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Epidemiology of Neuropathic Pain: what do we really know?

机译:神经病疼痛的流行病学:我们真正知道什么?

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Epidemiology is an important clinical tool in designing and evaluating management and prevention strategies, and is particularly relevant to neuropathic pain. However, there is a relative lack of accurate information available, for several good reasons. In one sense, neuropathic pain describes a symptom or a mechanism, rather than a specific disease. On the other hand, there are sufficient similarities in the effects and response to treatment between different causes to make it worthwhile considering neuropathic pain as a distinct condition. There are, however, important specific disease-based factors that need to be considered separately. Estimates of prevalence that are based on specific causes of neuropathic pain tend to be lower (1% to 2%) than those that are based on reports of the classic symptoms (6% to 8%), and further methodological research is needed. All neuropathic pain is associated with poor general health, comparable with other severe chronic diseases. The importance of newly proposed risk factors, including genetic factors, is still to be assessed at a population level.
机译:流行病学是设计和评估管理和预防策略的重要临床工具,与神经性疼痛特别相关。但是,出于多种原因,存在相对缺乏准确的信息。从一种意义上讲,神经性疼痛描述了症状或机制,而不是特定疾病。另一方面,在不同原因之间的效果和响应中存在足够的相似之处,使其在考虑神经性疼痛作为明显的条件的情况下使其有价值。然而,需要单独考虑的重要特异性疾病的因素。基于神经病疼痛的特定原因的患病率倾向于降低(1%至2%),而不是基于经典症状的报告(6%至8%),并且需要进一步的方法学研究。所有神经性疼痛都与差的普通健康有关,与其他严重的慢性疾病相比。新提出的危险因素(包括遗传因素)的重要性仍然是在人口层面进行评估。

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