La Prevalenza del Dolore Cronico Non Oncologico nell’Adulto e Patologie Associate: una revisione narrativa della letteratura

Roberto Latina, Julita Sansoni, Daniela D'Angelo, Ettore Di Biagio, Maria Grazia De Marinis, Gianfranco Tarsitani

Abstract

Il dolore cronico non oncologico rappresenta un problema sanitario sottostimato dal punto di vista epidemiologico ed in termini di salute pubblica. Esso è una malattia in senso stretto, e rappresenta una delle maggiori motivazioni per cui i soggetti si rivolgono ai servizi sanitari. La grandezza del fenomeno si esprime in termini di sofferenza umana e di costi sociali. L’obiettivo di questa revisione è quello di identificare le cause e la prevalenza del dolore cronico non oncologico nei soggetti adulti. E’ stata realizzata una revisione della letteratura dal 1998 al 2012 utilizzando le emeroteche virtuali partendo dalle banche dati (Pub-Med, CINHAL, Cochrane). È stata effettuata una revisione narrativa degli articoli ottenuti. Sono stati esclusi articoli riguardanti cefalee, fasce di età pediatriche e geriatriche, oncologici e articoli specifici per patologia. Gli studi ottenuti sono stati classificati per anno, autore campione, metodi, fasce di età e definizione di dolore. Sono stati selezionati 7 articoli. Questi studi epidemiologici, realizzati in diverse parti del mondo, riportano un tasso di prevalenza relativo al dolore cronico tra il 16-53%. Emerge una elevata eterogeneità di risultati relativi alle diagnosi e metodi. Seppure limitato il numero degli articoli, emerge una elevata complessità del fenomeno.

Parole chiave: Dolore Cronico, Prevalenza, Epidemiologia

ABSTRACT

Accessori unisex Converse rosa per Calzature amp; The chronic nonmalignant pain is an underestimated epidemiologic health problem. It is a disease in its own right. It is one of the major reasons because patients use health service. The magnitude of chronic pain is in terms of human suffering and costs to society. The aim of this review is to identify the diagnosis and the prevalence of nonmalignant chronic pain in the adults. We have done a review of the literature from 1998 to 2012 using the virtual newspaper libraries starting from data bases (Pub-Med, CINAHL, Cochrane). We have made a narrative review of the articles obtained. Excluding topics of headache, pain for pediatric and geriatric groups, cancer pain and disease-specific items. Studies were classified for year, author sample, methods, age groups and definition of pain. We have obtained 7 articles. These epidemiological studies conducted in different part of the world, reported prevalence rates of chronic pain ranging from 16-53%. They shows a high heterogeneity of results concerning diagnosis and methods. Although limited the number of articles, show the high complexity of the phenomenon.

unisex Converse Accessori rosa per amp; Calzature Key Words: Chronic Pain, Prevalence, Epidemiology. 

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