预测慢性疼痛管理干预结果的因素。

IF 10
BMJ medicine Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI:10.1136/bmjmed-2024-001143
Steven P Cohen, Eric J Wang, Alexandra Roybal, Yian Chen
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引用次数: 0

摘要

慢性疼痛是世界范围内因残疾而损失年数的主要原因,影响着20-34%的世界人口。慢性疼痛是越来越多的侵入性和昂贵治疗的目标,有不同程度的证据支持。在个性化医疗(部分是由人工智能的发展推动的)蓬勃发展之际,有必要对影响手术干预疼痛结果的因素进行范围审查。范围审查很重要,因为最常用的治疗方法的安慰剂对照试验始终显示出小到中等的效应大小
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Factors predicting outcomes from chronic pain management interventions.

Factors predicting outcomes from chronic pain management interventions.

Chronic pain is the leading cause of years lost to disability worldwide, by a large margin, affecting 20-34% of the world's population. Chronic pain is the target for an increasing number of invasive and expensive treatments, supported by different levels of evidence. At a time when personalised medicine, driven in part by the growth of artificial intelligence, is surging, a scoping review on the factors that affect pain outcomes for procedural interventions is needed. A scoping review is important because placebo controlled trials for the most commonly used treatments consistently show small-to-moderate effect sizes of <0.5 that are often overshadowed by the placebo effect. In this article, personal characteristics, and social and clinical factors that influence surgical and non-surgical procedure pain and functional outcomes are reviewed, their intersectionality is briefly explored, and the evidence base for how dealing with these factors can influence outcomes is outlined.

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