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[Multimodal pain therapy. Current situation].

U Kaiser1, R Sabatowski2,3, S C Azad4

  • 1UniversitätsSchmerzCentrum, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.

Schmerz (Berlin, Germany)
|August 15, 2015
PubMed
Summary
This summary is machine-generated.

Multidisciplinary pain management is effective for chronic pain, especially low back pain. However, standardized definitions, quality measures, and consensus on therapeutic approaches are still needed for optimal patient care.

Keywords:
Chronic painGuidelinesMeta analysisMultimodal pain therapyQuality of structures and processes

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Area of Science:

  • Pain Management
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Multidisciplinary pain management is a recognized approach for complex chronic pain.
  • Its efficacy and cost-effectiveness, particularly for chronic low back pain, are supported by evidence.
  • Existing models often align with a biopsychosocial framework.

Purpose of the Study:

  • To highlight the established efficacy of multidisciplinary pain management.
  • To identify significant shortcomings in the definition and quality of current multidisciplinary pain treatment programs.
  • To underscore the lack of consensus on specific therapeutic strategies and outcome measurement tools.

Main Methods:

  • Review of existing literature, studies, reviews, and meta-analyses on multidisciplinary pain treatment.
  • Comparison of current practices with established standards (e.g., German Pain Society).
  • Identification of areas lacking consensus, including definitions, quality metrics, and therapeutic tools.

Main Results:

  • Multidisciplinary programs demonstrate superiority over unimodal therapy for chronic pain, notably chronic low back pain.
  • Significant gaps exist in defining "multimodal" and "multidisciplinary" treatments and ensuring structural/process quality.
  • No consensus prevails on specific interventions, responder identification, or measurement tools.

Conclusions:

  • Despite proven efficacy, current multidisciplinary pain management faces challenges in standardization and consensus.
  • Further multicenter collaborative efforts are essential to address these shortcomings.
  • Developing clear definitions, quality standards, and validated measurement tools is crucial for advancing patient care.