Prevalence and characteristics of chronic musculoskeletal pain in Japan: a second survey of people with or without chronic pain.
Prevalence and characteristics of chronic musculoskeletal pain in Japan: a second survey of people with or without chronic pain.
复制标题
DOI：
10.1007/s00776-013-0525-8
复制
发表时间：
2014-03
影响因子：
1.7
通讯作者：
Toyama, Yoshiaki
中科院分区：
文献类型：
--
作者：
Nakamura, Masaya;Nishiwaki, Yuji;Ushida, Takahiro;Toyama, Yoshiaki
2010财政年度在日本进行的一项流行病学调查显示，慢性肌肉骨骼疼痛的患病率很高，患者对治疗的满意度很低，持续一年或一年以上的长期治疗的发生率很高，生活质量下降。为了改善目前治疗慢性肌肉骨骼疼痛的系统，重要的是要确定风险因素，包括患者特征，发展慢性疼痛。因此，我们试图确定日本人群中新发慢性疼痛的发生率，以及慢性疼痛的持续率，相关因素和治疗现状，通过重复2010年首次调查的全国代表性样本组的邮政调查。在2010年流行病学调查的11，507名参与者中，1，717人报告慢性疼痛，6，283人报告无慢性疼痛。在2011财政年度向这两组受试者邮寄了一份重复问卷，2010年收到了85%报告疼痛的受试者和76%没有疼痛的受试者的回复。新发慢性疼痛发生率为11.1%。发生慢性疼痛的风险因素包括从事专业、管理或文书/专家职业，女性，BMI ≥25;目前饮酒或吸烟;完成职业学校或更高的教育水平。45.2%的受访者报告了持续性慢性疼痛。重度（VAS评分≥7）和持续性腰痛持续5年以上的患者疼痛持续的风险最高。超过80%的持续性慢性疼痛的受访者有治疗史，而大约30%的人在调查时仍在接受治疗，另外50%的人由于对治疗的满意度低，尽管疼痛持续存在，但已经停止治疗。我们确定了与新的慢性疼痛的发展和慢性疼痛的持续性相关的风险因素。预防慢性疼痛的对策对于了解慢性疼痛的病理学对于高危人群可能特别重要。
An epidemiological survey conducted in Japan in fiscal year 2010 revealed a high prevalence of chronic musculoskeletal pain, low patient satisfaction with treatment, a high incidence of protracted treatment lasting a year or more, and reduced quality of life. To improve the current system for treating chronic musculoskeletal pain, it is important to identify risk factors, including patient characteristics, for developing chronic pain. Thus, we sought to determine the incidence of new chronic pain in the Japanese population, as well as the persistence rate, associated factors, and current state of treatment of chronic pain, by repeating a postal survey in a nationwide representative sample group first surveyed in 2010. Among 11,507 participants in the 2010 epidemiological survey, 1,717 reported chronic pain and 6,283 reported no chronic pain. A repeat questionnaire, mailed to subjects in these 2 groups in fiscal year 2011, received replies from 85 % of those who reported pain and 76 % of those without pain in 2010. The incidence of new chronic pain was 11.1 %. Risk factors for developing chronic pain included working in a professional, managerial, or clerical/specialist occupation, being female, having a BMI ≥25; currently using alcohol or cigarettes; and having completed an education level of vocational school or higher. Persistent chronic pain was reported by 45.2 % of respondents. Those with severe (VAS score ≥7) and constant lower-back pain lasting more than 5 years had the highest risk of the pain persisting. More than 80 % respondents with persistent chronic pain had a history of treatment, and while about 30 % were still receiving treatment at the time of the survey, the other 50 % had discontinued treatment despite the persistence of pain because of a low degree of satisfaction with treatment. We identified risk factors related to the development of new chronic pain and the persistence of chronic pain. Countermeasures to prevent chronic pain could be especially important for the high-risk populations for understanding the pathology of chronic pain.
登录
查看更多内容
影响因子：
1
作者：
Marmot, MG
通讯作者：
Marmot, MG
影响因子：
--
作者：
Hakim, AJ;Cherkas, LF;MacGregor, AJ
通讯作者：
MacGregor, AJ
影响因子：
2.9
作者：
Dodet, Pauline;Perrot, Serge;Lloret-Linares, Celia
通讯作者：
Lloret-Linares, Celia
影响因子：
4.9
作者：
Matsudaira, Ko;Palmer, Keith T.;Coggon, David
通讯作者：
Coggon, David
影响因子：
2.3
作者：
Freynhagen, R;Baron, R;Maier, C
通讯作者：
Maier, C