Casser Hans-Raimund, Nagel Bernd
Anasthesiol Intensivmed Notfallmed Schmerzther. 2016 Jan;51(1):56-67. doi: 10.1055/s-0041-101756. Epub 2016 Feb 9.
Multimodal Pain Management is a comprehensive treatment of complex chronic pain syndromes. In addition to medical therapy various other specialized therapeutical interventions based on the biopsychosocial model of pain origin and chronic pain development are added.Medical indications are given for patients with chronic pain syndromes, but also if there is an elevated risk of chronic pain in the early stadium of the disease and aiming at delaying the process of chronification. Multimodal pain management has been included in the official catalogue of the recognized medical procedure for day clinic units as well as for inpatients pain management. As there is still a lack of clarity and of consistency about the implementation of multimodal pain management the ad-hoc-Kommission on multimodal interdisciplinary pain management of the German Pain Society has proposed a position paper that has been worked out in a multilevel and interdisciplinary consensus process. Moreover a basic tool for documentation and quality management of pain therapy was developed by the German Pain Society (KEDOQ-Schmerz) as the data basis for nationwide, cross-sectional and independent scientific research in health services in Germany. In future KEDOQ-Schmerz will also used as a method for external quality management in chronic pain therapy in Germany.
多模式疼痛管理是对复杂慢性疼痛综合征的综合治疗。除药物治疗外，还增加了基于疼痛起源和慢性疼痛发展的生物心理社会模型的各种其他专门治疗干预措施。慢性疼痛综合征患者有医学适应症，但如果在疾病早期阶段慢性疼痛风险升高且旨在延缓慢性化进程，也有医学适应症。多模式疼痛管理已被纳入日间诊所单元以及住院患者疼痛管理的公认医疗程序官方目录。由于多模式疼痛管理的实施仍缺乏清晰度和一致性，德国疼痛学会多模式跨学科疼痛管理特别委员会提出了一份立场文件，该文件是在多层次跨学科共识过程中制定的。此外，德国疼痛学会开发了一种疼痛治疗记录和质量管理的基本工具（KEDOQ-Schmerz），作为德国卫生服务领域全国性、横断面和独立科学研究的数据基础。未来，KEDOQ-Schmerz还将用作德国慢性疼痛治疗外部质量管理的一种方法。
