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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, Vol. 37, No. 10, 10.2008, p. 990, 992-6.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Schiltenwolf, M & Klinger, R 2008, 'Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten', ORTHOPADE, vol. 37, no. 10, pp. 990, 992-6. https://doi.org/10.1007/s00132-008-1335-0

APA

Schiltenwolf, M., & Klinger, R. (2008). Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten. ORTHOPADE, 37(10), 990, 992-6. https://doi.org/10.1007/s00132-008-1335-0

Vancouver

Schiltenwolf M, Klinger R. Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten. ORTHOPADE. 2008 Oct;37(10):990, 992-6. https://doi.org/10.1007/s00132-008-1335-0

Bibtex

@article{61c3655380ee4fa3aeccea026d18f8e8,
title = "Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auff{\"a}lligkeiten",
abstract = "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.",
keywords = "Adult, Aged, Chronic Disease, Evidence-Based Medicine, Female, Humans, Male, Mental Disorders, Nerve Block, Orthopedics, Pain, Pain Management, Pain, Postoperative, Practice Guidelines as Topic, Comparative Study, English Abstract, Journal Article, Review",
author = "M Schiltenwolf and R Klinger",
year = "2008",
month = oct,
doi = "10.1007/s00132-008-1335-0",
language = "Deutsch",
volume = "37",
pages = "990, 992--6",
journal = "ORTHOPADE",
issn = "0085-4530",
publisher = "Springer",
number = "10",

}

RIS

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 -