• MMW Fortschr Med · Jul 2013

    Review

    [Pain treatment decisions--relevance of health-related quality of life in family medicine].

    • J Horlemann.
    • MMW Fortschr Med. 2013 Jul 25;155 Suppl 2:56-62.

    BackgroundThe reduction of pain is no longer regarded as the predominant objective of pain therapy. Pain-related impairments in quality of life or daily activities, and anxietyand depression--all of which worsen with progressing pain chronification--increasingly gain importance. Impairments in quality of life in particular often have a greater impact on patients afflicted by pain than by other chronic diseases.MethodThe present overview explains the importance of the parameter health-related quality of life in the treatment of pain patients in family medicine; in addition, a variety of tools forthe initial and follow-up assessment of pain and pain-related impairments are introduced.Results And ConclusionIn addition to a mandatory comprehensive pain diagnostic work-up, pain-related restrictions in daily activities and in quality of life should be documented in primary care facilities and considered in pain management approaches. In a multimodal therapy setting, family practitioners have a key role in thediagnosis of pain and in particularalso in the diagnosis of additional symptoms and impairments accompanying pain.

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