Ahern D K, Bishop D, Follick M J, Gelch M, Lucas P, Parziale J, Marras W, Wilkin D L, Wolf S
Institute for Behavioral Medicine, Brown University Program in Medicine, Providence, Rhode Island.
R I Med J (1976). 1990 Jan;73(1):21-31.
Chronic low back pain (CLBP) is one of the most pervasive and costly problems facing medicine today. In addition to personal suffering, CLBP accounts for a greatly disproportionate amount of consumer health care over-utilization, employee absenteeism, lowered work productivity, disability and compensation payments. Recent research in the area has called attention to the complex nature of the problem and the need for an interdisciplinary approach to identification and management. Toward this end, a panel of health care professionals with skill in the assessment and treatment of chronic pain was convened on November 17, 1988. Sponsored by the Institute for Behavioral Medicine in Providence and with funding from the National Institute for Neurological Disorders and Stroke, Stroke and Trauma Program, the purpose of the panel discussion was to bring together clinicians and researchers from distinctly different specialties but who all work with CLBP patients. Topics of discussion included etiology, current status of medical diagnostics and treatments for chronic pain, conceptual and systems issues, and directions for future research.
慢性腰痛（CLBP）是当今医学面临的最普遍且成本高昂的问题之一。除了个人痛苦之外，CLBP在消费者医疗保健过度使用、员工旷工、工作效率降低、残疾和赔偿金支付方面所占比例极大且不成比例。该领域最近的研究已使人们关注到该问题的复杂性以及采用跨学科方法进行识别和管理的必要性。为此，1988年11月17日召集了一个由在慢性疼痛评估和治疗方面有技能的医疗保健专业人员组成的小组。该小组讨论由普罗维登斯行为医学研究所主办，并由国家神经疾病和中风研究所、中风与创伤项目提供资金，其目的是将来自截然不同专业但都诊治CLBP患者的临床医生和研究人员聚集在一起。讨论的主题包括病因、慢性疼痛的医学诊断和治疗现状、概念和系统问题以及未来研究方向。
