Pain associated with health and economic burden in France: results from recent National Health and Wellness Survey data.
Pain associated with health and economic burden in France: results from recent National Health and Wellness Survey data.
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与法国的健康和经济负担相关的疼痛：最近的国家健康与健康调查数据的结果。
DOI：
10.2147/ceor.s148405
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Billon S
中科院分区：
文献类型：
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作者：
Hadjiat Y;Serrie A;Treves R;Chomier B;Geranton L;Billon S
本研究旨在估计法国成年人疼痛的患病率，并评估疼痛对健康相关生活质量（HRQoL）、活动障碍和医疗保健资源使用（HRU）的影响。2015年法国国家健康与健康调查（N= 19，173）根据自我报告的疼痛进行分类（过去12个月内经历疼痛vs无疼痛）并比较HRQoL（36项健康调查简表第2版：心理健康总评、身体健康总评和6维健康效用简表），活动障碍（工作效率和活动障碍问卷）、就业状况和HRU（医疗保健提供者就诊、急诊室就诊和住院）。双变量分析检查了按年龄、性别、收入和Charlson合并症指数（CCI）评分分层的疼痛组之间的差异。疼痛患病率为20.2%（n=4007）。在年龄<35岁至45-54岁的受试者中，疼痛的平均身体成分总结下降范围分别为3.4至8.1分。心理健康总评量表和简明6维度量表得分的结果遵循相似的模式。无论收入、性别或CCI组如何，疼痛与所有HRQoL指标的显著下降相关（所有指标，p<0.05）。疼痛对活动障碍的影响在<35岁的人群中最低;这种影响在中年人中较高，然后在≥75岁的人群中逐渐减少。在收入、性别和CCI组中，疼痛与更大的活动障碍和更多的医疗保健提供者就诊相关（所有，p<0.05）。一般来说，急诊室就诊在不同年龄、性别和CCI的疼痛患者中更常见，但仅在低收入人群中与疼痛显著相关（p<0.01）。疼痛与各年龄组和收入组的住院率显著增加相关。结果表明，疼痛对HRQoL、活动障碍和HRU有负面影响。这些发现有助于强调法国疼痛的巨大健康和经济负担。
This study aimed to estimate the prevalence of pain among French adults and assess the impact of pain on health-related quality of life (HRQoL), activity impairment, and health care resource use (HRU). Respondents from the 2015 France National Health and Wellness Survey (N=19,173) were categorized by self-reported pain (experienced pain in the past 12 months vs no pain) and compared on HRQoL (36-Item Short Form Health Survey version 2: Mental Component Summary, Physical Component Summary, and Short Form-6 Dimensions health utilities), activity impairment (Work Productivity and Activity Impairment questionnaire), employment status, and HRU (health care provider visits, emergency room visits, and hospitalizations). Bivariate analyses examined differences between pain groups stratified by age, sex, income, and Charlson comorbidity index (CCI) scores. Pain prevalence was 20.2% (n=4007). Mean Physical Component Summary decrements with pain ranged from 3.4 to 8.1 points among those aged <35 years to those aged 45–54 years, respectively. Results for Mental Component Summary and Short Form-6 Dimensions scores followed similar patterns. Regardless of income, sex, or CCI group, pain was associated with significant decrements on all HRQoL measures (for all, p<0.05). The impact of pain on activity impairment was lowest among those <35 years; this impact was higher in middle age and then tapered off among those aged ≥75 years. Pain was associated with greater activity impairment and more health care provider visits across income, sex, and CCI groups (for all, p<0.05). Generally, emergency room visits were more common among those with pain across age, sex, and CCI, but they were only significantly associated with pain in the lower income group (p<0.01). Pain was associated with significantly more hospitalizations across age and income groups. Results suggest pain negatively affects HRQoL, activity impairment, and HRU across demographic subgroups. These findings help underscore the considerable health and economic burden of pain in France.