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年轻人慢性疼痛的患病率:系统评价和荟萃分析。

The prevalence of chronic pain in young adults: a systematic review and meta-analysis.

机构信息

Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States.

Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, United States.

出版信息

Pain. 2022 Sep 1;163(9):e972-e984. doi: 10.1097/j.pain.0000000000002541. Epub 2021 Nov 22.

Abstract

Previous systematic reviews have summarized the prevalence and impact of chronic pain in "average" pediatric (ie, school-age children) and adult (ie, middle-aged individuals) age groups. To the best of our knowledge, this is the first study to describe the prevalence of chronic pain in the subgroup of individuals who fall in between established boundaries of "childhood" and "adulthood"-known as young adulthood. The goal of this research was to meta-analyze prevalence data on pain in young adults based on available data published between 2008 and 2020. Searches were identified with MEDLINE, Embase, and PsycINFO. We included general population and university-based studies presenting prevalence estimates of chronic pain (pain lasting ≥3 months) in young adults. We identified 43 articles providing prevalence estimates across a combined population of 97,437 young adult respondents (age range: 15-34 years), with studies undertaken in 22 countries. Available data allowed for stratification of prevalence according to pain condition. The overall pooled random-effect prevalence rate of chronic pain in young adults was 11.6%, suggesting that 1 in every 9 young adults experience chronic pain worldwide. Prevalence rates varied considerably according to pain condition. Estimates did not vary according to sex, geographic location, and several study methodological characteristics (ie, population type, sampling area, sampling year, investigation period, and assessment method). Overall, young adult chronic pain is common and should be recognized as a major public health concern. Considering the difficulties young adults face accessing adult health care, greater attention is needed to develop transition programs and evidence-based treatments tailored to the unique needs of this age group.

摘要

先前的系统综述总结了“普通”儿科(即学龄儿童)和成人(即中年个体)年龄段慢性疼痛的患病率和影响。据我们所知,这是第一项描述处于“儿童”和“成人”既定界限之间的亚组人群(即青年成年人)慢性疼痛患病率的研究。本研究的目的是基于 2008 年至 2020 年期间发表的现有数据,对青年成年人疼痛的患病率数据进行荟萃分析。检索了 MEDLINE、Embase 和 PsycINFO。我们纳入了呈现青年成年人慢性疼痛(疼痛持续时间≥3 个月)患病率估计值的一般人群和基于大学的研究。我们确定了 43 篇文章,这些文章提供了在 97437 名青年成年人应答者(年龄范围:15-34 岁)的综合人群中进行的研究,这些研究在 22 个国家进行。可用数据允许根据疼痛状况对患病率进行分层。青年成年人慢性疼痛的总体随机效应患病率为 11.6%,这表明全世界每 9 名青年成年人中就有 1 人患有慢性疼痛。患病率根据疼痛状况而有很大差异。估计值不根据性别、地理位置和一些研究方法学特征(即人群类型、抽样区域、抽样年份、调查期间和评估方法)而变化。总体而言,青年成年人慢性疼痛很常见,应被视为一个主要的公共卫生问题。鉴于青年成年人在获得成人保健方面面临困难,需要更加关注制定针对该年龄组独特需求的过渡方案和基于证据的治疗方法。

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