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[Pain - a neglected neurological issue].

F Birklein1, R Baron2, C Gaul3

  • 1Klinik für Neurologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland. Frank.Birklein@unimedizin-mainz.de.

Der Nervenarzt
|May 12, 2016
PubMed
Summary
This summary is machine-generated.

Chronic pain management faces challenges due to insufficient neurological involvement and economic barriers in Germany. Enhancing neurological pain medicine departments, modifying reimbursement systems, and training neurologists are crucial for better patient care.

Keywords:
Chronic painHeadacheNeuropathic painOutpatient carePain management

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Area of Science:

  • Neurology and Pain Medicine
  • Neuroscience of Chronic Pain

Background:

  • Chronic pain is a growing health challenge with increasing patient numbers.
  • Neurology has significantly advanced the understanding of chronic pain pathophysiology, involving maladaptive plasticity in nervous systems.

Purpose of the Study:

  • To highlight the discrepancy between neurological expertise in chronic pain and the current treatment landscape in Germany.
  • To identify key barriers hindering efficient neurological pain therapy and propose solutions.

Main Methods:

  • Analysis of the current situation of chronic pain treatment in Germany.
  • Review of economic factors affecting neurological pain management.
  • Examination of the German diagnosis-related groups (DRG) reimbursement system's impact.

Main Results:

  • Neurologists are underrepresented in pain centers, and neurological hospitals lack chronic pain inpatients.
  • Diagnostic and treatment procedures for neurological pain entities are inadequately reimbursed by the DRG system.
  • Limited academic positions and career opportunities exist for neurologists in pain medicine.

Conclusions:

  • Urgent need to establish dedicated departments for neurological pain medicine.
  • Modification of the German DRG system is required to support neurological pain therapy.
  • Enhanced education and career pathways for neurologists in pain medicine are essential to meet patient needs.