Kim Jin Y, Jang Won Y, Hur Mi H, Lee Kang K, Do Young R, Park Keon U, Hong Young S, Song Hong Suk
Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Am J Hosp Palliat Care. 2013 Jun;30(4):393-8. doi: 10.1177/1049909112452624. Epub 2012 Jul 9.
The aims of this study were to evaluate the differences in cancer prevalence and pain management between young and elderly patients. The patients were grouped into 3 groups. The prevalence of cancer pain was 50.0% in those younger than 65 years, 55.9% in those aged between 65 and 75, and 58.3% in those older than 75 years. The prevalence of cancer pain was higher for patients in advanced stages and with poor performance status. Using logistic regression analysis, we found that performance status has a significant correlation with cancer pain. Severe cancer pain occurred in 8.0% of the patient and was most prevalent in the advanced stage. Side effects of analgesics were observed in 24.5%. Cancer pain correlates with performance status and cancer stage but not significantly with age.
本研究的目的是评估年轻患者与老年患者在癌症患病率和疼痛管理方面的差异。患者被分为三组。65岁以下患者的癌痛患病率为50.0%,65至75岁患者为55.9%,75岁以上患者为58.3%。晚期患者和身体状况较差患者的癌痛患病率更高。通过逻辑回归分析,我们发现身体状况与癌痛有显著相关性。8.0%的患者出现严重癌痛,且在晚期最为普遍。24.5%的患者观察到了镇痛药的副作用。癌痛与身体状况和癌症分期相关,但与年龄无显著相关性。