Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten
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Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten. / Schiltenwolf, M; Klinger, R.
in: ORTHOPADE, Jahrgang 37, Nr. 10, 10.2008, S. 990, 992-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten
AU - Schiltenwolf, M
AU - Klinger, R
PY - 2008/10
Y1 - 2008/10
N2 - Existing pain chronification and psychological problems can affect the degree of perioperative pain and hence the postoperative outcome. Most elective surgery performed on the musculoskeletal system is indicated because of pain. To avoid perioperative complications it is therefore essential to identify patients with existing pain chronification before surgery is performed. Based on a systematic literature review, studies on orthopaedic surgery were filtered for existing pain chronification and checked in order to deduce clinically relevant and evidence-based recommendations. In summary, unproblematic pain is characterised by good organic explainability, lack of pain generalisation, no additional physical complaints, appropriate management of the physical damage encountered and suitable use of analgesics. In line with what is known about the mechanisms of pain chronification, patients with existing chronification usually display additional psychological problems. These psychological factors ought to be established prior to surgery. A preliminary non-surgical treatment could potentially also lead to a reassessment of the indication for surgery.
AB - Existing pain chronification and psychological problems can affect the degree of perioperative pain and hence the postoperative outcome. Most elective surgery performed on the musculoskeletal system is indicated because of pain. To avoid perioperative complications it is therefore essential to identify patients with existing pain chronification before surgery is performed. Based on a systematic literature review, studies on orthopaedic surgery were filtered for existing pain chronification and checked in order to deduce clinically relevant and evidence-based recommendations. In summary, unproblematic pain is characterised by good organic explainability, lack of pain generalisation, no additional physical complaints, appropriate management of the physical damage encountered and suitable use of analgesics. In line with what is known about the mechanisms of pain chronification, patients with existing chronification usually display additional psychological problems. These psychological factors ought to be established prior to surgery. A preliminary non-surgical treatment could potentially also lead to a reassessment of the indication for surgery.
KW - Adult
KW - Aged
KW - Chronic Disease
KW - Evidence-Based Medicine
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders
KW - Nerve Block
KW - Orthopedics
KW - Pain
KW - Pain Management
KW - Pain, Postoperative
KW - Practice Guidelines as Topic
KW - Comparative Study
KW - English Abstract
KW - Journal Article
KW - Review
U2 - 10.1007/s00132-008-1335-0
DO - 10.1007/s00132-008-1335-0
M3 - SCORING: Review
C2 - 18762909
VL - 37
SP - 990, 992-6
JO - ORTHOPADE
JF - ORTHOPADE
SN - 0085-4530
IS - 10
ER -