慢性广泛疼痛和死亡原因:一项长达25年的随访研究
Annika Janina Dahlqvist1, Maria Andersson1,2, Stefan Bergman1,2,3
1Spenshult Research and Development Center, Halmstad, Sweden.
Pain reports
|March 14, 2024
概括
慢性广泛疼痛 (CWP) 的更严格的定义确定了患有较高死亡风险的个体,特别是来自循环系统疾病的个体. 这突显了CWP作为增加死亡率的显著临床风险因素.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性广泛疼痛 (CWP) 与心血管疾病和恶性瘤的死亡率增加有关.
- 在CWP定义中的差异阻碍了比较研究分析.
研究的目的:
- 调查CWP是否会增加死亡率和特定死亡原因.
- 确定不同CWP定义对结果的影响.
主要方法:
- 这是一项长达25年的随访研究,对2425名来自普通人口的个人进行了随访.
- 使用ACR1990和WP2019标准定义的CWP.
- 使用考克斯回归分析的死亡率,经过调整以考虑混因素.
主要成果:
- 严格的WP2019 CWP定义显示,整体死亡率显著上升 (HR 1.32,P=0.033).
- WP2019 CWP与增加的循环系统疾病死亡率 (HR 1.32,P=0.033) 和因感染和功能衰竭而导致的死亡相关.
- ACR1990 CWP定义与消化器官癌症死亡率增加有关.
结论:
- 工作组2019年定义确定了一个更容易受到伤害的人口群体,有过度死亡风险.
- 慢性广泛疼痛,特别是WP2019所定义的,应被认为是死亡的临床风险因素.
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