艰难的遭遇是否会影响疼痛治疗的结果? 一个潜在的队列研究研究
Winnie L Liu1, Evelien van Gelderen1, Resham Mawalkar1
1Medical student, Johns Hopkins School of Medicine, Baltimore, MD.
Pain medicine (Malden, Mass.)
|March 18, 2025
概括
患者在疼痛治疗中遇到困难的经历与较差的治疗结果有关. 解决这些具有挑战性的访问对于改善慢性疼痛管理和患者成功至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 临床结果研究研究
- 患者管理 患者管理
背景情况:
- 艰难的遭遇在疼痛医学中构成重大负担.
- 这些接触对患者结果的影响仍未得到充分研究.
研究的目的:
- 研究慢性疼痛管理中困难患者遭遇和治疗结果之间的关联.
主要方法:
- 针对新的慢性疼痛访问进行前性研究,根据难度等级进行评分.
- 成功治疗定义为在4-12周内减少≥2个点的疼痛.
- 测量的次要结果是患者损失至随访.
主要成果:
- 遇到困难的患者的积极结果明显较低 (28%) 与没有困难的患者相比 (46%).
- 难度在四分位数中持续存在,最困难的遭遇显示28%的成功率.
- 遇到困难的经历与损失后跟踪的增加无关.
结论:
- 困难的遭遇与慢性疼痛治疗的负面结果有关.
- 错过预约和拒绝治疗等因素与难以访问和不良结果相关.
- 解决困难的遭遇可能会提高慢性疼痛管理的有效性.
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