Evidence for Cognitive Decline in Chronic Pain: A Systematic Review and Meta-Analysis
| Autor: | Hai Chen, Tao Zhu, Changteng Zhang, Xueying Zhang, Qi Zhao, Chan Chen, Rui Gao, Ruiqun Wang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
neuropathology
Repeatable Battery for the Assessment of Neuropsychological Status medicine.medical_specialty business.industry General Neuroscience Montreal Cognitive Assessment Neurosciences. Biological psychiatry. Neuropsychiatry Cognition Odds ratio Cochrane Library cognitive decline memory Strictly standardized mean difference Meta-analysis Physical therapy medicine Systematic Review Cognitive decline chronic pain business RC321-571 Neuroscience dementia |
| Zdroj: | Frontiers in Neuroscience Frontiers in Neuroscience, Vol 15 (2021) |
| ISSN: | 1662-453X |
| Popis: | Background: People with chronic pain (CP) sometimes report impaired cognitive function, including a deficit of attention, memory, executive planning, and information processing. However, the association between CP and cognitive decline was still not clear. Our study aimed to assess the association of CP as a risk factor with cognitive decline among adults.Methods: We included data from clinical studies. Publications were identified using a systematic search strategy from PubMed, Embase, and Cochrane Library databases from inception to October 10, 2020. We used the mean cognitive outcome data and the standard deviations from each group. The standardized mean difference (SMD) or odds ratio (OR), and 95% confidence intervals (CI) were performed for each cognitive decline outcome. I2-values were assessed to quantify the heterogeneities.Results: We included 37 studies with a total of 52,373 patients with CP and 80,434 healthy control participants. Because these studies used different evaluative methods, we analyzed these studies. The results showed CP was associated with cognitive decline when the short-form 36 health survey questionnaire (SF-36) mental component summary (SMD = −1.50, 95% CI = −2.19 to −0.81), the Montreal cognitive assessment (SMD = −1.11, 95% CI = −1.60 to −0.61), performance validity testing (SMD = 3.05, 95% CI = 1.74 to 4.37), or operation span (SMD = −1.83, 95% CI = −2.98 to −0.68) were used. However, we got opposite results when the studies using International Classification of Diseases and Related Health Problems classification (OR = 1.58, 95% CI = 0.97 to 2.56), the Mini-Mental State Examination (SMD = −0.42, 95% CI = −0.94 to 0.10; OR = 1.14, 95% CI = 0.91 to 1.42), and Repeatable Battery for the Assessment of Neuropsychological Status memory component (SMD = −0.06, 95% CI = −0.37 to 0.25).Conclusion: There may be an association between CP and the incidence of cognitive decline when some cognitive, evaluative methods were used, such as short-form 36 health survey questionnaire, Montreal cognitive assessment, performance validity testing, and operation span. |
| Databáze: | OpenAIRE |
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