Prevalence and Characterization of Breakthrough Pain Associated with Chronic Low Back Pain in the South of Spain: A Cross-Sectional, Multicenter, Observational Study.

Q2 Medicine
Pain Research and Treatment Pub Date : 2018-04-23 eCollection Date: 2018-01-01 DOI:10.1155/2018/4325271
Luis Miguel Torres, Antonio Javier Jiménez, Ana Cabezón, Manuel Jesús Rodríguez
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引用次数: 0

Abstract

Chronic low back pain (CLBP) is highly prevalent in industrialized countries, where it is one of the main causes of disability. Patients with CLBP in treatment with opioids often experience episodes of breakthrough pain (BTP), but data on prevalence and treatment preferences are scarce. The objectives of this study were, first, the evaluation of the prevalence of BTP in patients with CLBP in the South of Spain (N = 1,868) and, second, the characterization of BTP in these patients (N = 295). Data was collected on presence of BTP, type and location of pain, treatment, compliance, and patient satisfaction. We found a prevalence of BTP in patients with CLBP of 37.5% (95% CI: 35.3%-39.7%), similar in men and women. 75% of the patients were older than 50 years. The preferred drug of patients who control BTP with opioids is fentanyl (78.3%) and its most common form of administration is nasal (53.2%). Therapeutic compliance was high and 46.3% of patients considered the control of their BTP very satisfactory. Our study showed that BTP is common in patients with CLBP and that current treatments seem adequate.

西班牙南部与慢性腰痛相关的突破性疼痛的患病率和特征:一项横断面、多中心、观察性研究。
慢性腰痛(CLBP)在工业化国家非常普遍,是致残的主要原因之一。使用阿片类药物治疗的CLBP患者经常经历突破性疼痛(BTP)发作,但关于患病率和治疗偏好的数据很少。本研究的目的首先是评估西班牙南部CLBP患者中BTP的患病率(N = 1868),其次是这些患者中BTP的特征(N = 295)。收集BTP的存在,疼痛的类型和位置,治疗,依从性和患者满意度的数据。我们发现BTP在CLBP患者中的患病率为37.5% (95% CI: 35.3%-39.7%),男性和女性相似。75%的患者年龄在50岁以上。用阿片类药物控制BTP的患者首选芬太尼(78.3%),最常见的给药方式是鼻腔给药(53.2%)。治疗依从性高,46.3%的患者认为BTP控制非常满意。我们的研究表明BTP在CLBP患者中很常见,目前的治疗似乎是足够的。
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 Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
自引率
0.00%
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0
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