IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1007/s00482-023-00777-8

Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke

{"title":"[Short paths to diagnosis with artificial intelligence: systematic literature review on diagnostic decision support systems].","authors":"Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke","doi":"10.1007/s00482-023-00777-8","DOIUrl":"10.1007/s00482-023-00777-8","url":null,"abstract":"Background: Rare diseases are often recognized late. Their diagnosis is particularly challenging due to the diversity, complexity and heterogeneity of clinical symptoms. Computer-aided diagnostic aids, often referred to as diagnostic decision support systems (DDSS), are promising tools for shortening the time to diagnosis. Despite initial positive evaluations, DDSS are not yet widely used, partly due to a lack of integration with existing clinical or practice information systems.Objective: This article provides an insight into currently existing diagnostic support systems that function without access to electronic patient records and only require information that is easily obtainable.Materials and methods: A systematic literature search identified eight articles on DDSS that can assist in the diagnosis of rare diseases with no need for access to electronic patient records or other information systems in practices and hospitals. The main advantages and disadvantages of the identified rare disease diagnostic support systems were extracted and summarized.Results: Symptom checkers and DDSS based on portrait photos and pain drawings already exist. The degree of maturity of these applications varies.Conclusion: DDSS currently still face a number of challenges, such as concerns about data protection and accuracy, and acceptance and awareness continue to be rather low. On the other hand, there is great potential for faster diagnosis, especially for rare diseases, which are easily overlooked due to their large number and the low awareness of them. The use of DDSS should therefore be carefully considered by doctors on a case-by-case basis.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"19-27"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139074975","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

[Neuropathic pain as a symptom in autonomic neuropathies and other rare diseases : Small fiber neuropathy: its recognition, diagnosis, and treatment]. [作为自律神经病和其他罕见疾病症状的神经性疼痛：小纤维神经病：其识别、诊断和治疗]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-10 DOI: 10.1007/s00482-023-00783-w

Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier

{"title":"[Neuropathic pain as a symptom in autonomic neuropathies and other rare diseases : Small fiber neuropathy: its recognition, diagnosis, and treatment].","authors":"Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier","doi":"10.1007/s00482-023-00783-w","DOIUrl":"10.1007/s00482-023-00783-w","url":null,"abstract":"Background: Neuropathic pain is difficult to diagnose and treat. Small fiber neuropathy (SFN) flies under the radar of nerve conduction studies.Objectives: The importance of a structured patient history and physical examination in the context of neuropathic pain is emphasized. Describing SFN as an important cause, the authors consider rare but partially treatable differential diagnoses. They conclude that autonomic symptoms are frequently associated, often presenting with diverse symptoms.Methods: A selective literature research to present SFN symptoms as well as differential diagnostic and therapeutic steps in the context of SFN and rare diseases focusing on the autonomic nervous system.Results: Neuropathic pain significantly reduces quality of life. To shorten the time until diagnosis and to initiate therapy, the authors recommend a structured patient history including sensory plus and minus symptoms and non-specific autonomic signs. If the initial search for the cause is not successful, rare causes such as treatable transthyretin (ATTR) amyloidosis and Fabry's disease or autoimmune causes should be considered, particularly in the case of progressive and/or autonomic symptoms.Conclusion: The diagnosis and therapy of rare SFN requires interdisciplinary collaboration and, in many cases, a referral to specialized centers to achieve the best patient care.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"33-40"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404244","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

Mitteilungen der SPS. 来自 SPS 的通信。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 DOI: 10.1007/s00482-024-00791-4

引用次数: 0

[Evidence-based CRPS treatment: currently still wishful thinking]. [基于证据的 CRPS 治疗：目前仍是一厢情愿]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2023-12-06 DOI: 10.1007/s00482-023-00773-y

T Gabriel, P Klose

引用次数: 0

[Think about child protection also in chronic pain]. [想想在慢性疼痛中也要保护儿童]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-09 DOI: 10.1007/s00482-023-00786-7

Melanie Anheyer

引用次数: 0

Treating pain in patients with Ehlers-Danlos syndrome : Multidisciplinary management of a multisystemic disease. 治疗 Ehlers-Danlos 综合征患者的疼痛：多系统疾病的多学科管理。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-08 DOI: 10.1007/s00482-023-00778-7

Natalie Börsch, Martin Mücke, Andrea Maier, Rupert Conrad, Jean Tori Pantel, Julia Sellin, Kyros Mani, Pradeep Chopra

引用次数: 0

[Chronic pain in children - is it an alarm signal?] [儿童慢性疼痛--是警报信号吗？］

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-11 DOI: 10.1007/s00482-023-00785-8

Elfriede Kastenberger

引用次数: 0

[Pain and cervical dystonia]. [疼痛与颈肌张力障碍]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1007/s00482-024-00790-5

Feline Hamami, Tobias Bäumer

{"title":"[Pain and cervical dystonia].","authors":"Feline Hamami, Tobias Bäumer","doi":"10.1007/s00482-024-00790-5","DOIUrl":"10.1007/s00482-024-00790-5","url":null,"abstract":"Background: Dystonia is a hyperkinetic movement disorder that results in twisting, cramps and tremors due to sustained or intermittent muscle contractions. Cervical dystonia is the most common form of dystonia, in which the head, neck and/or shoulder areas are affected. In addition to these motor symptoms, pain and psychiatric symptoms are frequent in (cervical) dystonia.Objective: Description of the incidence and evaluation of pain in cervical dystonia, summary and discussion of treatment options and effects.Material and methods: In this review article the results in the scientific literature on pain in dystonia are summarized and discussed.Results: Compared to other forms of dystonia, pain occurs most frequently in patients with cervical dystonia. A large proportion of patients with cervical dystonia suffer from pain, which contributes most to impairment of the patient. The motor symptoms of dystonia are usually treated with botulinum toxin injections. These have a muscle relaxing effect and also relieve pain. The study situation on the occurrence and treatment of pain in other forms of dystonia is so far very limited. Pain can dominate the clinical picture in patients with cervical dystonia. Evaluation of pain in cervical dystonia can be performed using standardized questionnaires.Conclusion: It is important to ask patients with cervical dystonia about pain and to consider it in treatment planning and evaluation. Vice versa, if pain is present the possibility of a causative dystonia should also be considered. For pain assessment there are some newly developed questionnaires to assess pain in a standardized way in patients with dystonia. Further research is needed to better understand the pathomechanisms of pain in dystonia.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"41-47"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542664","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

[Integrative, complementary medical therapy: is it a useful option in the treatment of CRPS?] [综合补充医疗疗法：它是治疗 CRPS 的有效选择吗？］

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2023-12-11 DOI: 10.1007/s00482-023-00772-z

R Sabatowski, R Scharnagel

引用次数: 0

Der Schmerz dankt den Gutachterinnen und Gutachtern 2023. 疼痛感感谢 2023 专家。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 DOI: 10.1007/s00482-023-00784-9

引用次数: 0

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