Walters Camila B, Kynes J Matthew, Sobey Jenna, Chimhundu-Sithole Tsitsi, McQueen K A Kelly
Department of Anesthesiology, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN 37209, USA.
College of Health Sciences, University of Zimbabwe, P.O. Box MP 167, Harare, Zimbabwe.
Children (Basel). 2018 Aug 27;5(9):113. doi: 10.3390/children5090113.
Chronic pain is a serious health concern and potentially debilitating condition, leading to anxiety, depression, reduced productivity and functionality, and poor quality of life. This condition can be even more detrimental and incapacitating in the pediatric patient population. In low- and middle-income countries (LMICs), pain services are often inadequate or unavailable, leaving most of the world's pediatric population with chronic pain untreated. Many of these children in LMICs are suffering without treatment, and often die in pain. Awareness and advocacy for this population must be prioritized. We reviewed the available literature on the chronic pediatric pain burden in LMICs, barriers to treatments, and current efforts to treat these patients.
慢性疼痛是一个严重的健康问题,可能导致身体衰弱,引发焦虑、抑郁、生产力和功能下降以及生活质量低下。这种情况在儿科患者群体中可能更具危害性和致残性。在低收入和中等收入国家(LMICs),疼痛服务往往不足或无法提供,导致世界上大多数患有慢性疼痛的儿科患者得不到治疗。许多生活在低收入和中等收入国家的儿童在忍受着疼痛却得不到治疗,常常在痛苦中死去。必须优先提高对这一群体的认识并进行宣传。我们回顾了关于低收入和中等收入国家慢性儿科疼痛负担、治疗障碍以及当前治疗这些患者的努力的现有文献。