慢性疼痛是癌症幸存者的全因和癌症特定死亡率的风险因素:基于人口的队列研究
1Department of Anesthesiology, The Affiliated Hospital of Hangzhou Normal University, No.126 Wenzhou Road, Gongshu District, Hangzhou, Zhejiang, 310015, China.
BMC public health
|January 25, 2025
概括
癌症患者的慢性疼痛与全因和癌症死亡率的风险增加有关. 医疗保健提供者应优先考虑在这个人群中管理慢性疼痛.
科学领域:
- 在瘤学瘤学.
- 疼痛医学 医学 疼痛医学
- 流行病学 流行病学
背景情况:
- 关于慢性疼痛与癌症死亡风险之间的联系的证据有限.
- 这项研究调查了癌症患者慢性疼痛和死亡结果之间的联系.
研究的目的:
- 确定慢性疼痛与癌症幸存者的全因,癌症和非癌症死亡率之间的联系.
- 用时间依赖ROC曲线分析评估慢性疼痛对死亡率的预测值.
主要方法:
- 利用了来自国家健康和营养检查调查 (NHANES) 数据库的数据.
- 包括来自NHANES 1999-2004周期的1369名20岁以上的癌症幸存者.
- 慢性疼痛,癌症状况和死亡率 (所有原因,癌症,非癌症) 通过自我报告和国家死亡指数记录进行评估.
主要成果:
- 在平均141个月的随访期间,64.57%的参与者死亡.
- 慢性疼痛与全因死亡率 (HR 1.40) 和癌症死亡率 (HR 1.75) 的增加显著相关,特别是持续≥3个月的疼痛.
- 慢性疼痛也与较高的非癌症死亡率相关 (HR 1.38). 时间依赖的ROC曲线显示了慢性疼痛在死亡结果中的强有力的预测价值.
结论:
- 慢性疼痛是癌症患者全因和癌症死亡率升高的重要危险因素.
- 对慢性疼痛管理的临床关注对于改善癌症幸存者的生存至关重要.
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