複合性局所疼痛症候群の生活の質


オランダの6つの異なるクリニックの975人の CRPS患者の健康に関連した生活の質(health related quality of life:QoL) を調べる。独立した指標としてQoLを SF-36の the mental health summary score (MHS) およびphysical health summary score (PHS)で評価。性別, 罹患した肢, 罹病期間, 痛み点数, CRPSの程度および診断基準の影響を調べた。上肢を罹患した患者と比較して下肢を罹患したCRPS患者は結果が悪く、SF-36の身体領域のQoL の点数が低い.性別のQoLへの影響はなく、罹病期間、やCRPSのseverity scoreのQoLへの影響は弱い。痛みはQoLへ中等度関連する。さらに, より厳しい診断基準(たとえばthe Budapest criteria)を満たす患者はそれほど厳しくない基準(例えば the Orlando criteria)を満たす患者よりも QoL点数が低い. CRPS患者のQoLの低下は主に身体の健康の低下である。過去のデータと比較すると、CRPS患者は他の慢性痛 患者と比べるとQoL、特に身体領域が悪い。
Pain. 2013 Dec 13. pii: S0304-3959(13)00665-9. doi: 10.1016/j.pain.2013.12.017. [Epub ahead of print]
Health-related quality of life in 975 patients with Complex Regional Pain Syndrome type 1
van Velzen GA1, Perez RS2, van Gestel MA3, Huygen FJ4, Kleef MV5, Eijs FV6, Dahan A7, van Hilten JJ8, Marinus J8.
Author information
1Department of Neurology, Leiden University Medical Centre, Leiden, The Netherlands; Knowledge consortium TREND, Leiden, The Netherlands. Electronic address: g.a.j.van_velzen@lumc.nl
2Knowledge consortium TREND, Leiden, The Netherlands; Department of Anaesthesiology, VU University Medical Centre, Amsterdam, The Netherlands; Institute for Extramural Medicine (EMGO), Amsterdam, The Netherlands.
3Knowledge consortium TREND, Leiden, The Netherlands; Department of Medical Statistics and BioInformatics, Leiden University Medical Centre, Leiden, The Netherlands.
4Knowledge consortium TREND, Leiden, The Netherlands; Department of Anaesthesiology, Erasmus Medical Center, Rotterdam, The Netherlands.
5Knowledge consortium TREND, Leiden, The Netherlands; Department of Anaesthesiology, Maastricht University Medical Center, Maastricht, The Netherlands.
6Knowledge consortium TREND, Leiden, The Netherlands; Department of Anaesthesiology, Sint Elisabeth Hospital, Tilburg, The Netherlands.
7Knowledge consortium TREND, Leiden, The Netherlands; Department of Anaesthesiology, Leiden University Medical Center, Leiden, The Netherlands.
8Department of Neurology, Leiden University Medical Centre, Leiden, The Netherlands; Knowledge consortium TREND, Leiden, The Netherlands.
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by fibromyalgia11 | 2013-12-23 19:53 | 複合性局所疼痛症候群
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世界標準の線維筋痛症を専門家が説明します


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