Abstract

Introduction: Chronic pain is a prevalent and debilitating condition affecting a significant portion of the population. Emerging evidence suggests a potential link between Vitamin D deficiency and chronic pain. This study aims to explore the association between Vitamin D deficiency and various chronic pain conditions in a single-center, retrospective study. Methods: This retrospective study was conducted at Daradia pain hospital, reviewing medical records of patients diagnosed with chronic pain conditions from 2021-2023 after receiving the approval from the ethical committee. Levels of Serum Vitamin D , age, gender recorded in patient files were recorded. Vitamin D deficiency was defined as levels below 20 ng/mL. Statistical analyses were performed to determine the prevalence of Vitamin D deficiency in each chronic pain condition and to explore potential associations. Results: A total of 500 patients were included in the study. 78 patients(16%) were diagnosed as Osteoarthritis,124 patients as Fibromyalgia(25%),212 patients as Spondyloarthropathy(42%), 42 cases as Low back pain (9%), 12 cases of fracture(2%), rest 32 cases(6%) was categorised as others..Among 212 patients diagnosed as spondyloarthropathy 180 patients (89.90%) had Vitamin D deficiency, 98 patients out of 124 patients(79.03%) diagnosed as Fibromyalgia were having Vit D deficiency. Conclusion: The findings of this retrospective study suggest a significant association between Vitamin D deficiency and specific chronic pain conditions. These results underscore the importance of evaluating and addressing Vitamin D levels in patients with chronic pain, which may potentially improve pain management and overall quality of life.

Highlights

  • Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women

  • The study concludes that visual Inspection with acetic acid (VIA) and pap smear were effective methods for the early detection of cervical cancer

  • Visual inspection of the cervix after acetic acid application (VIA) is widely recommended as the method of choice in cervical cancer screening programs in resourcelimited settings and developing countries because of simplicity, costeffectiveness and ability to link with immediate treatment

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Summary

Introduction

Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women. About 23% of the global cervical cancer burden is beard by India alone. The screening of cervical cancer is commonly done by a pap smear, visual inspection of acetic acid, human papilloma virus DNA testing etc. These identify precancerous changes which when treated can prevent the development of cancer. Cervical cancer is a disease that affects the cervix in the female reproductive system. How to cite (Vancouver Style) Mehta N, Singh S. Effectiveness of visual inspection with acetic acid and pap smear for early detection of cervical cancer among women attending Gynecology O.P.D of Tertiary Level Hospital Gwalior (M.P) India.

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