种族和民族差异与慢性疼痛的治疗。
Racial and Ethnic Disparities in the Treatment of Chronic Pain.
机构信息
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Pain Med. 2021 Feb 4;22(1):75-90. doi: 10.1093/pm/pnaa427.
OBJECTIVE
To summarize the current literature on disparities in the treatment of chronic pain.
METHODS
We focused on studies conducted in the United States and published from 2000 and onward. Studies of cross-sectional, longitudinal, and interventional designs were included.
RESULTS
A review of the current literature revealed that an adverse association between non-White race and treatment of chronic pain is well supported. Studies have also shown that racial differences exist in the long-term monitoring for opioid misuse among patients suffering from chronic pain. In addition, a patient's sociodemographic profile appears to influence the relationship between chronic pain and quality of life. Results from interventional studies were mixed.
CONCLUSIONS
Disparities exist within the treatment of chronic pain. Currently, it is unclear how to best combat these disparities. Further work is needed to understand why disparities exist and to identify points in patients' treatment when they are most vulnerable to unequal care. Such work will help guide the development and implementation of effective interventions.
目的
总结目前关于慢性疼痛治疗差异的文献。
方法
我们重点关注了在美国进行的、发表于 2000 年及以后的研究。纳入了横断面研究、纵向研究和干预性研究。
结果
对当前文献的回顾表明，非白种人种族与慢性疼痛治疗之间存在不利关联，这一关联得到了很好的支持。研究还表明，在慢性疼痛患者中长期监测阿片类药物滥用方面存在种族差异。此外，患者的社会人口统计学特征似乎影响了慢性疼痛与生活质量之间的关系。干预性研究的结果喜忧参半。
结论
在慢性疼痛的治疗中存在差异。目前，尚不清楚如何最好地解决这些差异。需要进一步的工作来了解为什么会存在差异，并确定患者在治疗过程中最容易受到不平等护理的时间点。这项工作将有助于指导有效的干预措施的制定和实施。
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