Chronic pain prevalence and analgesic prescribing in a general medical population
Chronic pain prevalence and analgesic prescribing in a general medical population
复制标题
DOI：
10.1016/s0885-3924(01)00396-7
复制
发表时间：
2002-02-01
影响因子：
4.7
通讯作者：
Clark, JD
中科院分区：
文献类型：
--
作者：
Clark, JD
为了更好地了解美国退伍军人一般医疗人群中慢性疼痛的患病率和镇痛药使用频率，对300份随机选择的图表进行了审查。该综述显示，50%的患者患有至少一种类型的慢性疼痛。对相应药房记录的审查表明，约75%的慢性疼痛患者至少接受了1种止痛药，大多数患者接受了2种或更多种止痛药。虽然非甾体抗炎药是最常用的镇痛药，但接受镇痛药的患者中有44%接受阿片类药物。对临床记录的检查显示，处方医生很少记录体格检查，并在少数病例中对特定阿片类药物治疗计划或该计划的随访进行了评论。看来慢性疼痛在美国退伍军人中很常见，止痛药，包括阿片类药物，通常是处方药。阿片类药物治疗慢性疼痛的疗效的文献往往很少。(C)美国癌症疼痛缓解委员会，2002年。
In order to better understand the prevalence of chronic pain and the frequency of analgesic use in the U.S. veteran general medical population, a review of 300 randomly selected charts was conducted. This review revealed that 50% of patients suffered from at least one type of chronic pain. A review of the corresponding pharmacy records indicated that approximately 75 % of patients with chronic pain were prescribed at least 1 analgesic, and most received 2 or more. While nonsteroidal anti-inflammatory drugs were the most commonly prescribed class of analgesics, 44 % of those receiving an analgesic received opioids. Examination of clinic notes revealed that the prescribing physicians documented physical examination infrequently, and commented on a specific opioid treatment plan or follow-up of that plan in a minority of cases. It appears that chronic pain is common among U.S. veterans, and that analgesics, including opioids, are commonly prescribed. Documentation of the efficacy of opioids for treating chronic pain is often scant. (C) U.S. Cancer Pain Relief Committee, 2002.