Goren Amir, Mould-Quevedo Joaquín, daCosta DiBonaventura Marco
Health Outcomes Practice, Kantar Health, New York, New York, USA.
Pain Med. 2014 Nov;15(11):1880-91. doi: 10.1111/pme.12542. Epub 2014 Sep 12.
The current study represents the first broad, multi-country, population-based survey of pain, assessing the association between pain and health outcomes, plus comparing the burden of pain across emerging and developed countries.
Data from the 2011/2012 National Health and Wellness Surveys were used. Respondents reporting pain (neuropathic pain, fibromyalgia, back pain, surgery pain, and/or arthritis pain) vs no pain in emerging (Brazil, China, Russia) vs developed (European Union, Japan, United States) countries were compared on sociodemographic characteristics and measures of quality of life (SF-12v2 and SF-36v2), work productivity and activity impairment, and health care resource use.
Respondents included 128,821 without pain and 29,848 with pain in developed countries, and 37,244 without pain and 4,789 with pain in emerging countries.
Pain reporting and treatment rates were lower in China (6.2% and 28.3%, respectively) and Japan (4.4% and 26.3%, respectively) than in other countries (≥ 14.3% and 35.8%, respectively). Significant impairments in quality of life, productivity, and resource use were associated with pain across all health outcomes in both developed and emerging countries, with some productivity and physical health status impairments greater with pain in developed countries, whereas mental health status impairment and resource use were greater with pain in emerging countries.
Pain was associated with burden across all study outcomes in all regions. Yet, differences emerged in the degree of impairment, pain reporting, diagnosis, treatment rates, and characteristics of patients between emerging and developed nations, thus helping guide a broader understanding of this highly prevalent condition globally.
本研究是首次针对疼痛开展的大规模、多国、基于人群的调查，评估疼痛与健康结果之间的关联，并比较新兴国家和发达国家的疼痛负担。
使用了2011/2012年国民健康与 Wellness 调查的数据。比较了新兴国家（巴西、中国、俄罗斯）和发达国家（欧盟、日本、美国）中报告有疼痛（神经性疼痛、纤维肌痛、背痛、手术疼痛和/或关节炎疼痛）与无疼痛的受访者在社会人口学特征、生活质量指标（SF-12v2和SF-36v2）、工作生产力和活动障碍以及医疗资源使用方面的情况。
发达国家中128,821名无疼痛受访者和29,848名有疼痛受访者，新兴国家中37,244名无疼痛受访者和4,789名有疼痛受访者。
中国（分别为6.2%和28.3%）和日本（分别为4.4%和26.3%）的疼痛报告率和治疗率低于其他国家（分别≥14.3%和35.8%）。在发达国家和新兴国家，所有健康结果中，生活质量、生产力和资源使用方面的显著损害均与疼痛相关，发达国家疼痛导致的一些生产力和身体健康状况损害更大，而新兴国家疼痛导致的心理健康状况损害和资源使用更大。
在所有地区，疼痛与所有研究结果的负担相关。然而，新兴国家和发达国家在损害程度、疼痛报告、诊断、治疗率以及患者特征方面存在差异，这有助于在全球范围内更广泛地理解这种高度普遍的状况。
