Chronic pain in Canada: Have we improved our management of chronic noncancer pain?
Chronic pain in Canada: Have we improved our management of chronic noncancer pain?
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DOI：
10.1155/2007/762180
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发表时间：
2007-03-01
影响因子：
2.9
通讯作者：
Horbay, G. L. A.
中科院分区：
文献类型：
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作者：
Boulanger, Aline;Clark, Alexander J.;Horbay, G. L. A.
背景：慢性非癌性疼痛 (CNCP) 是一个全球性问题，不仅影响个人的痛苦，还影响医疗保健的提供和当地经济的实力。 目的：当前的研究（加拿大慢性疼痛研究 II [CCPSII]）旨在评估与 2001 年的研究 (CCPSI) 相比，CNCP 的患病率和治疗以及对使用强效镇痛药的态度的变化，并提供当前标准的概况方法：标准的计算机辅助电话访谈调查方法分为两个部分，即一般人群调查和针对随机选择的治疗中度至重度 CNCP 的初级保健医生 (PCP) 的调查。 结果和讨论：自 2001 年以来，加拿大境内患者报告的 CNCP 患病率没有明显变化，但痛苦持续时间有所缩短。区域分布发生了微小变化，通常有更多患者接受治疗，其中包括处方止痛药。医生在处方实践中继续表现出阿片恐惧症；然而，尽管与成瘾有关的情况有所减少，但滥用仍然是 PCP 的一个重要关切。总体而言，加拿大 PCP 正在根据加拿大疼痛协会和全球其他疼痛协会的指导方针实施标准评估、治疗方法、治疗成功评估和防止滥用和转移的工具，但仍有改进和标准化的空间。
BACKGROUND: Chronic noncancer pain (CNCP) is a global issue, not only affecting individual suffering, but also impacting the delivery of health care and the strength of local economies.OBJECTIVES: The current study (the Canadian Chronic Pain Study II [CCPSII]) was designed to assess any changes in the prevalence and treatment of CNCP, as well as in attitudes toward the use of strong analgesics, compared with a 2001 study (the CCPSI), and to provide a snapshot of the current standards of care for pain management in Canada.METHODS: Standard, computer-assisted telephone interview survey methodology was applied in two segments, ie, a general population survey and a survey targeting randomly selected primary care physicians (PCPs) who treat moderate to severe CNCP.RESULTS AND DISCUSSION: The patient-reported prevalence of CNCP within Canada has not markedly changed since 2001 but the duration of suffering has decreased. There have been minor changes in regional distribution and generally more patients receive medical treatment, which includes prescription analgesics. Physicians continue to demonstrate opiophobia in their prescribing practices; however, although this is lessened relating to addiction, abuse remains an important concern to PCPs. Canadian PCPs, in general, are implementing standard assessments, treatment approaches, evaluation of treatment success and tools to prevent abuse and diversion, in accordance with guidelines from the Canadian Pain Society and other pain societies globally, although there remains room for improvement and standardization.