Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
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DOI：
10.1016/j.ejpain.2005.06.009
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发表时间：
2006-05-01
影响因子：
3.6
通讯作者：
Gallacher, D
中科院分区：
文献类型：
--
作者：
Breivik, H;Collett, B;Gallacher, D
这项大规模的计算机辅助电话调查旨在探讨15个欧洲国家和以色列慢性疼痛的患病率、严重程度、治疗和影响。筛选访谈确定了年龄≥ 18岁的慢性疼痛受访者进行深入访谈。在46，394名愿意参与的受访者中，有19%（拒绝率为46%）遭受疼痛≥ 6个月，在过去一个月内经历过疼痛，在过去一周内经历过几次疼痛。在最后一次疼痛发作期间，他们的疼痛强度在10分数字评定量表（NRS）上>= 5（I =无疼痛，10 =可想象的最严重疼痛）。对4839名慢性疼痛受访者（每个国家约300人）进行的深入访谈显示：66%的人有中度疼痛（NRS = 5 - 7），34%的人有重度疼痛（NRS = 8 - 10），46%的人有持续性疼痛，54%的人有间歇性疼痛。59%的人患有疼痛2至15年，21%的人因疼痛而被诊断患有抑郁症，61%的人不能或不能在外面工作，19%的人失去了工作，13%的人因为疼痛而换了工作。60%的人在过去六个月内去看过2 - 9次医生。只有2%的人目前接受了疼痛管理专家的治疗。三分之一的慢性疼痛患者目前没有得到治疗。三分之二的人使用非药物治疗，例如。按摩（30%）、物理疗法（21%）、针灸（13%）。几乎一半的人服用非处方止痛药;非处方药（OTC）NSAID（55%），扑热息痛（43%），弱阿片类药物（13%）。三分之二的人服用处方药：NSAID（44%）、弱阿片类药物（23%）、扑热息痛（18%）、考克斯-2抑制剂（1 - 36%）。强阿片类药物（5%）。40%的人对他们的疼痛管理不足。观察到国家之间的有趣差异，可能反映了管理慢性疼痛的文化背景和当地传统的差异。结论：19%的欧洲成年人患有中度至重度慢性疼痛，严重影响了他们的社会和工作生活质量。很少有人接受疼痛专家的治疗，近一半的人接受的疼痛治疗不足。虽然在16个国家之间观察到差异，但我们已经证明，慢性疼痛是欧洲的一个主要卫生保健问题，需要更加认真地对待。(c)2005年，国际疼痛研究协会欧洲分会联合会。由爱思唯尔有限公司出版。保留所有权利。
This large scale computer-assisted telephone survey was undertaken to explore the prevalence, severity, treatment and impact of chronic pain in 15 European countries and Israel. Screening interviews identified respondents aged >= 18 years with chronic pain for in-depth interviews. 19% of 46,394 respondents willing to participate (refusal rate 46%) had suffered pain for >= 6 months, had experienced pain in the last month and several times during the last week. Their pain intensity was >= 5 on a 10-point Numeric Rating Scale (NRS) (I = no pain, 10 = worst pain imaginable) during last episode of pain. In-depth interviews with 4839 respondents with chronic pain (about 300 per country) showed: 66% had moderate pain (NRS = 5-7), 34% had severe pain (NRS = 8-10), 46% had constant pain, 54% had intermittent pain. 59% had suffered with pain for two to 15 years, 21% had been diagnosed with depression because of their pain, 61% were less able or unable to work outside the home, 19% had lost their job and 13% had changed jobs because of their pain. 60% visited their doctor about their pain 2-9 times in the last six months. Only 2% were currently treated by a pain management specialist. One-third of the chronic pain sufferers were currently not being treated. Two-thirds used non-medication treatments, e.g,. massage (30%), physical therapy (21%), acupuncture (13%). Almost half were taking non-prescription analgesics; 'over the counter' (OTC) NSAIDs (55%), paracetamol (43%), weak opioids (13%). Two-thirds were taking prescription medicines: NSAIDs (44%), weak opioids (23%), paracetamol (18%), COX-2 inhibitors (1-36%). and strong opioids (5%). Forty percent had inadequate management of their pain. Interesting differences between countries were observed, possibly reflecting differences in cultural background and local traditions in managing chronic pain. Conclusions: Chronic pain of moderate to severe intensity occurs in 19% of adult Europeans, seriously affecting the quality of their social and working lives. Very few were managed by pain specialists and nearly half received inadequate pain management. Although differences were observed between the 16 countries, we have documented that chronic pain is a major health care problem in Europe that needs to be taken more seriously. (c) 2005 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.