Marketing Minds Specialising in Research™ Sweden Report Delivered 22 July, 2003 Survey of Pain in Europe – Final Report –

Marketing Minds Specialising in Research™

Sweden ReportDelivered 22 July,

2003

Survey of Pain in Europe– Final Report –

NFO Migliara/KaplanMundiPharma/25-02-3404/Pain in Europe.ppt 2

30% 27% 26%19% 18% 17% 16% 15% 13% 13% 11%

0%

100%

Norway (n=2,018)

Poland (n=3,812)

Italy (n=3,849)

Finland (n=2,004)

Sweden (n=2,563)

Germany (n=3,832)

Denmark (n=2,169)

France (n=3,846)

Ireland (n=2,722)

UK (n=3,800)

Spain (n=3,801)

Prevalence of Chronic Pain by Country– European Summary Based on Complete Screener Data –

(Unweighted)

Stat testing at the 95% confidence level where: U = greater than United Kingdom, F = greater than France, G = greater than Germany, T = greater than Italy, S = greater than Spain, P = greater than Poland, W = greater than Sweden, Y = greater than Norway, D = greater than Denmark, L = greater than Finland, I = greater than Ireland, N = greater than Netherlands, B = greater than Belgium, A = greater than Austria, Z = greater than Switzerland, and E = greater than IsraelSource: All screening criteria.

PTLWGDFIUS

LWGDFIUS

LWGDFIUS

DFIUSFIUS

FIUS IUS IUSS S


14%

10%

6%

14%

20%

15%

21%

0% 100%

18-30

31-40

41-50

51-60

61-70

71-80

81+

Female54%

Male46%

Age– Sweden –

(n=300)

Sex– Sweden –

(n=300)

Source: SQ4. Record sex from voice. SQ5. How old were you on your last birthday?US Census Bureau International Database (IDB), Summary of Demographic Information. October 2002 estimates. http://www.census.gov/ipc/www/idbnew.html

Age and Sex of Chronic Pain Sufferers

Average age52 Years

Average age52 Years

II. Demographics of Chronic Pain Sufferers


Source: SQ11. Where is your pain located? SQ12. Please tell me the illness or medical condition that is the cause of your pain. Q1. Is your pain caused by…? (Read list)

14%

10%

8%

7%

7%

5%

27%

18%

15%

15%

0% 100%

Back (unspecified)

Neck

Knee

Shoulder

Leg

Hip

Head

Lower back

Joints (unspecified)

Upper back

12%

6%

6%

5%

5%

4%

27%

19%

17%

13%

0% 100%

Arthritis/osteoarthritis

Traumatic injury

Nerve damage

Cancer

Herniated/deteriorating discs

Tumors

Fracture/deterioration of spine

Carpal tunnel

Rheumatoid arthritis

Whiplash

Most Common Body Locations of Pain Reported by Chronic Pain Sufferers

– Sweden –(n=300)

Locations and Causes of Chronic Pain

Most Common Causes of Pain Reported by Chronic Pain Sufferers (Unaided + Aided)


III. Profile of Pain


Source: SQ6. For how long have you suffered from pain due to your illness or medical condition?

Duration of Pain Reported by Chronic Pain Sufferers– Sweden –

(n=300)

Median Duration of Pain9.0 Years

Median Duration of Pain9.0 Years

2%6%

22% 19% 19%15% 17%

0%

100%

6 Months to <1 Year

1 to <2 Years

2 to <5 Years

5 to <10 Years

10 to <15 Years

15 to <20 Years

20 Years or More


Source: SQ9. Thinking about the last time you experienced pain, please give me a number from 1 to 10 to indicate the intensity of your pain.. Please use a 10-point scale where 1 means “no pain at all” and 10 means “the worst pain imaginable.” Q4. Thinking about the intensity of your pain when it was at its worst, which of the following statements best describes your tolerance level of this pain?

Tolerance Level for More Pain– Sweden –

(n=298)

Rating of 5-10 on a 10-Point Scale *– Sweden –

(n=300)

* Respondents with scores of 1-4 were not eligible to participate in the study.

Intensity of Pain Reported by Chronic Pain Sufferers

36%

44%

18%

2%

0%

100%I could tolerate a lotmore pain

I could toleratesomewhat more pain

I could tolerate a littlemore pain

My pain was sosevere, I could nottolerate any more

Five39%

Six18%

Seven19%

Eight14%

Ten5%

Nine5%


Source: Q5. As I read each item, please tell me how much your pain affects your ability to participate in [each] activity, whether you are “just as able,” “less able,” or “no longer able” to participate in the activity.

68%

56%

53%

51%

49%

48%

45%

35%

28%

25%

24%

31%

29%

42%

40%

46%

43%

47%

51%

30%

58%

57%

1%

15%

5%

9%

5%

9%

8%

14%

42%

17%

19%

0% 100%

Maintaining relationships with friends and family (n=300)

Driving (n=281)

Walking (n=300)

Having sexual relations (n=274)

Doing household chores (n=299)

Attending social activities (n=299)

Maintaining an independent lifestyle (n=295)

Sleeping (n=300)

Working outside the home (n=283)

Lifting (n=300)

Exercising (n=297)

Just as Able Less Able No Longer Able

Impact of Pain on Daily Activities Reported by Chronic Pain Sufferers– Sweden – % Reporting

Less/Unable

76%

75%

72%

65%

55%

52%

51%

49%

47%

44%

32%

% ReportingLess/Unable

76%

75%

72%

65%

55%

52%

51%

49%

47%

44%

32%

IV. Attitudes Toward Pain and Impact on Quality of Life


24%

19%43%

13%

Full TimePart TimeRetiredNot Employed

47%

53%

0%

100%

Pain Does Not Impact Employment

Pain Impacts Employment

Mean Time Lost From Work Due to PainIn the Past 6 Months (n=113)

7.0 Days

Mean Time Lost From Work Due to PainIn the Past 6 Months (n=113)

7.0 Days

Employment Status/Impact of Pain on Employment Status Reported by Chronic Pain Sufferers

Source: Q38. Are you currently…? Employed full-time, Employed part-time, Retired, Not employed. Q39. In the past six months, how many days in total have you lost from work because of your pain? Q40. Does your current employment status or the hours you work have anything to do with the pain that you experience?

Employment Status– Sweden –

(n=297)

Impact of Pain on Employment Status(Amongst Those Not Retired)



2%

10%8%

28%

46%

63%

0%

100%

Doctor Spouse/Partner

OtherFamily

Members

Friends/Coworkers

Nurse OtherHealthcare

Professional

People With Whom Chronic Pain Sufferers Report Discussing Pain– Sweden –

(n=279)

Source: Q7. With whom do you generally discuss your pain?

V. Physician Relationship


Length of Relationship with Current Doctor(Amongst Those Who Currently See a Doctor and Currently Treat Their Pain)


Source: Q10a. How many times in the past six months have you visited your current doctor for your pain? Q13a. How long have you been seeing the doctor who currently treats you for pain?

10%

22%

28%

16%

13%

7%

2% 2%0%

100%

Less than 6 Months

6 Months <1 Year

1 to <2 Years

2 to <5 Years

5 to <10 Years

10 to <15 Years

15 to <20 Years

20 Years or More

7 or more3% 4 - 6

9%Zero30%

One27%

Two18%

Three13%

How Many Times Chronic Pain Sufferers Report Seeing Doctor for Pain During Past Six Months


Median Length2.5 Years


Median Visits0.8

Median Visits0.8


Source: Q12a. How many different doctors (including your current doctor) have treated you for your pain? Q12b. Please tell me your reasons for seeing more than one doctor for pain treatment.

Three16%

Two24%

One26%

Zero3%

4 - 6 21%

7 or More10%

How Many Doctors Chronic Pain SufferersReport Having Ever Seen for Pain


Reasons Chronic Pain Sufferers Report Seeing More than One Doctor for Pain

(Amongst Those Seeing More than One Doctor)– Sweden –

(n=201)

71%

61%

40%

10%

8%

7%

7%

4%

0% 100%

Previous doctor said he/she could not do anything more for the pain

Friend/relative recommended another doctor

Previous doctor was unable to control the pain

Was not satisfied with treatment

Went to a pain specialist

Primary doctor referred

Went to a specialist for the medical condition

Primary doctor is a general/family physicianMedian Doctors1.9

Median Doctors1.9


3%

88%

64%

15%

7%

0% 100%

I tell him/her

Doctor examines me

Doctor asks me to move the part of my body that is in pain

Doctor asks me to walk

Doctor uses a pain scale

How Pain Sufferers Report That Their Doctor Evaluates Pain

Source: Q13c. How does the doctor who generally treats your pain determine how much pain you are in? Q14a. Has any doctor or medical professional ever scored you on a pain scale?

How Pain is Generally Evaluated (Unaided)(Amongst Chronic Pain Sufferers Who Currently

See a Doctor and Currently Treat Their Pain)– Sweden –

(n=151)

13%

0%

100%

Yes, Have Been Scored on Pain Scale

Use of Pain Scales to Evaluate Pain (Unaided + Aided)– Sweden –

(n=281)

Those who did not spontaneously mention pain scale were asked if they had ever been rated on a pain scale


5%8%

49%

32%

6%

0%

100%

Extremely Satisfied Very Satisfied Somewhat Satisfied Not Very Satisfied Not at All Satisfied

Satisfaction with Doctor Treating Pain– Sweden –

(n=261)

* Higher = betterSource: Q14d. How satisfied are you with the doctor who currently treats your pain? (Read list)

Mean Satisfaction Rating*3.5

Mean Satisfaction Rating*3.5

57% = Extremelyor Very Satisfied


46%

18%

36%

Took and Stopped

Never Taken

Currently Taking

Source: Q11a. Is your pain currently being treated in any way? Q15a. Have you ever taken prescription medicine for your pain? Q16a. Are you currently taking prescription pain medicine?

Chronic Pain Sufferers Reporting Currently Treating Their Pain in Any Way


65%

35%

Not Treating Treating

Use of Prescription MedicationsTo Treat Chronic Pain


VI. Treatment of Pain


Classes of Prescription Pain Medications Chronic Pain Sufferers Report Currently Using for PainBased on Respondents Currently on Rx for Pain


Source: Q18. Which prescription pain medicines are you currently taking for the specific pain we have been discussing?

31%

23% 22%

6% 4% 3% 3% 1% 1% 1% 0% 0%0%

100%

Weak Opioid NSAID Paracetamol COX-2

Inhibitor

DMARD/

Steroid

Strong

Opioid

Triptan Tricyclic/

SSRI/SNRI

Anti-

Epileptic

Muscle

Relaxant

Barbiturate

Ergotamine

Beta/CC

Blocker


17% 16% 15%

8% 5% 5% 5% 4%

22%

55%

41%36%

0%

100%

None Physicaltherapy

Acu-puncture

Massage Nerve Stimula-

tion/TENS

Oint-ments/

creams/gels

Heat(heating

pads, etc)

Exercise Relaxationtherapy

Herbalsupple-ments

Therapy/counseling

Vitamins

Most Frequently Used Non-Drug Treatments Reported by Chronic Pain Sufferers– Sweden –

(n=296)

Source: Q28. What other methods, remedies or treatments, apart from medications have you ever tried to relieve your pain for the medical condition or illness we have been discussing?


Time from Pain Onset to Pain Control Reported byPain Sufferers Whose Pain is Adequately Controlled


Source: Q34. Would you say your pain is being adequately controlled? Q35. How long was it from the time you first experienced pain to the time your pain was adequately controlled?

Chronic Pain Sufferers Reporting That Pain is Adequately Controlled


Adequate Pain Control and Time to Adequate Pain Control Reported by Chronic Pain Sufferers



7%

15%

16%

9%

11%

22%

5%

15%

0%

100%

Less than 6 Months

6 Months <1 Year

1 to <2 Years

2 to <5 Years

5 to <10 Years

10 to <15 Years

15 to <20 Years

20 Years or More

45%55%

Adequately Controlled

Not Adequately Controlled


Source: Q36. Where do you hear about new methods for treating pain?

Where Chronic Pain Sufferers Report Hearing About New Pain Treatments– Sweden –

(n=228)

VIII. Where Sufferers Learn About New Pain Treatments

9%

0%

50%

29%

21% 21%14%

0%

100%

Magazines/

Newspapers

Television Doctor's Office Friends, Family,

Coworkers

Internet Pharmacy Do Not Hear About

New Methods

Documents

Marketing Minds Specialising in Research™ Sweden Report Delivered 22 July, 2003 Survey of Pain in Europe – Final Report –