自称慢性疼痛与其他定义相比如何? 一个前性的多中心研究
Raoul Daoust1,2, Jean Paquet1, Jeffrey J Perry3
1Department of Emergency Medicine, Research Centre, Hôpital Sacré-Coeur, Montréal, Québec, Canada.
Pain research & management
|June 27, 2025
概括
自我声明的慢性疼痛与其他定义有适度的一致性,但患病率根据所使用的定义有很大差异. 以患者为中心的自我声明可能有助于标准化慢性疼痛评估.
科学领域:
- 疼痛医学 医学 疼痛医学
- 临床流行病学临床流行病学
背景情况:
- 慢性疼痛定义缺乏标准化,影响研究和临床实践.
- 自我宣布的慢性疼痛并未系统地与现有的诊断标准进行比较.
- 了解协议对于定义慢性疼痛后急诊室 (ED) 访问至关重要.
研究的目的:
- 评估自我声明的慢性疼痛与既定定义之间的一致性.
- 为了比较慢性疼痛的患病率,使用不同的测量标准,在ED访问后三个月.
- 评估各种慢性疼痛定义中的止痛药使用模式.
主要方法:
- 未来的多中心队列研究,包括1411名成年患者从ED出院,急性疼痛和阿片类药物处方.
- 评估自我声明的慢性疼痛,疼痛强度,频率和残疾在ED访问后三个月.
- 自我声明的慢性疼痛与其他五个定义之间的一致性 (kappas) 的计算.
主要成果:
- 自称慢性疼痛的患病率为23.0%,范围从16.9%到45.3%,其他定义.
- 在自我声明的疼痛和大多数定义之间发现了中等的协议 (kappa 0.57-0.60),对于疼痛强度≥1.0的协议较低 (kappa 0.47).
- 止痛药的使用在各个定义中是相似的,除了疼痛强度≥1定义外,该定义显示使用率较低.
结论:
- 自我宣布的慢性疼痛与其他定义有适度的一致性,这表明它有可能成为以患者为中心的结果.
- 慢性疼痛患病率估计因所使用的定义而有很大不同.
- 使用自我声明标准化慢性疼痛定义可以改善临床评估和研究的一致性.
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