利用电子初级保健记录识别神经性疼痛患者。
Identification of patients with neuropathic pain using electronic primary care records.
作者信息
Gajria Camille, Murray Joanna, Birger Ruthie, Banarsee Ricky, Bennett David Lh, Tan Keith, Field Mark, Rice Andrew Sc, Majeed Azeem
机构信息
Department of Primary Care & Public Health, Imperial College, London, UK.
出版信息
Inform Prim Care. 2011;19(2):83-90. doi: 10.14236/jhi.v19i2.799.
BACKGROUND
Chronic neuropathic pain is a common condition which is challenging to treat. Many people with neuropathic pain are managed in the community, so primary care records may allow more appropriate subjects to be recruited for clinical studies.
OBJECTIVE
We investigated whether primary care records can be used to identify patients with diseases associated with neuropathic pain.
METHOD
We analysed demographic, diagnostic and prescribing data from over 100 000 primary care electronic patient records in one part of London, UK.
RESULTS
The prevalence of diagnoses associated with chronic neuropathic pain was 13 per 1000, with the elderly, women and white patients experiencing the greatest burden of disease.
CONCLUSION
Computerised health records offer an excellent opportunity to improve the identification of patients for clinical research in complex conditions like chronic neuropathic pain. To make full use of data from these records, standardisation of clinical coding and consensus on diagnostic criteria are needed.
背景
慢性神经性疼痛是一种常见疾病，治疗颇具挑战性。许多神经性疼痛患者在社区接受治疗，因此初级保健记录可能有助于招募更合适的受试者进行临床研究。
目的
我们调查了初级保健记录是否可用于识别患有与神经性疼痛相关疾病的患者。
方法
我们分析了英国伦敦某一地区超过10万份初级保健电子病历中的人口统计学、诊断和处方数据。
结果
与慢性神经性疼痛相关诊断的患病率为每1000人中有13人，老年人、女性和白人患者的疾病负担最重。
结论
计算机化健康记录为改善在慢性神经性疼痛等复杂病症中识别临床研究患者提供了绝佳机会。为充分利用这些记录中的数据，需要临床编码标准化和诊断标准共识。
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