A survey on pain complaints and health care utilization in a German population sample
A survey on pain complaints and health care utilization in a German population sample
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DOI：
10.1097/00003643-199807000-00004
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发表时间：
1998-07-01
影响因子：
3.6
通讯作者：
Stutzke, O
中科院分区：
文献类型：
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作者：
Chrubasik, S;Junck, H;Stutzke, O
对巴登-符腾堡州卡尔斯鲁赫县登记在册的18岁至80岁的每71人进行了邮寄调查。它询问了2127人，他们在过去6个月中是否经历过任何形式的不适当延长的疼痛(与与受伤、炎症等有关的短暂的并发自限发作不同)。如果是这样的话，指定其位置、持续时间、严重性和持久性。它还要求提供有关对医疗保健专业人员的电话结果以及对所接受治疗的满意程度的信息。抽样调查样本的年龄和性别分布与抽样调查所在人口的年龄和性别分布相匹配。在1420名受访者中，只有1304人表示他们的年龄和性别是纳入分析的条件。在这些人中，610人报告了某种形式的过度延长的疼痛，在530年持续了一年多。对于所有持续一年以上的疼痛，估计轻度疼痛的患病率为11%，重度疼痛的患病率为25%，无法忍受的患病率为3.5%：与阵发性疼痛相比，持续性疼痛的相应估计患病率为2%，重度疼痛的患病率为10%，无法忍受的疼痛患病率为1%。在大多数报告疼痛的人中，疼痛存在于不止一个解剖位置。肌肉骨骼疼痛是压倒性最常见的。年龄的增长、肥胖和女性更容易报告疼痛，女性更容易报告颈部和肩部的头痛和疼痛。136名疼痛记者要么没有提供咨询信息，要么没有向医疗保健专业人员寻求帮助：其余的人中有三分之一咨询了不止一名专业人员，其中全科医生和物理医学专家(Niederglassener Orthopade)是最常见的。使用了各种各样的治疗方法，其中最受欢迎的是口服药物、按摩、运动、泥巴敷料和热疗；三分之二的患者使用了一种以上的治疗方法。最受欢迎的治疗类型也往往是最成功的，除了口服药物(这也是最不同的)。多元Logistic回归分析发现，疼痛持续时间和严重程度、报告疼痛的地点数量、咨询的医疗专业人员数量和尝试的治疗数量之间存在一致的关联，相同的特征分组与对所接受治疗的总体满意度降低的可能性相关。
A postal survey was carried out on every 71st person aged between 18 and 80 in the population registers in County Regierungsbezirk Karlsruhe in the State of Baden-Wurtemberg. It asked 2127 persons whether they had, in the previous 6 months, experienced any form of unduly prolonged pain (as distinct from brief intercurrent self-limiting episodes related to injury inflammation etc.) and, if so, to specify its location, duration, severity and persistence. It also sought information on the resulting calls on healthcare professionals and the degree of satisfaction with treatments received. The age and gender distributions of the sample selected for survey matched those in the population from which it was drawn. Of the 1420 respondents, only 1304 declared their age and gender a condition for inclusion in the analysis. Of these, 610 reported some form of unduly prolonged pain, which had lasted more than a year in 530. For all pain lasting longer than a year, the estimated prevalence of mild pain was 11%, severe 25% and intolerable 3.5%: the corresponding estimates for persistent as opposed to episodic pain were 2% for mild, 10% for severe and 1% for intolerable. Pain was present in more than one anatomical location in most of those who reported it. Musculoskeletal pain was overwhelmingly the most common. Increasing age, obesity and being female predisposed to the reporting of pain, with women being more liable to report headache and pain in the neck and shoulder. One hundred and thirty-six pain reporters either gave no information on consultation or sought no help from healthcare professionals: a third of the remainder consulted more than one professional, with general practitioners and specialists in physical medicine (niedergelassener Orthopade) being the most common. A wide variety of treatments were used, with oral medications, massage, exercises, mud pack and heat treatment being the most popular; two-thirds of sufferers used more than one type of treatment. The most popular types of treatment tended also to be the most successful, except for oral medication (which was also the most heterogeneous). Multiple logistic regression analyses identified consistent associations between duration and severity of pain, the number of sites where it was reported, the numbers of healthcare professionals consulted a nd the number of treatments tried, and the same groupings of features were associated with decreased likelihood of overall satisfaction with treatment received.