Chronic pain prevalence and severity in females before & after menopause versus males in a large multi-center database.

Aims This observational study aimed to explore the prevalence and severity of chronic pain in menopausal-aged females. Materials & Methods We identified participants in the NIH-sponsored All of Us database with a diagnosis of chronic pain. We examined the severity of pain based on numeric rating sca...

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Publicado en:Pain Management Vol. 15; no. 12; pp. 915 - 921
Autores principales: Ricker, Adam, Farley, Nicole, McClure, Jesse J., Goudman, Lisa, Berwal, Deepak, Khazen, Olga, Telkes, Ilknur, Hani Abdullah, Umm E, Wilson, Candy, Pilitsis, Julie G.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 15
      iid: 12
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17581869.2025.2561399
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        atl: Chronic pain prevalence and severity in females before & after menopause versus males in a large multi-center database.
      aug:
        au:
          Ricker, Adam
          Farley, Nicole
          McClure, Jesse J.
          Goudman, Lisa
          Berwal, Deepak
          Khazen, Olga
          Telkes, Ilknur
          Hani Abdullah, Umm E
          Wilson, Candy
          Pilitsis, Julie G.
        affil: Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA
      sug:
        subj:
          Databases, Health Evaluation
          Chronic Pain Risk Factors
          Risk Assessment
          Severity of Illness Evaluation
          Menopause Physiology
          Sex Factors Evaluation
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Multicenter Studies
          Prevalence
          Pain Measurement
          Nonexperimental Studies
          Age Factors
          United States
          Scales
          Race Factors
          Ethnic Groups
          Complex Regional Pain Syndromes Physiopathology
          Fibromyalgia Physiopathology
          Postoperative Pain Physiopathology
          Analysis of Variance
          Post Hoc Analysis
          Descriptive Statistics
          Data Analysis Software
          Intermittent Claudication Physiopathology
          Migraine Physiopathology
          Back Pain Physiopathology
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Aims This observational study aimed to explore the prevalence and severity of chronic pain in menopausal-aged females. Materials & Methods We identified participants in the NIH-sponsored All of Us database with a diagnosis of chronic pain. We examined the severity of pain based on numeric rating scale score (NRS). Among those with chronic pain, we generated four sub-cohorts: females ≥ 51 years old who were menopausal, females 18–50 years who were considered pre-menopausal, and age matched male cohorts. Results The 53,289 participants were separated into four cohorts by age and sex: females 18–50 (10,269), females ≥ 51 (20,182), males 18–50 (4,989), and males ≥ 51 (17,849). Both older females and older males had lower pain levels than the sex-matched 18–50 group (p < 0.001). Findings were consistent in White, Black, and non-Hispanic cohorts. When comparing older adults, females ≥ 51 had higher pain levels than males ≥ 51 (p < 0.001). Conclusions We found that independent of sex, NRS scores were lower in older adults compared to younger cohorts. Older women however had more pain than their male counterparts. These findings have implications for the design of patient-tailored therapeutic treatments and warrant further exploration of physiological and psychosocial causes. Plain Language Summary Chronic pain is a major health concern that affects millions of people and interferes with everyday life. Women often report pain more than men and this may be related to hormones as they age, especially around menopause. In this study, we identified participants in a large, diverse national database with a diagnosis of chronic pain to see how age and menopause affect pain levels. We compared 4 groups: older women who were menopausal, younger women who were pre-menopausal, and men in the same age groups. We found that older adults reported less pain than younger adults. However, older women had higher pain scores than men of the same age. This was true across racial and ethnic groups. This may suggest that hormone changes in women may play a role in how pain levels. Understanding this difference can help create more personalized treatment plans.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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