School of Health and Social Wellbeing, University of the West of England, Bristol, UK.
Solent NHS Podiatry, Solent NHS Trust, Southampton, UK.
J Racial Ethn Health Disparities. 2024 Dec;11(6):3498-3508. doi: 10.1007/s40615-023-01803-2. Epub 2023 Oct 16.
Chronic pain services in the UK are required to provide services which meet the diverse needs of patients, but little is known about the access and use of these services by minority ethnic groups.
To assess the available evidence regarding the ethnic profile of adults who access secondary and tertiary chronic pain services in the UK.
A scoping review was conducted (August 2021-October 2021), comprising comprehensive literature searches using Embase, Medline and CINAHL databases and the grey literature. Studies were included if they reported on (i) access to chronic pain services in secondary and/or tertiary care in the UK, (ii) adults and (iii) stated the ethnicity of the involved participants. Studies were included if published between 2004 and 2021, as demographic data during this period would be broadly representative of the UK population, as per the 2021 UK census. A descriptive synthesis of the extracted data was performed.
The search yielded 124 records after duplicates were removed. Following title and abstract screening, 44 full texts were screened, ten of which were included in the review.
This is the first review to explore access to chronic pain services for adults from minority ethnic groups in the UK. Given the limited number of studies that met the inclusion criteria, the review highlights the need for routine collection of ethnicity data using consistent ethnic categories within UK chronic pain services and increased involvement of minority ethnic groups within chronic pain research. Findings should inform future research that aims to improve access to UK chronic pain services for adults from minority ethnic groups.
英国的慢性疼痛服务需要提供满足患者多样化需求的服务，但对于少数族裔群体使用这些服务的情况知之甚少。
评估英国二级和三级慢性疼痛服务中成年人的种族分布情况的现有证据。
进行了一次范围界定审查（2021 年 8 月至 10 月），包括使用 Embase、Medline 和 CINAHL 数据库以及灰色文献进行全面文献检索。如果研究报告了（i）在英国二级和/或三级护理中接受慢性疼痛服务的情况，（ii）成年人，以及（iii）涉及参与者的种族，则将其纳入研究。如果研究发表于 2004 年至 2021 年之间，由于在此期间的人口数据将广泛代表英国人口，与 2021 年英国人口普查一致，因此将其纳入研究。对提取的数据进行描述性综合。
在去除重复项后，搜索共产生 124 条记录。经过标题和摘要筛选后，对 44 篇全文进行了筛选，其中 10 篇被纳入综述。
这是第一项探索英国少数族裔成年人获得慢性疼痛服务的途径的综述。鉴于符合纳入标准的研究数量有限，该综述强调了在英国慢性疼痛服务中使用一致的种族类别常规收集种族数据的必要性，并增加了少数族裔群体在慢性疼痛研究中的参与度。研究结果应告知旨在改善英国少数族裔成年人获得慢性疼痛服务的未来研究。
