title: [Pain and workplace. Sociodemographic variables influence in therapeutic response and labor productivity].
abstract: BACKGROUND
  Pain is a major cause of medical consultation. The complexity of managing it is due to its long duration and intensity, and it sometimes requires a combination of multiple drugs. The objective of this study is to assess the use of drugs for pain in workers, the clinical response obtained, its influence on estimating work productivity, its relationship to sociodemographic variables, and the type of drug used.
  
  
  METHODS
  A cross-sectional study on 1,080 workers, aged 18-65 years, during periodic surveys to monitor their health in companies in the service sector in Spain. Treatments used, clinical efficacy, influence on work productivity and sociodemographic variables (age, gender) are evaluated. The Brief Pain Inventory questionnaire, validated for Spain, was used to assess pain, and the SPSS(®) 20.0 package for the statistical analysis.
  
  
  RESULTS
  NSAIDs and simple analgesics have higher percentages of improvement in pain (P=.032 and P<.0001, respectively). Men respond better to NSAIDs, and women to simple analgesics. Improved productivity is higher in men than in women (P=.042). No significant differences were observed for age, pain improvement or productivity, except in those over 55 years.
  
  
  CONCLUSIONS
  The analgesic prescription pain conditions must consider the age and gender of the patient, as well as the type of drug. The choice of drug should be based on the aetiology and aspects unrelated to the clinical variables, such as sociodemographic, work or psychosocial.
authors.affiliation: Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Correos, Valencia, España. Electronic address: grupo.gimt@gmail.com.
authors.forename: M T
authors.initials: MT
authors.lastname: Vicente-Herrero
authors.affiliation: Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales IB-SALUT, Palma de Mallorca, Islas Baleares, España.
authors.forename: Á A
authors.initials: ÁA
authors.lastname: López-González
authors.affiliation: Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Correos, Albacete, España.
authors.forename: M V
authors.initials: MV
authors.lastname: Ramírez Iñiguez de la Torre
authors.affiliation: Medicina del Trabajo, Especialista en Medicina de Familia, Servicio de Prevención Mancomunado, MAPFRE, Valencia, España.
authors.forename: L M
authors.initials: LM
authors.lastname: Capdevila García
authors.affiliation: Medicina del Trabajo, Instituto Nacional de la Seguridad Social, Madrid, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Terradillos García
authors.affiliation: Instituto Nacional de La Seguridad Social, Valencia, España.
authors.forename: E
authors.initials: E
authors.lastname: Aguilar Jiménez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D059350:Chronic Pain / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D003430:Cross-Sectional Studies; D004526:Efficiency; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D012959:Socioeconomic Factors; D013030:Spain; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Chronic pain; Dolor crónico; Medicina del Trabajo; Occupational Medicine; Occupational health; Pain treatment; Productividad; Productivity; Salud laboral; Tratamiento del dolor