The average age was 68.7 years; 79.3% were non-Hispanic white. Interventions: Not applicable. Main Outcome Measure: Satisfaction with QOL. Results: Pain ratings for both the men and the women were significant and inversely associated with satisfaction with QOL after adjustments for possible confounding factors. However, among men with stroke, each 1-point increase in pain rating was associated with an 18% decreased odds of being satisfied with QOL (odds ratio [OR], .81; 95% confidence interval [CI], .77-.86). Conversely, among women with stroke, each 1-point increase in pain rating was associated with an 11% decreased odds of being satisfied with QOL (OR=.89; 95% CI, .84-.95). Conclusions: Our data indicate that pain after stroke is significantly associated with reduced satisfaction with QOL, particularly among men. Increased awareness and treatment of pain may improve satisfaction with QOL. Our findings suggest that sex differences and pain response are clinically important factors in examining satisfaction with QOL in the poststroke population.

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