慢性疼痛 - 患病率,人口不平等和医疗保健利用:初级保健数据库分析
Siddesh Shetty1, James Scuffell2, Dianne Aitken3
1School of Life Course and Population Sciences, King's College London, London, United Kingdom.
BJGP open
|February 27, 2025
概括
慢性疼痛 (CP) 是一种常见的疾病,影响18.6%的成年人,并产生最高的初级保健费用. 这项研究强调CP是初级保健机构中最苛刻的长期疾病.
科学领域:
- 初级保健研究研究初级保健研究
- 疼痛医学 医学 疼痛医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性疼痛 (CP) 在初级保健中经常被记录不足.
- 了解CP的流行和影响对于有效的医疗保健管理至关重要.
研究的目的:
- 确定CP的流行率.
- 调查与CP相关的健康不平等.
- 分析CP的初级保健咨询率和医疗保健利用成本.
主要方法:
- 来自伦敦市内GP实践的匿名初级保健数据的回顾性分析.
- 使用止痛药和相关诊断代码定义CP.
- 与31种其他长期疾病 (LTC) 进行了CP流行率和咨询率的比较.
主要成果:
- 脑膜炎影响18.6%的成年人,使其成为第二最常见的LTC.
- 在所有LTC中,CP患者的年度咨询率 (15.3/患者) 和初级保健费用最高.
- 年龄 (≥60岁) 是CP最强的预测因素;种族,贫困,性别和出生地显示较小的关联.
结论:
- 慢性疼痛是初级保健中最耗费资源的慢性疼痛.
- 需要改善CP的管理策略和替代大批量初级保健咨询的选择.
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