Luca, MD, Miceli is with the Department of Pain Medicine, IRCCS CRO di Aviano, Aviano, Italy. Rym Bednarova, MD, is with the Department of Anaesthesia, Intensive Care and Pain Medicine, Hospital of Latisana, Latisana, Italy. Iliana Bednarova, MD, is with the Department of Radiology, ASUGI, Hospital of Gorizia-Monfalcone, Gorizia, Italy. Alessandro Rizzardo, MD, is with the Intensive Care Unit, Papa Giovanni XXIII Hospital, Monastier, Italy. Lorenzo Cobianchi, MD, PhD (Prof.), is with the Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy and Department of General Surgery, Foundation IRCCS San Matteo Hospital, Pavia, Italy. Francesca Dal Mas, MSc, JD, PhD, is with the Department of Management, Lincoln International Business School, University of Lincoln, Lincoln, UK and Ipazia, International Observatory on Gender Research, Rome, Italy. Helena Biancuzzi, JD, is with the Ipazia, International Observatory on Gender Research, Rome, Italy. Tiziana Bove, MD (Prof.), is with the Department of Anaesthesia, Intensive Care and Pain Medicine, University of Udine, Udine, Italy. Fabrizio Dal Moro, MD (Prof.), is with the Urology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy. Fabio Zattoni, MD, PhD, F.E.B.U., is with the Urology Unit, Department of Medicine, Udine University Hospital, Udine, Italy.
J Pain Palliat Care Pharmacother. 2021 Mar;35(1):23-30. doi: 10.1080/15360288.2021.1882640. Epub 2021 Feb 12.
Italy adopted a law on chronic pain in March 2010, which focused on detection and management of this symptom, that affects approximately 25% of the population. The aim of this study is to analyze the interest of the Italian population in palliative care and chronic pain and to understand whether the Law 38/2010 made an impact on the internet search on chronic pain. Five research parameters were included using Google Trends (chronic pain, anti-inflammatory drugs, opioids, fibromyalgia, medical cannabis) from 2004 to 2019 using "joint point regression analysis." Comparisons of annual relative search volume (ARSV), average annual percentage change (AAPC), and temporal patterns were analyzed to assess loss or gain of interest in research of all the terms after adopting Law 38/2010; collected data were analyzed using Kruskall-Wallis test. The research trend of almost every word increased in time (AAPC > 0) with significant inflexion points after issuing law on chronic pain management in March 2010. Our results suggest the relevance of internet search engines, like "Doctor Google," to translate and share knowledge about specific conditions, diseases, and treatment alternatives, with a call to a raise in authoritative scientific voices on the topic, especially when it comes to widespread conditions like chronic pains.
意大利于 2010 年 3 月通过了一项关于慢性疼痛的法律，该法律侧重于对这种影响约 25%人口的症状的检测和管理。本研究旨在分析意大利民众对姑息治疗和慢性疼痛的兴趣，并了解第 38/2010 号法律是否对慢性疼痛的互联网搜索产生了影响。使用 Google Trends（慢性疼痛、抗炎药、阿片类药物、纤维肌痛、医用大麻）从 2004 年到 2019 年，纳入了五个研究参数，使用“联合点回归分析”。采用 Kruskal-Wallis 检验分析了所有术语在 2010 年 3 月通过第 38/2010 号法律后，对所有术语的年度相对搜索量（ARSV）、平均年百分比变化（AAPC）和时间模式的比较，以评估对研究的兴趣的得失；收集的数据进行了分析。几乎每个词的研究趋势都随时间增加（AAPC>0），在 2010 年 3 月发布慢性疼痛管理法律后出现了明显的拐点。我们的结果表明，像“谷歌医生”这样的互联网搜索引擎对于翻译和共享特定条件、疾病和治疗替代方案的知识具有相关性，呼吁在这一主题上增加权威的科学声音，尤其是在涉及到慢性疼痛等广泛存在的疾病时。
