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Related Concept Videos

Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Chronic Inflammation: Introduction01:12

Chronic Inflammation: Introduction

Chronic inflammation is a prolonged, dysregulated immune response that persists for weeks to years when the inciting stimulus is difficult to eradicate or when self‑antigens drive ongoing reactivity. Morphologically, it is defined by mononuclear cell infiltration, progressive tissue destruction, and concurrent attempts at healing via angiogenesis and fibrosis. Compared with acute inflammation, edema is less prominent while cellular infiltration predominates; triggers include persistent...

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Chronic pain in German general practice.

Stefan Hensler1, Daniel Heinemann, Michael T Becker

  • 1Department of General Practice and Health Services Research, University of Heidelberg, Heidelberg, Germany. stefan.hensler@gmx.net

Pain Medicine (Malden, Mass.)
|December 22, 2009
PubMed
Summary
This summary is machine-generated.

Chronic pain affects 18.4% of patients in German general practices, impacting daily activities and increasing healthcare provider workload. This study highlights the significant prevalence and burden of persistent pain in primary care settings.

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Area of Science:

  • General Practice Research
  • Pain Medicine
  • Epidemiology

Background:

  • Chronic pain is a significant health concern with substantial impact on patient well-being.
  • Understanding the prevalence and characteristics of chronic pain in primary care is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of chronic pain in German general practices.
  • To assess pain intensity and activity limitations in chronic pain patients.
  • To identify common pain-related diagnoses managed by general practitioners.

Main Methods:

  • A cross-sectional study involving 40 general practices in Germany.
  • Questionnaires administered to patients reporting pain lasting over 3 months.
  • Data collection on pain intensity, activity limitations, and physician-reported diagnoses.

Main Results:

  • A point prevalence of 18.4% for chronic pain was observed among 1,860 patients.
  • Average pain intensity was 5/10 (NRS), and average activity limitation was 4.8/10.
  • Musculoskeletal degenerative diseases were the most frequent cause of chronic pain.

Conclusions:

  • Chronic pain patients represent a substantial patient group in general practice.
  • The findings underscore the need for improved strategies for managing chronic pain in primary care.
  • Addressing chronic pain is essential for reducing patient disability and healthcare system burden.