Neville Anat, Peleg Roni, Singer Yoram, Sherf Michael, Shvartzman Pesach
Pain and Palliative Care Unit, Department of Family Medicine, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Isr Med Assoc J. 2008 Oct;10(10):676-80.
The prevalence of chronic pain in the general population ranges from 10% to over 40%, depending on the definition and the population studied. No large study has been conducted in Israel.
To evaluate the prevalence of patients with chronic pain, and characterize them in a large community random sample.
We conducted a survey of Clalit Health Services members, interviewing them by phone. A random sample of 4063 Clalit members, 25 years or older and Hebrew speakers, were screened for chronic pain, defined as: any pain or discomfort that in the last 6 months has persisted continuously or intermittently for more than 3 months.
Eight percent (n=325) refused to participate. Of the 3738 included in the study, 1722 (46%) reported chronic pain in at least one site. Most of the patients were over 50-years-old (62%) (mean age 56 +/- 16, range 27-97 years). Women suffered significantly more than men, as did those who were older, less educated and born in Israel and Eastern Europe. Prevalent painful sites were the back (32%), limbs (17%) and head (13%). More than a third reported severe pain and impaired life activities. Only 4.8% of the patients suffering from chronic pain were referred to pain specialists and 11% used complementary medicine. A logistic regression model showed that women and patients with a low education level were the only significant variables predicting higher life impact index and higher pain severity.
We found a high prevalence of chronic pain in the study population. Chronic pain causes severe disturbance to quality of life. A low rate of referral to pain specialists and complementary medicine was observed.
根据定义和所研究的人群不同，普通人群中慢性疼痛的患病率在10%至40%以上不等。以色列尚未进行过大规模研究。
评估慢性疼痛患者的患病率，并在一个大型社区随机样本中对他们进行特征描述。
我们对克拉利特健康服务机构的成员进行了一项调查，通过电话对他们进行访谈。从25岁及以上、说希伯来语的4063名克拉利特成员中随机抽取样本，筛查慢性疼痛，慢性疼痛定义为：在过去6个月中持续或间歇性存在超过3个月的任何疼痛或不适。
8%（n = 325）拒绝参与。在纳入研究的3738人中，1722人（46%）报告至少有一个部位存在慢性疼痛。大多数患者年龄超过50岁（62%）（平均年龄56 ± 16岁，范围27 - 97岁）。女性比男性遭受疼痛的情况更严重，年龄较大、受教育程度较低以及出生在以色列和东欧的人也是如此。常见的疼痛部位是背部（32%）、四肢（17%）和头部（13%）。超过三分之一的人报告有严重疼痛且生活活动受限。患有慢性疼痛的患者中只有4.8%被转诊至疼痛专科医生处，11%使用补充替代医学方法。逻辑回归模型显示女性和低教育水平患者是预测生活影响指数较高和疼痛严重程度较高的唯一显著变量。
我们发现研究人群中慢性疼痛的患病率很高。慢性疼痛对生活质量造成严重干扰。转诊至疼痛专科医生处和使用补充替代医学方法的比例较低。
