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

BackgroundThe purpose of this study was to investigate the prevalence of four types of chronic pain (headache, abdominal pain, neck and shoulder pain (NSP), and low back pain (LBP)) and to explore the relationship between the prevalence of chronic pain and self-reported academic pressure in high school students in Shanghai, China.MethodThree thousand students were randomly surveyed on related issues using a questionnaire, and the results were analyzed using a multivariate logistic regression model.ResultsAmong the 2849 high school students who completed the questionnaire, the overall prevalence rates of headache, abdominal pain, NSP, and LBP were 30.3, 20.9, 32.8, and 41.1 %, respectively. The students in general experienced a heavy burden of learning, a high level of stress, and sleep deprivation, which were closely related to the four types of chronic pain.ConclusionChronic pain is a common condition in Chinese adolescents and is closely related to self-reported academic pressure.

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Repetitive transcranial magnetic stimulation in chronic pain: A meta-analysis

Goudra

Shah

Balu

et al. 2017

Anesth Essays Res

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Background:In this meta-analysis, we explore the role of repetitive transcranial magnetic stimulation (rTMS), a noninvasive neuromodulation technique in the treatment of chronic pain.Methods:Studies comparing rTMS and conventional treatment for chronic pain were searched. The comparison was made for decrease in the pain scores with and without (sham) the use of rTMS after a follow-up interval of 4–8 weeks. All reported pain scores were converted into a common scale ranging from “0” (no pain) to “10” (worst pain).Results:Nine trials with 183 patients in each of the groups were included in the analysis. The decrease in pain scores with rTMS was 1.12 (95% confidence interval [CI] being 1.46–0.78) (fixed effects, I2 = 0%, P < 0.001) and in sham-rTMS was 0.28 (95% CI being 0.49–0.07) (Fixed effects, I2 = 0, P = 0.01). The pooled mean drop in pain scores with rTMS therapy was higher by 0.79 (95% CI being 0.26–1.33) (fixed effects, I2 = 0, P < 0.01). The duration and frequency of rTMS were highly variable across trials. Publication bias was unlikely (Egger's test, X-intercept = 0.13, P = 0.75).Conclusions:Use of rTMS improves the efficacy of conventional medical treatment in chronic pain patients. This treatment is not associated with any direct adverse effects. However, the duration and frequency of rTMS therapy is presently highly variable and needs standardization.

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

Abstract: I l dolore cronico rappresenta un problema per la salute pubblica ancora oggi sottostimato, che genera un peggioramento della qualità di vita dei soggetti che ne sono affetti ed un conseguente uso dei servizi sanitari

Cited by 3 publications

References 20 publications

Der chronische Augenschmerz

Der chronische Augenschmerz

A cross sectional study between the prevalence of chronic pain and academic pressure in adolescents in China (Shanghai)

Repetitive transcranial magnetic stimulation in chronic pain: A meta-analysis

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