Der Schmerz
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Review
[Development of an internet-based clinical pathway exemplified by the fibromyalgia syndrome].
Clinical pathways (CP) are considered to be a tool of clinical process management describing the optimal route for diagnostic and therapeutic medical treatment of a specified patient. Apart from economic aspects CPs can make a contribution to optimization of health quality management as well as to improvement of medical staff and both patient satisfaction and patient safety whereas the feasibility and acceptance of evidence-based medicine guidelines are often found to be low. In order to stimulate critical discussion by offering the opportunity to easily gain first practical experience, a free web-based clinical pathway system for diagnosis and treatment for patients with fibromyalgia syndrome (FMS) will be presented.
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In Germany no data are available on the prevalence and predictors of urogenital pain in men from representative population samples. ⋯ Prostatitis-like symptoms are associated with depression and reduced health-related quality of life in the general population.
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Review Comparative Study
[Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain].
Qualitative criteria, such as efficacy, utility and cost-effectiveness are essential for insurance and reimbursement companies to meet the costs for a multidisciplinary treatment (MDT) for persons with chronic low back pain (CLBP). ⋯ The MDT of CLBP is moderately efficient, purposeful, cost-effective and demonstrate an alternative treatment form to surgical treatment.
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Comparative Study
[Pain management in international curricula for undergraduate education in palliative medicine. A palliative education assessment tool (PEAT) analysis].
In the context of undergraduate medical education, there is the question of overlap between palliative medicine and pain management. International curricula for palliative medicine were analyzed with regard to the content concerning pain management. ⋯ Pain-related objectives are regularly mentioned in international undergraduate palliative medicine curricula. The extent is limited and therefore the concordance to general pain management is low.