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Related Experiment Videos

[Pain specialist in the assessment process].

T Wagner1, W Richter, C Rothkopf

  • 1Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Ev.Johannes-Krankenhaus, Bielefeld.

Schmerz (Berlin, Germany)
|February 13, 2003
PubMed
Summary

Pain specialists need a standardized process for assessing chronic pain patients, including medical and psychological evaluations. This study proposes minimal criteria for a structured assessment to improve patient care and functionability.

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Area of Science:

  • Pain Medicine
  • Psychology
  • Medical Assessment

Context:

  • Chronic pain assessment lacks a standardized methodology among pain specialists.
  • Existing assessment practices vary significantly, despite minimal criteria fulfillment.
  • Data from 15 experts and 568 reports (1993-1997) highlight assessment challenges.

Purpose:

  • To analyze current practices in assessing the social and medical aspects of chronic pain.
  • To propose a structured, standardized assessment process for chronic pain patients.
  • To provide recommendations for minimal assessment criteria and optional supplements for complex cases.

Summary:

  • A survey of pain specialists revealed varied assessment procedures but adherence to minimal standards.
  • Back pain and headache were the most common causes of performance impairment.

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  • Psychological assessment was consistently integrated, though symptom verification and aggravation aspects were problematic.

    • Impact:

    • The proposed standardized process aims to enhance the multimodal assessment of chronic pain patients.
    • It includes recommendations for minimal criteria and optional modules for challenging cases.
    • A glossary of psychological tests supports more consistent evaluation of patient complaints and functionability.