Severity of chronic pain in an elderly population in Sweden-impact on costs and quality of life
Severity of chronic pain in an elderly population in Sweden-impact on costs and quality of life
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DOI：
10.1097/01.j.pain.0000460336.31600.01
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发表时间：
2015-03-01
期刊：
影响因子：
7.4
通讯作者：
Levin, Lars-Ake
中科院分区：
文献类型：
--
作者：
Bernfort, Lars;Gerdle, Bjoen;Levin, Lars-Ake
慢性疼痛与巨大的社会成本有关，但很少有研究调查老年受试者慢性疼痛的总成本。老年人通常需要非正式护理、市政当局提供的护理和慢性病护理，所有这些因素都可能给老年患者、其家庭和国家提供的社会服务造成巨大的经济负担。本研究旨在量化65岁及以上人群慢性疼痛的社会成本，并评估慢性疼痛对生活质量的影响。这项研究收集了有关医疗保健，药品和市政服务的3个登记册和2项调查的数据。邮寄问卷被用来收集数据，从分层抽样的人口65岁及以上的瑞典东南部。问卷调查了疼痛强度和生活质量变量（EQ-5D）。第二份邮寄问卷用于收集患有慢性疼痛的老年患者亲属的数据。在10，000名受试者中，共有66.5%的有效应答; 76.9%的受试者被归类为无慢性疼痛或轻度慢性疼痛，18.9%的受试者被归类为中度慢性疼痛，4.2%的受试者被归类为重度慢性疼痛。消耗的资源随着慢性疼痛的严重程度而增加。在疼痛严重程度方面，发现EQ-5D存在明显差异。这项研究发现了老年人慢性疼痛的严重程度与资源使用之间的关联：慢性疼痛越严重，资源使用越广泛（和昂贵）。
Chronic pain is associated with large societal costs, but few studies have investigated the total costs of chronic pain with respect to elderly subjects. The elderly usually require informal care, care performed by municipalities, and care for chronic diseases, all factors that can result in extensive financial burdens on elderly patients, their families, and the social services provided by the state. This study aims to quantify the societal cost of chronic pain in people of age 65 years and older and to assess the impact of chronic pain on quality of life. This study collected data from 3 registers concerning health care, drugs, and municipal services and from 2 surveys. A postal questionnaire was used to collect data from a stratified sample of the population 65 years and older in southeastern Sweden. The questionnaire addressed pain intensity and quality of life variables (EQ-5D). A second postal questionnaire was used to collect data from relatives of the elderly patients suffering from chronic pain. A total of 66.5% valid responses of the 10,000 subjects was achieved; 76.9% were categorized as having no or mild chronic pain, 18.9% as having moderate chronic pain, and 4.2% as having severe chronic pain. Consumed resources increased with the severity of chronic pain. Clear differences in EQ-5D were found with respect to the severity of pain. This study found an association between resource use and severity of chronic pain in elderly subjects: the more severe the chronic pain, the more extensive (and expensive) the use of resources.