The annual incidence and course of neck pain in the general population:: a population-based cohort study
The annual incidence and course of neck pain in the general population:: a population-based cohort study
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DOI：
10.1016/j.pain.2004.09.004
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发表时间：
2004-12-01
期刊：
影响因子：
7.4
通讯作者：
Kristman, V
中科院分区：
文献类型：
--
作者：
Côté, P;Cassidy, JD;Kristman, V
虽然颈部疼痛是残疾的常见原因，但对其发生率和病程知之甚少。我们进行了一项以人群为基础的队列研究，随机选择了1100名萨斯喀彻温省成年人，以确定颈部疼痛的年发病率并描述其病程。受试者最初于1995年9月通过邮件进行调查，并在6个月和12个月后进行随访。年龄和性别标准化的颈部疼痛年发病率为14.6%（95%可信区间：11.3,17.9）。每年，0.6%（95%置信区间：0.0-1.1）的人群出现致残性颈部疼痛。颈部疼痛的年缓解率为36.6%(95%可信区间：32.7,40.5)，另有32.7%（95%可信区间：25.5,39.9）报告改善。在基线时普遍存在颈部疼痛的受试者中，37.3%（95%可信区间：33.4,41.2）报告持续性问题，9.9%（95%可信区间：7.4,12.5）在随访期间出现加重。最后，22.8%（95%可信区间：16.4,29.3）基线时普遍颈部疼痛的患者报告复发。女性比男性更容易出现颈部疼痛（发病率比= 1.67,95%可信区间1.08-2.60）；更有可能遭受持续的颈部问题（发病率比= 1.19,95%可信区间1.03-1.38），更不可能经历解决（发病率比= 0.75,95%可信区间0.63-0.88）。颈部疼痛是一种致残状况，其病程以缓解期和加重期为标志。与先前的看法相反，大多数颈部疼痛患者的症状和残疾并没有完全解决。(C) 2004国际疼痛研究协会。Elsevier B.V.版权所有。
Although neck pain is a common source of disability, little is known about its incidence and course. We conducted a population-based cohort study of 1100 randomly selected Saskatchewan adults to determine the annual incidence of neck pain and describe its course. Subjects were initially surveyed by mail in September 1995 and followed-up 6 and 12 months later. The age and gender standardized annual incidence of neck pain is 14.6% (95% confidence interval: 11.3, 17.9). Each year, 0.6% (95% confidence interval: 0.0-1.1) of the population develops disabling neck pain. The annual rate of resolution of neck pain is 36.6% (95% confidence interval: 32.7, 40.5) and another 32.7% (95% confidence interval: 25.5, 39.9) report improvement. Among subjects with prevalent neck pain at baseline, 37.3% (95% confidence interval: 33.4, 41.2) report persistent problems and 9.9% (95% confidence interval: 7.4, 12.5) experience an aggravation during follow-up. Finally, 22.8% (95% confidence interval: 16.4, 29.3) of those with prevalent neck pain at baseline report a recurrent episode. Women are more likely than men to develop neck pain (incidence rate ratio= 1.67, 95% confidence interval 1.08-2.60); more likely to suffer from persistent neck problems (incidence rate ratio= 1.19, 95% confidence interval 1.03-1.38) and less likely to experience resolution (incidence rate ratio= 0.75, 95% confidence interval 0.63-0.88). Neck pain is a disabling condition with a course marked by periods of remission and exacerbation. Contrary to prior belief, most individuals with neck pain do not experience complete resolution of their symptoms and disability. (C) 2004 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.