Der Chronische Schmerz

Zimmermann, M.

doi:10.1007/s00132-003-0609-9

Cited by 46Musculoskeletal pain and rehabilitationPain Management and TreatmentMedical Practices and Rehabilitation

Der Chronische Schmerz

Zimmermann, M.·2004·Der Orthop�de

DOI 10.1007/s00132-003-0609-9

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At least 5 million patients with chronic and severely debilitating pain exist among the adult population in Germany, i.e. 8% of this population. Various biological and psychosocial risk factors contribute to the continuing chronicity of pain, resulting in enormous direct and indirect costs totalling an estimated 38 billion euro annually. The introduction of a medical specialty for pain treatment in 1998 has not appreciably affected the quality of outpatient pain management. In contrast, more recent approaches of multimodal treatment, including medical, psychological and behavioral components, have shown a significant and lasting effect in patients with a high incidence of workplace incapacitation and sick leave. In particular, the GRIP pilot project (Göttingen Intensive Back Project) has resulted in an increased rate (to 200%) of return to the workplace and in a decrease in health system expenses to 50% of the pretreatment level.

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Various biologic and psychosocial risk factors contribute to the continuing chronicity of pain, resulting in enormous direct and indirect costs totaling an estimated 45 billion USD annually.
“Various biologic and psychosocial risk factors contribute to the continuing chronicity of pain, resulting in enormous direct and indirect costs totaling an estimated 45 billion USD annually.”
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Authors: Zimmermann, M.
Corresponding author: Zimmermann, M.
ORCID: Zimmermann, M.
Venue: Der Orthop�de
Publisher: Springer Science and Business Media LLC
Published: 2004-05-01
Volume: 33
Issue: 5
Pages: 508-514
ISSN: 0085-4530 (ISSN-L)
1433-0431
DOI: 10.1007/s00132-003-0609-9
OpenAlex: W137693262
Cited by: 46
References: 22
Citations by year: 2026: 2 · 2024: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 4
FWCI: 1.47
Type: journal article
Language: de
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Der Orthopäde (publishedVersion)
PubMed (publishedVersion)
PubMed
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: chronic pain, pain management, multimodal therapy, psychosocial risk factors, pain chronicity, sick leave, return to work, health care costs, back pain
MeSH terms: Back Pain, Chronic Disease, Combined Modality Therapy, Germany, Humans, Pain, Patient Care Management, Risk Factors, Pain Management

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Der Chronische Schmerz

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