de Luca Katie, Parkinson Lynne, Pollard Henry, Byles Julie, Blyth Fiona
Research Centre for Gender Health and Ageing, University of Newcastle, 18 Palm Court South West Rocks, Callaghan, NSW, 2431, Australia,
Rheumatol Int. 2015 Sep;35(9):1461-72. doi: 10.1007/s00296-015-3268-3. Epub 2015 Apr 14.
The objective of the study was to perform a systematic review to identify and appraise outcome measures and measures of pain that are used to assess the experience of pain by older people with osteoarthritis, and to assess whether these measures are effective at capturing the multidimensional nature of the experience of this pain. A systematic review of five electronic databases from January 1996 to March 2013 was done. Inclusion criteria were cohort/observational and cross-sectional studies; specific diagnosis of OA; employed outcome measures of pain and/or health and/or quality of life which included questions about pain; and considered older adults. Articles were reviewed for methodological quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. A total of 14 publications met the inclusion criteria, and 11 discrete studies were included in the review. The studies used 21 different outcome measures, utilizing 13 measures of pain. Sensory, affective and cognitive dimensions of pain were captured by the measures, albeit studies predominantly measured intensity or severity alone. Measures of pain used in epidemiological studies do not adequately capture the multidimensional nature of the experience of pain in osteoarthritis. There is a fraught complexity in the multidimensionality of the experience of pain in osteoarthritis, and studies exploring osteoarthritis pain in older people should attempt to capture this multidimensionality by employing multiple valid and reliable outcome measures that capture specific dimensions of the pain experience.
本研究的目的是进行一项系统评价，以识别和评估用于评估老年骨关节炎患者疼痛体验的结局指标和疼痛指标，并评估这些指标是否能有效体现这种疼痛体验的多维度性质。对1996年1月至2013年3月期间的五个电子数据库进行了系统评价。纳入标准为队列研究/观察性研究和横断面研究；骨关节炎的明确诊断；采用了包括疼痛相关问题的疼痛和/或健康和/或生活质量结局指标；以及纳入了老年人。使用有效公共卫生实践项目定量研究质量评估工具对文章的方法学质量进行了审查。共有14篇出版物符合纳入标准，11项独立研究被纳入本评价。这些研究使用了21种不同的结局指标，其中13种为疼痛指标。这些指标涵盖了疼痛的感觉、情感和认知维度，尽管研究主要仅测量了疼痛强度或严重程度。流行病学研究中使用的疼痛指标不能充分体现骨关节炎疼痛体验的多维度性质。骨关节炎疼痛体验的多维度存在令人担忧的复杂性，探索老年人骨关节炎疼痛的研究应尝试通过采用多种有效且可靠的结局指标来体现这种多维度性，这些指标应能体现疼痛体验的特定维度。
