United States National Pain Strategy for Population Research: Concepts, Definitions, and Pilot Data
United States National Pain Strategy for Population Research: Concepts, Definitions, and Pilot Data
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DOI：
10.1016/j.jpain.2016.06.009
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发表时间：
2016-10-01
期刊：
影响因子：
4
通讯作者：
Mackey, Sean
中科院分区：
文献类型：
--
作者：
Von Korff, Michael;Scher, Ann I.;Mackey, Sean
国家疼痛战略人口研究目标包括：估计慢性疼痛患病率，研究疼痛治疗与电子医疗保健数据，并制定指标，以评估在减少慢性疼痛的影响的进展。在这篇文章中，国家疼痛战略人口研究工作组回顾了与实现这些目标相关的概念。高影响慢性疼痛定义为持续6个月或更长时间的持续性疼痛，生活活动受到严重限制。在试点工作中，我们测试了对高影响慢性疼痛的简要评估，并使用电子健康记录数据来描述与疼痛相关的医疗保健。一项针对成人健康计划参与者（N = 770）的邮件调查报告称，14%的人患有高影响慢性疼痛。相对于低影响慢性疼痛的人，高影响慢性疼痛的人更经常使用医疗保健来治疗疼痛，生活质量较低，疼痛相关的活动干扰更大，并且更经常报告多个解剖部位的疼痛。对医疗保健数据（N = 289，464）的分析报告称，疼痛患者的医疗保健费用高于其他患者，疼痛服务通常在初级保健中提供。这些结果支持通过国家健康访谈调查和大型电子卫生保健databases.Perspective：试点分析支持的可行性，简短的慢性疼痛评估适合国家健康调查和使用电子卫生保健数据库开发数据的疼痛治疗，成本和有效性的趋势提供数据的可行性慢性疼痛发展数据。这些方法与实现美国国家疼痛战略的目标有关。(C)2016年美国疼痛协会American Pain Society
National Pain Strategy population research objectives include: estimating chronic pain prevalence, studying pain treatment with electronic health care data, and developing metrics to assess progress in reducing chronic pain impact. In this article, the National Pain Strategy Population Research Workgroup reviews concepts relevant to achieving these aims. High-impact chronic pain was defined as persistent pain with substantial restriction of life activities lasting 6 months or more. In pilot work, we tested a brief assessment of high-impact chronic pain, and used electronic health records data to describe pain-related health care. A mail survey of adult health plan enrollees (N = 770) reported that 14% had high-impact chronic pain. Relative to persons with lower-impact chronic pain, those with high-impact chronic pain were more often frequent users of health care for pain, reported lower quality of life, greater pain-related interference with activities, and more often reported pain at multiple anatomic locations. Analyses of health care data (N = 289,464) reported that pain patients had higher health care costs compared with others and that pain services were typically delivered in primary care. These results support the feasibility of developing data on chronic pain through national health interview surveys and large electronic health care databases.Perspective: Pilot analyses supported the feasibility of brief chronic pain assessments suitable for national health surveys and use of electronic health care databases to develop data regarding trends in the delivery of pain treatments, costs, and effectiveness. These methods are relevant to achieving the aims of the US National Pain Strategy. (C) 2016 by the American Pain Society