Management of chronic pain among older patients: inside primary care in the US.
Management of chronic pain among older patients: inside primary care in the US.
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DOI：
10.1016/j.ejpain.2011.06.012
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发表时间：
2011-11
期刊：
影响因子：
--
通讯作者：
Street R
中科院分区：
文献类型：
--
作者：
Tai-Seale M;Bolin J;Bao X;Street R
疼痛治疗不足是一个世界性的问题。我们研究了疼痛的频率以及影响治疗疼痛所花时间的因素。我们分析了美国西南部和中西部地区几个初级保健诊所的385盘常规办公室就诊录像带。我们对访视内容和在疼痛和其他主题上花费的时间进行编码。Logistic回归和生存分析研究了时间限制、医生的耐心、患者的健康和人口统计学一致性的影响。我们发现，48%的访问者讨论了疼痛。中位时间为2.3分钟，用于解决疼痛。疼痛程度、医生的耐心和性别一致性与疼痛讨论的几率显著相关。时间限制和种族一致性显着影响了讨论的长度。我们的结论是，尽管一再呼吁解决疼痛治疗不足，只有有限的时间用于解决老年患者的疼痛。这种现象可能导致疼痛治疗不足。
Under-treatment of pain is a worldwide problem. We examine how often pain was addressed and the factors that influence how much time was spent on treating pain. We analyzed 385 videotapes of routine office visits in several primary care practices in the Southwest and Midwest regions of the United States. We coded the visit contents and the time spent on pain and other topics. Logistic regression and survival analyses examined the effects of time constraint, physician’s supportiveness, patient’s health, and demographic concordance. We found that discussion of pain occurred in 48% of visits. A median of 2.3 minutes was spent on addressing pain. The level of pain, physician’s supportiveness, and gender concordance were significantly associated with the odds of having a pain discussion. Time constraints and racial concordance significantly influenced the length of discussion. We conclude that despite repeated calls for addressing under-treatment for pain, only a limited amount of time is used to address pain among elderly patients. This phenomenon could contribute to the under-treatment of pain.
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影响因子：
4.2
作者：
Loewenstein, G
通讯作者：
Loewenstein, G
影响因子：
2.1
作者：
Bonham, VL
通讯作者：
Bonham, VL
影响因子：
2.2
作者：
Coleman, T
通讯作者：
Coleman, T
影响因子：
4.4
作者：
JONES, SRG
通讯作者：
JONES, SRG
影响因子：
39.2
作者：
Kroenke, Kurt;Spitzer, Robert L.;Lowe, Bernd
通讯作者：
Lowe, Bernd