慢性疼痛的西班牙裔患者的治疗差异:基于证据的叙述审查
Stephanie Crimmel1, Lizbeth Hu2, Ryan S D'Souza3
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States. sstooke2@jhu.edu.
Current pain and headache reports
|February 15, 2024
概括
西班牙裔和拉丁裔/拉丁裔患者面临慢性疼痛管理差异,接受的药物和干预措施较少. 需要更多的研究来解决这些不平等问题,并改善对这一群体的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 健康 公平 卫生 公平
背景情况:
- 慢性疼痛影响数以百万计的人,在护理方面存在很大的差异.
- 西班牙裔和拉丁裔/拉丁裔人口在获得和接受有效的疼痛管理方面遇到了独特的挑战.
- 了解这些差异对于推进健康公平至关重要.
研究的目的:
- 审查西班牙裔和拉丁裔/拉丁裔患者慢性疼痛管理中的医疗保健差异.
- 评估现有的关于这一人口群体治疗不平等现象的文献.
- 为未来的研究确定研究缺口.
主要方法:
- 现有文献的叙述性审查.
- 对专注于慢性疼痛治疗方式的研究进行分析.
- 鉴定药理,干预和非药理疗法的差异.
主要成果:
- 西班牙裔和拉丁裔/拉丁裔患者治疗不足,接受的药理疗法 (NSAIDs,阿片类药物) 和干预程序 (脊髓刺激剂) 较少.
- 对于这一群体来说,脊髓刺激器的成本更高.
- 关于其他干预性疼痛手术的利用和结果的有限数据.
- 非药物治疗可能会带来更大的益处,可能是由于利用率更高.
结论:
- 在西班牙裔和拉丁裔/拉丁裔患者的慢性疼痛管理中存在显著的差异.
- 严重缺乏研究,特别是关于干预程序的研究,阻碍了理解和解决方案.
- 迫切需要进一步的研究,以确保公平的疼痛护理.
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