Risikoabschätzung in der Schmerztherapie

Schoeffel, D.; Casser, Hans-Raimund; Bach, Michael; Kress, Hans G.; Likar, Rudolf; Locher, Hermann A.; Steinleitner, W. E.; Strohmeier, Martin; Brunner, H.; Treede, Rolf‐Detlef; Zieglgänsberger, W.; Sandkühler, Jürgen

doi:10.1007/s00482-008-0688-y

Cited by 15 publications

(7 citation statements)

References 43 publications

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“…Europaweit wird die Prävalenz mit 7-8 % angegeben [9,10]. Eine ös-terreichische Erhebung ergab, dass mindestens 3 % der Gesamtbevölkerung an neuropathischen Schmerzen leiden [11]. …”

Section: Prävalenzunclassified

Nichtmanuelle Schmerztherapie der Lenden-Becken-Hüft-Region

Eisner¹

2017

Manuelle Medizin

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“…Europaweit wird die Prävalenz mit 7-8 % angegeben [9,10]. Eine ös-terreichische Erhebung ergab, dass mindestens 3 % der Gesamtbevölkerung an neuropathischen Schmerzen leiden [11]. …”

Section: Prävalenzunclassified

Nichtmanuelle Schmerztherapie der Lenden-Becken-Hüft-Region

Eisner¹

2017

Manuelle Medizin

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“…B. bisher gar nicht vor, von der selten zutreffenden Diagnose andauernde Persönlichkeitsveränderung bei chronischem Schmerzsyndrom(F62.80) einmal abgese hen [3]. Die Unschärfe in der diagnosti schen Zuordnung von Schmerzen, die po tenziell auch mit einer möglichen Fehlbe handlung und Stigmatisierung Betrof fener einhergehen können [7], haben im Jahr 2009 zur Einführung der Diagno se chronische Schmerzstörung mit somatischen und psychischen Faktoren (F45.41) in Abgrenzung zu der Diagnose anhaltende somatoforme Schmerzstörung (F45.4) geführt [5]. Auch wenn Ärzten mit der ICD10 GM Version 2009 die Möglich keit gegeben wird, diejenigen chronischen Schmerzstörungen, bei denen psychische Faktoren eine wichtige Rolle spielen, je doch nicht ursächlich für den Beginn der Schmerzen sind, entsprechend zu kodie ren, ist eine ausreichende Identifikati on des großen Spektrums der Schmerzpa tienten damit jedoch noch nicht gewähr leistet.…”

Section: Identifikation Und Gruppierung Von Schmerzpatienten Anhand Vunclassified

Identifikation und Gruppierung von Schmerzpatienten anhand von Routinedaten einer Krankenkasse

Freytag

Schiffhorst

Thoma

et al. 2010

Schmerz

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The ICD classification does not provide the opportunity to adequately identify pain patients. Therefore we developed an alternative method for the identification and classification of pain patients which is based on prescription and diagnoses data from the year 2006 of one nationwide sickness fund (DAK) and which is led by two main assumptions: 1. Beneficiaries without prescription of an analgetic drug but with a diagnosis pattern that is characteristic of patients who are treated with opioids are also likely to be pain patients. 2. Each combination of diagnosis groups can be traced back to one primary diagnosis out of a diagnosis group according to the patient classification system CCS (Clinical Classifications Software). The selection of this diagnosis group (CCS) allows for the allocation of the beneficiary to only one pain type. As a result we identified 65 combinations of CCS diagnosis groups--aggregated to nine "CCS pain types"--to which 77.1% of all patients with at least two opioid prescriptions can be allocated: 26.3% to pain due to arthrosis, 18.0% to pain due to intervertebral disc illnesses, 13.1% to other specific back pain, 6.7% to neuropathic pain, 4.5% to unspecific back pain, 4.2% to headache, 2.4% to pain after traumatic fractures, 1.3% to pain of multimorbid, high-maintenance patients, and 0.6% to cancer pain. Based on our method beneficiaries who have a high probability of suffering from moderate to strong pain can be identified and included in further claims data analyses of health care delivery and utilization pattern of pain-related disorders in Germany.

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“…,12], insufficient knowledge about age-specific aspects of physiology and pharmacology, and the fear of adverse events [13].…”

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confidence: 99%

What's new in pediatric acute pain therapy?

Schultz-Machata

Weiß

Becke

2014

Current Opinion in Anaesthesiology

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PURPOSE OF REVIEW This review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept. RECENT FINDINGS A multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of sideeffects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniquesunder ultrasound guidance -should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief. SUMMARY Safe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies. Purpose of reviewThis review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept. Recent findingsA multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of side-effects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniques -under ultrasound guidance -should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief. SummarySafe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies.

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Risikoabschätzung in der Schmerztherapie

Cited by 15 publications

References 43 publications

Nichtmanuelle Schmerztherapie der Lenden-Becken-Hüft-Region

Nichtmanuelle Schmerztherapie der Lenden-Becken-Hüft-Region

Identifikation und Gruppierung von Schmerzpatienten anhand von Routinedaten einer Krankenkasse

What's new in pediatric acute pain therapy?

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