The course of chronic pain in the community: results of a 4-year follow-up study
The course of chronic pain in the community: results of a 4-year follow-up study
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DOI：
10.1016/s0304-3959(02)00138-0
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发表时间：
2002-09-01
期刊：
影响因子：
7.4
通讯作者：
Chambers, WA
中科院分区：
文献类型：
--
作者：
Elliott, AM;Smith, BH;Chambers, WA
对社区慢性疼痛的病程知之甚少。这些信息是预防和管理慢性疼痛所必需的。我们对居住在英国格兰扁的2184人进行了为期4年的随访研究，以描述慢性疼痛随时间变化的模式和预测因素。2000年10月，参与者完成了一份邮寄问卷，包括病例定义问题、慢性疼痛分级问卷、SF-36和社会人口学问题。将这份调查表中的资料与1996年从一份类似调查表中收集的资料进行了比较。随访研究的应答率为83%。慢性疼痛的总体患病率（疼痛或不适一直存在或断断续续持续3个月或更长时间）从基线时的45.5%增加到随访时的53.8%。在基线时患有慢性疼痛的患者中，79%在随访时仍然存在。年平均发病率为8.3%，年平均治愈率为5.4%。研究样本中SF-36领域最低四分位数的个体-基线时的身体功能，社会功能和身体疼痛-在随访时更有可能发展为慢性疼痛，退休的受访者不太可能发展为慢性疼痛。研究样本中SF-36领域最低四分位数的个体，基线时的身体疼痛和一般健康状况，不太可能从慢性疼痛中恢复过来，45-74岁的人与25-34岁的人相比也是如此。我们的结论是，慢性疼痛是一个常见的，在社区中的持续性问题，相对较高的发病率和低恢复率。慢性疼痛的发作或恢复与大多数传统的社会人口学因素之间缺乏相关性，这突出表明需要扩大慢性疼痛病因学研究中包括的因素范围。(C)2002年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
Little is known about the course of chronic pain in the community. Such information is needed for the prevention and management of chronic pain. We undertook a 4-year follow-up study of 2184 individuals living in Grampian, UK to describe patterns and predictors of change in chronic pain over time. In October 2000, participants completed a postal questionnaire including case definition questions, the chronic pain grade questionnaire, the SF-36 and socio-demographic questions. Information from this questionnaire was compared to information collected from a similar questionnaire in 1996. A response rate of 83% was achieved for the follow-up study. The overall prevalence of chronic pain (pain or discomfort present either all the time or on and off for 3 months or longer) increased from 45.5% at baseline to 53.8% at follow-up. Seventy-nine percent of those with chronic pain at baseline still had it at follow-up. The average annual incidence was 8.3% and the average annual recovery rate was 5.4%. Individuals in the study samples who are in lowest quartile of SF-36 domains - physical functioning, social functioning and bodily pain at baseline - were more likely to develop chronic pain at follow-up, and respondents who were retired were less likely to develop chronic pain. Individuals in the study samples in the lowest quartile of SF-36 domains, bodily pain and general health at baseline, were less likely to recover from their chronic pain, as were those aged 45-74 compared with those aged 25-34. We concluded that chronic pain is a common, persistent problem in the community with relatively high incidence and low recovery rates. The lack of association between onset or recovery from chronic pain and most traditional socio-demographic factors, highlights the need to broaden the range of factors included in studies of chronic pain aetiology. (C) 2002 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.