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[德国慢性非恶性疼痛的流行病学]

[Epidemiology of chronic non-malignant pain in Germany].

作者信息

Wolff R, Clar C, Lerch C, Kleijnen J

机构信息

Kleijnen Systematic Reviews Ltd, Unit 6, Escrick Business Park, Riccall Road, Escrick, YO196FD York, UK.

出版信息

Schmerz. 2011 Feb;25(1):26-44. doi: 10.1007/s00482-010-1011-2.

DOI:10.1007/s00482-010-1011-2
PMID:21336883
Abstract

BACKGROUND

Although chronic pain is a common health problem, epidemiological data are rare. The aim of this study is to present information on chronic, non-malignant pain in Germany.

METHODS

In order to identify relevant studies on chronic pain (> 3 months) a total of 7 databases were searched in the timeframe from 1995 to 2009. Representative, recent, comprehensive and valid studies were selected.

RESULTS

The prevalence of chronic pain in Germany is estimated to be 17% and varies according to the underlying cause of the disease. Neck, shoulder and back pain are the most common forms. Chronic pain has a direct impact on quality of life (QoL), days off work and costs. A variety of drugs and non-drug treatments are used. However, treatment is often inadequate with 13-51% of the patients receiving insufficient pain therapy.

CONCLUSIONS

Chronic pain is a common problem which influences the QoL of patients resulting in high costs for the health system. Treatment is often inadequate. More research is needed to close knowledge gaps. The transfer of research results into clinical practice should be improved.

摘要

背景

尽管慢性疼痛是一个常见的健康问题,但流行病学数据却很稀少。本研究的目的是提供有关德国慢性非恶性疼痛的信息。

方法

为了确定有关慢性疼痛(超过3个月)的相关研究,在1995年至2009年的时间范围内共检索了7个数据库。选取了具有代表性、近期、全面且有效的研究。

结果

据估计,德国慢性疼痛的患病率为17%,并因疾病的潜在病因而异。颈部、肩部和背部疼痛是最常见的形式。慢性疼痛对生活质量(QoL)、缺勤天数和成本有直接影响。人们使用了多种药物和非药物治疗方法。然而,治疗往往不充分,13%至51%的患者接受的疼痛治疗不足。

结论

慢性疼痛是一个常见问题,它影响患者的生活质量,给卫生系统带来高昂成本。治疗往往不充分。需要更多研究来填补知识空白。应改善研究结果向临床实践的转化。

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