Schmerz最新文献_第4页

Mitteilungen der Österreichischen Schmerzgesellschaft.

IF 1.1 4区医学

Schmerz Pub Date : 2025-02-01 DOI: 10.1007/s00482-025-00866-w

引用次数: 0

[Is health care research in an ivory tower?] [医疗保健研究是在象牙塔里吗？］

IF 1.1 4区医学

Schmerz Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.1007/s00482-024-00841-x

Ursula Marschall

引用次数: 0

[Health services research in acute pain medicine : Where do we come from in Germany?] [急性疼痛医学的医疗服务研究：我们从德国哪里来？］

IF 1.1 4区医学

Schmerz Pub Date : 2025-02-01 Epub Date: 2024-11-06 DOI: 10.1007/s00482-024-00845-7

Nadja Nestler, Christoph Maier, Jürgen Osterbrink

{"title":"[Health services research in acute pain medicine : Where do we come from in Germany?]","authors":"Nadja Nestler, Christoph Maier, Jürgen Osterbrink","doi":"10.1007/s00482-024-00845-7","DOIUrl":"10.1007/s00482-024-00845-7","url":null,"abstract":"Background: Up to the early 2000s the need for optimization in the treatment of acute pain in hospitals was highlighted. Only a few successes were achieved in the optimization process. As the acute pain care in Germany remained persistently unsatisfactory, the first health services research projects in pain medicine were initiated. These were intended to achieve improvements in patient care.Aim: To illustrate the beginnings of health services research in the field of pain medicine in Germany the research projects \"Pain-free hospital\" and \"Action alliance pain-free City of Münster\" as well as the certification initiative Certkom are described.Material and methods: An analysis of the current state of pain care for patients and interdisciplinary pain management, the derivation of optimization measures, their implementation and subsequent evaluation were carried out in all the projects presented in the sense of a complex intervention.Results: All the projects could achieve improvements in patient care through a systematic survey of the current situation, targeted planning and the introduction of optimization measures. Corresponding evaluations could demonstrate these results.Conclusion: The systematic approach in the projects with the collation of scientific data in real-life care has achieved optimization in acute pain management. The foundations were laid for further healthcare research in pain treatment in Germany; however, the projects also revealed limitations in the inclusion of vulnerable patient groups.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"14-22"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Der Schmerz dankt den Gutachterinnen und Gutachtern 2024. “2018年世界职业棒球大赛评委名单”。

IF 1.1 4区医学

Schmerz Pub Date : 2025-02-01 DOI: 10.1007/s00482-024-00862-6

引用次数: 0

[Better understanding of neuropathic pain in multiple sclerosis and cancer]. [更好地理解多发性硬化症和癌症中的神经性疼痛]。

IF 1.1 4区医学

Schmerz Pub Date : 2025-02-01 Epub Date: 2025-01-03 DOI: 10.1007/s00482-024-00861-7

Miriam Sonnet

引用次数: 0

[The Cluster Headache Impact Questionnaire : Measuring headache-related impairment in cluster headache patients].

IF 1.1 4区医学

Schmerz Pub Date : 2025-01-23 DOI: 10.1007/s00482-024-00859-1

Katharina Kamm, Andreas Straube, Ruth Ruscheweyh

{"title":"[The Cluster Headache Impact Questionnaire : Measuring headache-related impairment in cluster headache patients].","authors":"Katharina Kamm, Andreas Straube, Ruth Ruscheweyh","doi":"10.1007/s00482-024-00859-1","DOIUrl":"https://doi.org/10.1007/s00482-024-00859-1","url":null,"abstract":"Cluster headache is a severe primary headache disorder, which can be associated with a substantial impairment for sufferers. The Cluster Headache Impact Questionnaire (CHIQ) is a short questionnaire for measuring the cluster headache-specific impairment. A 5-stage severity grading from \"no to low impairment\" to \"'extreme impairment\" was established based on the results of an English-speaking patient collective. The present article tested whether the severity classification can be transferred to a German patient group. Data from 196 patients with episodic and chronic cluster headache were examined during an active episode. The severity grading classification of the CHIQ also showed clinically relevant results in the German collective, i.e., the five degrees of severity showed significant differences with respect to attack frequency, intake of acute medication and unspecific headache-related impairment (HIT-6) and quality of life (SF-12v2). Interestingly, 32 out of 52 patients with episodic cluster headache outside the active epísode suffered an impairment above the lowest severity grade, i.e., at least a moderate impairment. In conclusion, the CHIQ provides a short instrument to document the current impairment in cluster headache patients. The severity grading classification presented here facilitates the clinical interpretation.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How does an intervention work?-English Version : Development of an effect model for a complex intervention to prevent recurring or persistent pain using the example of PAIN 2.0. 干预是如何起作用的？-英文版本：以pain2.0为例，开发一个复杂干预措施的效果模型，以防止复发或持续疼痛。

IF 1.1 4区医学

Schmerz Pub Date : 2025-01-21 DOI: 10.1007/s00482-024-00860-8

Ulrike Kaiser, Leonie Schouten, Greta Hoffmann, Anke Preißler, Franziska Adler, Louise Zinndorf, Anne Kästner, Beatrice Metz-Oster, Enya Höffner, Gabriele Lindena, Thomas Kohlmann, Sandra Meyer-Moock, Daniel Szczotkowski, Christian Geber, Frank Petzke, Lena Milch, Anne Gärtner

{"title":"How does an intervention work?-English Version : Development of an effect model for a complex intervention to prevent recurring or persistent pain using the example of PAIN 2.0.","authors":"Ulrike Kaiser, Leonie Schouten, Greta Hoffmann, Anke Preißler, Franziska Adler, Louise Zinndorf, Anne Kästner, Beatrice Metz-Oster, Enya Höffner, Gabriele Lindena, Thomas Kohlmann, Sandra Meyer-Moock, Daniel Szczotkowski, Christian Geber, Frank Petzke, Lena Milch, Anne Gärtner","doi":"10.1007/s00482-024-00860-8","DOIUrl":"https://doi.org/10.1007/s00482-024-00860-8","url":null,"abstract":"In addition to the usual evaluation approach (usually a clinical randomized trial in the sense of the question: does an intervention work), complex interventions require further systematic investigations to prove their effectiveness. The role of the context in which the intervention is delivered is essential here, as is consideration of the question of why an intervention works (or does not work). Detailed recommendations exist for the planning and implementation of effectiveness studies on complex interventions, to which interdisciplinary multimodal pain therapy undoubtedly belongs. In an effectiveness model, concrete, verifiable assumptions are formulated as to how an intervention produces changes that are reflected in the endpoint. This article provides a brief introduction to methodological approaches to effectiveness research on complex interventions and uses the PAIN 2.0 project (01NVF20023) to describe in concrete terms what an effectiveness model for interdisciplinary multimodal pain therapy for the prevention of chronic pain in an outpatient setting might look like.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Biomarkers in complex regional pain syndrome]. [复杂局部疼痛综合征的生物标志物]。

IF 1.1 4区医学

Schmerz Pub Date : 2025-01-20 DOI: 10.1007/s00482-024-00856-4

Michael Alexander Harnik, Gudrun Kindl, Frank Birklein, Heike L Rittner

引用次数: 0

Erratum zu: Ganglionäre Opioidanalgesie (GLOA) mit Sufentanil? “神经节性阿片痛觉（GLOA）与苏芬太尼？”

IF 1.1 4区医学

Schmerz Pub Date : 2025-01-09 DOI: 10.1007/s00482-024-00863-5

Helmut Gockel, Philipp Stude, Christoph Maier

引用次数: 0

[Opioid prescriptions for insured individuals without cancer in Germany: data from the BARMER]. [德国无癌症保险个人的阿片类药物处方：来自BARMER的数据]。

IF 1.1 4区医学

Schmerz Pub Date : 2024-12-05 DOI: 10.1007/s00482-024-00852-8

Veronika Lappe, Daniel Grandt, Ursula Marschall, Frank Petzke, Winfried Häuser, Ingrid Schubert

{"title":"[Opioid prescriptions for insured individuals without cancer in Germany: data from the BARMER].","authors":"Veronika Lappe, Daniel Grandt, Ursula Marschall, Frank Petzke, Winfried Häuser, Ingrid Schubert","doi":"10.1007/s00482-024-00852-8","DOIUrl":"https://doi.org/10.1007/s00482-024-00852-8","url":null,"abstract":"Background: The importance of opioids in the treatment of non-cancer pain is under debate. No current data are available from Germany on the prevalence of opioid treatment for non-cancer pain.Aim of the study: Data on the prevalence of short- and long-term opioid prescriptions for patients without cancer, prescribed agents, co-medication, specialty of prescribing physicians, demographic and clinical characteristics of patients.Materials and methods: Retrospective analysis of billing data of adult BARMER-insured persons without evidence of cancer (N = 6,771,075) in 2021 and for patients initiating opioid therapy in 2019 (n = 142,598).Results: In total, 5.7% of the insured persons without a cancer diagnosis received at least one prescription for an opioid in 2021, while 1.9% received long-term therapy. Tilidine and tramadol were the most frequently prescribed opioids in short- and long-term therapy. Women received opioids more frequently than men. The frequency of prescriptions significantly increased with age. In 2021, 22.5% of insured persons with long-term opioid therapy received a co-medication with pregabalin and/or gabapentin, 37.5% with an antidepressant and 58.1% with metamizole and/or NSAIDs. A total of 59.5% of first prescriptions were issued by general practitioners. In the first year of therapy, an average of 2.1 practices were involved in prescribing analgetics for people on long-term opioid therapy and 13 different chronic diseases were documented.Discussion: Opioid therapy for non-cancer-related pain is predominantly carried out by general practitioners in older and multi-morbid patients. The indication for or against opioid therapy requires shared decision-making with patients and, if necessary, their relatives, as well as a review of possible drug interactions.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0