The prevalence of chronic pain in children and adolescents: a systematic review update and meta-analysis.

IF 5.9 1区医学 Q1 ANESTHESIOLOGY

PAIN® Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI:10.1097/j.pain.0000000000003267

Christine T Chambers, Justine Dol, Perri R Tutelman, Charlotte L Langley, Jennifer A Parker, Brittany T Cormier, Gary J Macfarlane, Gareth T Jones, Darlene Chapman, Nicole Proudfoot, Amy Grant, Justina Marianayagam

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引用次数: 0

Abstract

Abstract: Chronic pain, defined as persistent or recurring pain or pain lasting longer than 3 months, is a common childhood problem. The objective of this study was to conduct an updated systematic review and meta-analysis on the prevalence of chronic pain (ie, overall, headache, abdominal pain, back pain, musculoskeletal pain, multisite/general pain, and other) in children and adolescents. EMBASE, PubMed, CINAHL, and PsycINFO were searched for publications between January 1, 2009, and June 30, 2023. Studies reporting population-based estimates of chronic nondisease related pain prevalence in children or adolescents (age ≤ 19 years) were included. Two independent reviewers screened articles based on a priori protocol. One hundred nineteen studies with a total of 1,043,878 children (52.0% female, mean age 13.4 years [SD 2.4]) were included. Seventy different countries were represented, with the highest number of data points of prevalence estimates coming from Finland and Germany (n = 19 each, 4.3%). The overall prevalence of chronic pain in children and adolescents was 20.8%, with the highest prevalence for headache and musculoskeletal pain (25.7%). Overall, and for all types of pain except for back pain and musculoskeletal pain, there were significant differences in the prevalence between boys and girls, with girls having a higher prevalence of pain. There was high heterogeneity (I 2 99.9%). Overall risk of bias was low to moderate. In summary, approximately 1 in 5 children and adolescents experience chronic pain and prevalence varies by pain type; for most types, there is higher pain prevalence among girls than among boys. Findings echo and expand upon the systematic review conducted in 2011.

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儿童和青少年慢性疼痛的患病率：系统回顾更新和荟萃分析。

摘要：慢性疼痛是一种常见的儿童问题，其定义为持续或反复发作的疼痛或疼痛持续时间超过 3 个月。本研究旨在对儿童和青少年慢性疼痛（即总体疼痛、头痛、腹痛、背痛、肌肉骨骼疼痛、多部位/全身疼痛及其他疼痛）的患病率进行最新的系统综述和荟萃分析。在 EMBASE、PubMed、CINAHL 和 PsycINFO 中检索了 2009 年 1 月 1 日至 2023 年 6 月 30 日期间的出版物。纳入的研究报告以人群为基础，估计了儿童或青少年（年龄小于 19 岁）的慢性非疾病相关疼痛患病率。两名独立审稿人根据事先制定的方案对文章进行筛选。共纳入了 119 项研究，涉及 1,043,878 名儿童（52.0% 为女性，平均年龄为 13.4 岁 [SD 2.4]）。研究涉及 70 个不同国家，其中芬兰和德国的患病率估计数据点数量最多（各为 19 个，占 4.3%）。儿童和青少年慢性疼痛的总体患病率为 20.8%，其中头痛和肌肉骨骼疼痛的患病率最高（25.7%）。总体而言，除背痛和肌肉骨骼疼痛外，所有类型的疼痛在男孩和女孩之间的患病率存在显著差异，女孩的患病率更高。异质性很高（I 2 99.9%）。总体偏倚风险为低至中度。总之，大约每 5 名儿童和青少年中就有 1 人患有慢性疼痛，不同疼痛类型的患病率不同；就大多数疼痛类型而言，女孩的患病率高于男孩。研究结果与 2011 年进行的系统综述相呼应，并有所扩展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PAIN® 医学-临床神经学

CiteScore

12.50

自引率

8.10%

发文量

242

审稿时长

9 months

期刊介绍： PAIN® is the official publication of the International Association for the Study of Pain and publishes original research on the nature,mechanisms and treatment of pain.PAIN® provides a forum for the dissemination of research in the basic and clinical sciences of multidisciplinary interest.