Association between chronic pain and dementia: a systematic review and meta-analysis.

IF 3.7 2区 社会学 Q1 GERONTOLOGY European Journal of Ageing Pub Date : 2024-05-22 DOI:10.1007/s10433-024-00812-2
Zhenzhi Wang, Zhen Sun, Hui Zheng
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Abstract

Purpose: Dementia and chronic pain (CP) are prevalent among older adults. However, no study has systematically reviewed the association between dementia and CP. Therefore, we performed this study to gather evidence about the potential relationship between the two.

Methods: Two authors independently searched PubMed, Embase, and Web of Science to identify all records published up to 1 September 2022 that explored the association between CP and dementia. The methodological quality of the studies was assessed using the Newcastle Ottawa Scale (NOS). A fixed or random-effects model was used to pool the risk estimates.

Results: Among the initial 3296 articles retrieved, 19 were included in the review (1 cross-sectional, and 18 cohort). The pooled result showed the risk of dementia was 1.42 times higher in CP patients (HR = 1.42, 95% CI 1.23-1.64, P < 0.001). dementia and CP subtypes, gender, and age did not significantly affect the results.

Conclusion: Our study shows that people who suffered from CP are at an increased risk of developing dementia, regardless of gender, age, and dementia and CP subtypes.

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慢性疼痛与痴呆症之间的关系:系统回顾与荟萃分析。
目的:痴呆症和慢性疼痛(CP)在老年人中普遍存在。然而,还没有研究系统地回顾了痴呆症与慢性疼痛之间的关系。因此,我们进行了这项研究,以收集有关两者之间潜在关系的证据:两位作者独立检索了 PubMed、Embase 和 Web of Science,以确定截至 2022 年 9 月 1 日发表的所有探讨 CP 与痴呆症之间关系的记录。研究的方法学质量采用纽卡斯尔渥太华量表(NOS)进行评估。采用固定或随机效应模型对风险估计值进行汇总:在最初检索到的 3296 篇文章中,有 19 篇(1 篇横断面研究,18 篇队列研究)被纳入综述。汇总结果显示,CP 患者患痴呆症的风险是普通人的 1.42 倍(HR = 1.42,95% CI 1.23-1.64,P 结论:我们的研究表明,CP 患者患痴呆症的风险是普通人的 1.42 倍:我们的研究表明,无论性别、年龄、痴呆症和 CP 亚型如何,CP 患者罹患痴呆症的风险都会增加。
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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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