慢性腰痛の流行病学的特徴
1Department of Orthopedic Surgery, Rush-Presbyterian-St Luke's Medical Center, Chicago, IL 60612, USA.
Lancet (London, England)
|September 2, 1999
まとめ
慢性腰痛の定義は,さまざまな定義とデータ制限のために困難です. 慢性腰痛,特に労働障害のない症例については,さらなる研究が必要である.
科学分野:
- エピデミオロジー エピデミオロジー
- 痛み 薬 薬剤 痛み 薬剤 薬剤
- 公衆衛生は公衆衛生である.
背景:
- 定義の曖昧さによる慢性腰痛の罹患率と発生率の理解は限られている.
- 既存のデータは,労働障害のないケースをしばしば除外し,知識のギャップを生み出します.
- 慢性腰痛の定義は,痛みの持続時間,再発,治癒後の痛みを含む様々です.
研究 の 目的:
- 慢性腰痛の定義と定量化における課題を強調する.
- より明確な定義とより包括的なデータ収集の必要性を強調する.
- 労働障害のない慢性腰痛に関する疫学的なデータの不足に対処するために.
主な方法:
- 既存の定義とデータソースの文献レビューと分析.
- 慢性腰痛における定義の不一致に関する議論.
- 現在の疫学研究におけるデータ制限の検討.
主要な成果:
- 慢性腰痛の定義に関するコンセンサスの欠如は,疫学的評価を複雑にする.
- 現在のデータ収集方法では,慢性腰痛の個人が除外されることが多いが,労働障害は認められない.
- 慢性腰痛障害の主な原因として,社会経済的,仕事に関連する,または心理的な要因が誤って割り込まれる可能性があります.
結論:
- より明確で標準化された定義は,慢性腰痛の正確な研究に不可欠です.
- 慢性腰痛の流行病学,特に障害のない症例のさらなる調査は正当化されています.
- 慢性腰痛障害に対する心理社会的要因の影響は,慎重に検討し,検証する必要があります.
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