[Chronic pain in general practice : Results from pain specialists]

Schmerz. 2017 Aug;31(4):353-359. doi: 10.1007/s00482-017-0187-0.
[Article in German]

Abstract

Background: There is currently a lack of data on chronic pain in general practice.

Methods: Over a period of 2 years, data from 12,271 patients visiting a pain specialist on an outpatient basis were collected. All patients had documented their pain history (German pain questionnaire) via tablet/computer into a databank.

Results: Data from 12,246 patients from 30 pain clinics could be evaluated. The proportion of women was higher (67%). The majority of patients suffered from back pain (52%). The majority of patients were treated with injections (73%), and the majority of physicians were orthopedic surgeons (71%). A minority of patients had received psychological treatment (< 30%).

Conclusion: Comprehensive pain documentation by the patients themselves is possible by means of a computer-based program. Back pain is the main problem in patients visiting a pain specialist. Invasive methods are the mainstay of treatment approaches. The psychosocial background of chronic pain seems to be underestimated in the treatment.

Keywords: Chronic pain; Epidemiology; General practice; Pain documentation; Pain questionnaire.

MeSH terms

  • Adult
  • Aged
  • Back Pain / drug therapy
  • Back Pain / epidemiology
  • Back Pain / etiology
  • Back Pain / psychology
  • Chronic Pain / epidemiology
  • Chronic Pain / etiology
  • Chronic Pain / psychology
  • Chronic Pain / therapy*
  • Cross-Sectional Studies
  • Databases, Factual
  • Documentation / methods
  • Female
  • General Practice
  • Germany
  • Humans
  • Interdisciplinary Communication
  • Intersectoral Collaboration
  • Male
  • Middle Aged
  • Pain Management / methods*
  • Pain Management / psychology
  • Pain Measurement / psychology
  • Patient Care Team
  • Software