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[慢性肌肉骨骼疼痛的法医学评估——德国慢性疼痛患者法医学评估指南第4次更新]

[Medicolegal Assessment for Chronic Musculoskeletal Pain - 4th Update of the German Guideline for Medicolegal Assessment of Persons in Chronic Pain].

作者信息

Schiltenwolf Marcus

机构信息

Gutachtenambulanz, Konservative Orthopädie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg.

出版信息

Z Orthop Unfall. 2018 Jun;156(3):316-323. doi: 10.1055/s-0044-100278. Epub 2018 Mar 9.

Abstract

Medicolegal assessments of claimants with chronic muskuloskeletal pain conditions are frequent. The first German guideline published in 2005 for the medicolegal assessment of claimants in chronic pain is now available in its 4th version (AWMF register number 094 - 003). It gives recommendations for the procedure and serves to ensure the quality of expert opinions when complaints about chronic pain are the leading symptom. In the current version, the indications for ordering medical assessments in pain syndromes have been reformulated, the assessment criteria have been adapted to ICF specifications, and an unequivocal distinction has been introduced between questions of state and causal assessment. A separate chapter on symptom validity assessment has been engrafted.

摘要

对患有慢性肌肉骨骼疼痛疾病的索赔者进行法医学评估的情况很常见。2005年发布的首份德国慢性疼痛索赔者法医学评估指南现已更新至第4版(德国医学科学院注册编号094 - 003)。该指南针对评估程序给出了建议,旨在确保在慢性疼痛主诉为主要症状时专家意见的质量。在当前版本中,对疼痛综合征进行医学评估的指征已重新制定,评估标准已根据国际功能、残疾和健康分类(ICF)规范进行调整,并且在状态评估和因果评估问题之间引入了明确区分。新增了关于症状效度评估的单独章节。

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