Anterior cervical pain syndrome: Risk factors, variations in hyolaryngeal anatomy, and treatments

Abstract:When studying the possible effects of several factors in a given disease, two major problems arise: (1) confounding, and (2) multiplicity of tests. Frequently, in order to cope with the problem of confounding factors, models with multiple explanatory variables are used. However, the correlation structure of the variables may be such that the corresponding tests have low power: in its extreme form this situation is coined by the term “multicollinearity”. As the problem of multiplicity is still relevant in these models, the interpretation of results is, in most cases, very hazardous. We propose a strategy - based on a tree structure of the variables - which provides a guide to the interpretation and controls the risk of erroneously rejecting null hypotheses. The strategy was applied to a study of cervical pain syndrome involving 990 subjects and 17 variables. Age, sex, head trauma, posture at work and psychological status were all found to be important risk factors.

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Prevalence and Risk Factors of Recurrent Cervical Pain Syndrome in a Working Population

Neuroepidemiology ◽

10.1159/000110141 ◽

1988 ◽

Vol 7 (2) ◽

pp. 99-105 ◽

Cited By ~ 13

Author(s):

Jean François Dartigues ◽

Patrick Henry ◽

Emmanuel Puymirat ◽

Daniel Commenges ◽

Philippe Peytour ◽

...

Keyword(s):

Risk Factors ◽

Pain Syndrome ◽

Cervical Pain ◽

Working Population

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Chronic pelvic pain syndrome in women: risk factors, differential diagnosis, treatment and prevention

Problemy reproduktsii ◽

10.17116/repro20212702156 ◽

2021 ◽

Vol 27 (2) ◽

pp. 56

Author(s):

N.I. Tapilskaya ◽

A.V. Mironova ◽

E.A. Silaeva ◽

A.V. Shkarupa ◽

R.I. Glushakov

Keyword(s):

Risk Factors ◽

Differential Diagnosis ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Treatment And Prevention

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Risk Factors for Cervical Pain in F-15C Pilots

Aerospace Medicine and Human Performance ◽

10.3357/amhp.4848.2017 ◽

2017 ◽

Vol 88 (11) ◽

pp. 1000-1007 ◽

Cited By ~ 3

Author(s):

Eric M. Chumbley ◽

Adrienne Stolfi ◽

James C. McEachen

Keyword(s):

Risk Factors ◽

Cervical Pain

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Patellofemoral Pain Syndrome Risk Factors Analysis in Selective Garbage Truck Drivers

10.1007/978-3-030-89617-1_32 ◽

2021 ◽

pp. 357-368

Author(s):

Pablo Monteiro Pereira ◽

J. Duarte ◽

J. Santos Baptista ◽

J. Torres Costa

Keyword(s):

Risk Factors ◽

Pain Syndrome ◽

Patellofemoral Pain Syndrome ◽

Patellofemoral Pain ◽

Truck Drivers ◽

Factors Analysis

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Risk Factors for Cholecystectomy After Laparoscopic Roux-En-Y Gastric Bypass

Obesity Surgery ◽

10.1007/s11695-019-04166-y ◽

2019 ◽

Vol 30 (2) ◽

pp. 507-514 ◽

Cited By ~ 2

Author(s):

Sylke Haal ◽

Djoeke Rondagh ◽

Barbara A. Hutten ◽

Yair I. Z. Acherman ◽

Arnold W. J. M. van de Laar ◽

...

Keyword(s):

Risk Factors ◽

Gastric Bypass ◽

Pain Syndrome ◽

Female Gender ◽

Dose Effect ◽

Preoperative Pain ◽

Retrospective Case ◽

Increased Risk ◽

Risk Patients ◽

Traditional Risk Factors

Abstract Background Patients who have undergone bariatric surgery are at risk for subsequent cholecystectomy. We aimed to identify risk factors for cholecystectomy after laparoscopic Roux-en-Y gastric bypass (LRYGB). Methods We conducted a retrospective case-control study of patients who underwent LRYGB between 2013 and 2015. Cases underwent cholecystectomy because of biliary symptoms after LRYGB. For each case, two controls were selected without subsequent cholecystectomy. Logistic regression analyses were used to identify risk factors. Results Between 2013 and 2015, 1780 primary LRYGBs were performed. We identified 233 (13.1%) cases who had undergone cholecystectomy after a median (IQR) of 12 (8–17) months, and 466 controls. Female gender (OR (95% CI) 1.83 (1.06–3.17)), Caucasian ethnicity (OR (95% CI) 1.82 (1.10–3.02)), higher percent total weight loss (%TWL) at 12 months (OR (95% CI) 1.06 (1.04–1.09)), and preoperative pain syndrome (OR (95% CI) 2.72 (1.43–5.18)) were significantly associated with an increased risk for cholecystectomy. Older age (OR (95% CI) 0.98 (0.96–0.99)) and preoperative statin use were associated with a reduced risk (OR (95% CI) 0.56 (0.31–1.00)). A dose-effect relationship was found between the intensity of preoperative statin and risk for cholecystectomy. Conclusions In our study, higher %TWL and preoperative pain syndrome were associated with an increased risk for cholecystectomy besides the traditional risk factors female gender and Caucasian ethnicity. These factors can be used to identify high-risk patients, who might benefit from preventive measures. Whether statins can protect bariatric patients from developing gallstones should be investigated prospectively.

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When cervical pain is actually migraine: An observational study in 207 patients

Cephalalgia ◽

10.1177/0333102416683917 ◽

2016 ◽

Vol 38 (2) ◽

pp. 383-388 ◽

Cited By ~ 13

Author(s):

Michele Viana ◽

Grazia Sances ◽

Salvatore Terrazzino ◽

Till Sprenger ◽

Giuseppe Nappi ◽

...

Keyword(s):

Great Majority ◽

Pain Syndrome ◽

Cervical Pain ◽

Pain Attack ◽

Experienced Clinician ◽

Spine Pathology ◽

Probable Migraine ◽

Headache Center ◽

Impaired Quality

Introduction A large proportion of migraine patients remain undiagnosed or misdiagnosed in Italy. In our experience, many migraineurs self-diagnose their condition as “cervical pain attack” or “cervical pain syndrome” (CP), assuming cervical spine pathology as the cause. We aimed to phenotype and classify the headache of patients with self-diagnosed CP, and to describe this sample of patients. Methods Consecutive patients aged 18 to 75 years, referred to the Headache Center of the Mondino Institute (Pavia, Italy) for a first visit for headache, completed a questionnaire about CP and were subsequently examined by an experienced clinician. Results Out of 207 patients, 132 (64%) believed they suffered from CP. According to ICHD-IIIβ criteria, these patients suffered from migraine or probable migraine in 91% of cases. The great majority of patients who believed that they suffered from CP underwent unnecessary medical exams (including radiation exposure in 40% of cases) and used treatments that were inadequate for their real diagnosis. Conclusion The majority of patients with CP suffer from typical migraine. The misdiagnosis produces an economic burden (for patients and the health care system) and leads to impaired quality of life of patients.

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