Frølund F, Frølund C
Scand J Prim Health Care. 1986 May;4(2):97-100. doi: 10.3109/02813438609014810.
In 1983 26 general practitioners in a Danish provincial town made a week's survey of pain as the main cause of patient-doctor contact during the day time. The population served was 45 000-50 000 persons of all ages. Coexistent pain which was not the cause of actual contact was not recorded. Out of 2 886 contacts of all causes 641 were due to pain (22% or 222/1 000 contacts). Percentages for acute and chronic pain were 61 and 39 respectively. The commonest causes of pain were musculo-skeletal (50%), visceral including cardio-vascular (20%), infectious (15%), and headaches (8%). The overall female: male ratio was 1.5: 1, but with considerable variation within the different pain categories. The ratios for acute and chronic pain were 1.4: 1 and 1.8: 1 respectively. About one hundred contacts were recorded as "problem cases" whose predominant complaints were low back pain, headaches, and visceral pain. Pain--especially chronic pain with a non-malignant cause--is a major problem in general practice. Essentially, pain is a primary health care problem and research in this field should be encouraged.
1983年，丹麦一个省城的26名全科医生对疼痛进行了为期一周的调查，疼痛是白天患者与医生接触的主要原因。所服务的人口为45000 - 50000名各年龄段的人。未记录并非实际接触原因的并存疼痛。在所有原因导致的2886次接触中，641次是由疼痛引起的（占22%，即每1000次接触中有222次）。急性疼痛和慢性疼痛的比例分别为61%和39%。疼痛最常见的原因是肌肉骨骼问题（50%）、包括心血管问题在内的内脏问题（20%）、感染（15%）和头痛（8%）。总体男女比例为1.5:1，但在不同疼痛类别中存在相当大的差异。急性疼痛和慢性疼痛的比例分别为1.4:1和1.8:1。约有100次接触被记录为“问题病例”，其主要症状是腰痛、头痛和内脏疼痛。疼痛——尤其是非恶性原因引起的慢性疼痛——是全科医疗中的一个主要问题。从本质上讲，疼痛是一个初级卫生保健问题，应该鼓励在这一领域开展研究。
