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塑造老年慢性疼痛护理的未来:一份推动进步的研究议程。

Shaping the future of geriatric chronic pain care: a research agenda for progress.

作者信息

LaRowe Lisa R, Pham Tony, Szapary Claire, Vranceanu Ana-Maria

机构信息

Mongan Institute Center for Aging and Serious Illness, Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.

Department of Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Pain Manag. 2025 May;15(5):265-277. doi: 10.1080/17581869.2025.2493609. Epub 2025 Apr 17.

Abstract

Chronic pain is highly prevalent among older adults and its burden will become increasingly significant as our population ages. Yet, chronic pain is often undertreated in this vulnerable population due to various barriers in health care delivery. To improve geriatric chronic pain management, we assert that older adults require a dedicated research agenda designed to inform the development, testing, and implementation of chronic pain treatments that account for the unique vulnerabilities and healthcare needs of this population. Specifically, we propose that the following four areas of research require immediate attention to better serve older adults with chronic pain: (1) health equity, (2) substance use, (3) dyadic interventions, and (4) digital health. Our proposed research agenda aims to create a more robust and comprehensive body of evidence that will ultimately transform and advance geriatric chronic pain management.

摘要

慢性疼痛在老年人中非常普遍,随着人口老龄化,其负担将变得越来越显著。然而,由于医疗服务提供中的各种障碍,慢性疼痛在这一弱势群体中往往得不到充分治疗。为了改善老年慢性疼痛管理,我们认为老年人需要一个专门的研究议程,旨在为慢性疼痛治疗的开发、测试和实施提供信息,这些治疗要考虑到该人群独特的脆弱性和医疗需求。具体而言,我们建议立即关注以下四个研究领域,以便更好地为患有慢性疼痛的老年人服务:(1) 健康公平,(2) 物质使用,(3) 二元干预,以及 (4) 数字健康。我们提出的研究议程旨在创建一个更强大、更全面的证据体系,最终改变并推进老年慢性疼痛管理。

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Recent advances in the treatment of chronic pain and substance use disorders.慢性疼痛与物质使用障碍治疗的最新进展
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