Teichmüller Karolin, Schönbach Benjamin, Boujong Dirk, Böger Andreas, Sabatowski Rainer, Scharnagel Rüdiger
Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Zentrum für interdisziplinäre Schmerzmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
UniversitätsSchmerzCentrum, Universitätsklinikum und Medizinische Fakultät "Carl Gustav Carus", Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
Schmerz. 2024 Apr 9. doi: 10.1007/s00482-024-00807-z.
Interdisciplinary multimodal pain therapy (IMPT) is an established procedure in the treatment of chronic pain. In daily practice, many institutions regard so-called booster units as an integral part of IMPT. However, no consensual recommendations and evidence for booster concepts are available to date. This article uses the results of a discussion between clinical experts in the field of IMPT at the German Pain Congress in 2022 in order to show the status quo in care. It has been shown that currently applied booster offers vary greatly in terms of time intervals, intensities, therapy content and patient selection and that there is a need for structural and process parameters for the implementation of cross-sectoral booster treatments. In conclusion, the authors outline how the development of these parameters will be planned as an expert consensus with the participation of interested institutions and the inclusion of the patient perspective and offer opportunities for participation in this process.
跨学科多模式疼痛治疗(IMPT)是治疗慢性疼痛的既定方法。在日常实践中,许多机构将所谓的强化治疗单元视为IMPT的一个组成部分。然而,迄今为止,尚无关于强化治疗概念的共识性建议和证据。本文利用2022年德国疼痛大会上IMPT领域临床专家的讨论结果,以展示护理现状。结果表明,目前应用的强化治疗在时间间隔、强度、治疗内容和患者选择方面差异很大,并且实施跨部门强化治疗需要结构和流程参数。总之,作者概述了如何在相关机构参与以及纳入患者视角的情况下,作为专家共识来规划这些参数的制定,并为参与这一过程提供机会。