{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:16:30Z","timestamp":1740107790077,"version":"3.37.3"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003385","name":"Georg-August-Universit\u00e4t G\u00f6ttingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003385","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund und Ziel der Arbeit<\/jats:title>\n                <jats:p>Seit Jahren werden Defizite der Qualit\u00e4t der Schmerztherapie im Krankenhaus beschrieben. Ziel der vorliegenden Untersuchung war es, Strukturen und Prozesse des Schmerzmanagements in internistischen Abteilungen darzustellen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Die Datenerfassung erfolgte mittels eines standardisierten Telefoninterviews (nichtuniversit\u00e4re Abteilungen); bei universit\u00e4ren Abteilungen separat mittels eines Onlinefragebogens (SurveyMonkey\u00ae).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Daten von 139 nichtuniversit\u00e4ren Abteilungen (R\u00fccklauf: 21\u202f%) und 33\u00a0universit\u00e4ren Abteilungen (davon 21\u00a0vollst\u00e4ndig beantwortete Frageb\u00f6gen, R\u00fccklauf 17\u202f% bzw. 11\u202f%) wurden erhoben. 441 von 619 kontaktierten nichtuniversit\u00e4ren Abteilungen lehnten die Teilnahme ausdr\u00fccklich ab, am h\u00e4ufigsten mit der Begr\u00fcndung, es best\u00fcnde kein Interesse am Thema Schmerzmanagement. In den 172 teilnehmenden Einrichtungen wurde Schmerz als eigenst\u00e4ndiger Parameter in 89\u202f% der nichtuniversit\u00e4ren Abteilungen (96\u202f% universit\u00e4r) regelm\u00e4\u00dfig w\u00e4hrend der Visite erfasst; schriftliche Behandlungsstandards zur Schmerztherapie lagen in 57\u202f% der nichtuniversit\u00e4ren Abteilungen vor (54\u202f% universit\u00e4r). In 76\u202f% der nichtuniversit\u00e4ren Krankenh\u00e4user (100\u202f% universit\u00e4r) stand auch f\u00fcr die internistischen Patienten ein Akutschmerzdienst zur Mitbehandlung zur Verf\u00fcgung, schriftliche Vereinbarungen zur Zusammenarbeit lagen bei 35\u202f% vor (18\u202f% universit\u00e4r).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die berichtete Umsetzung des Schmerzmanagements war in den teilnehmenden Abteilungen gut. Gleichwohl sind die Ergebnisse bei niedriger Teilnahme und h\u00e4ufiger Ablehnung mit der Begr\u00fcndung einer fehlenden Relevanz nur eingeschr\u00e4nkt aussagekr\u00e4ftig. Die erfassten Daten reflektieren daher vermutlich eine erhebliche positive Selektion und sind nicht als repr\u00e4sentativ f\u00fcr das Schmerzmanagement in der inneren Medizin zu werten.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00482-021-00550-9","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T09:03:36Z","timestamp":1618909416000},"page":"391-400","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Schmerzmanagement in der Inneren Medizin","Pain management in departments of internal medicine"],"prefix":"10.1007","volume":"35","author":[{"given":"M. I.","family":"Emons","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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F.\u00a0Petzke ist am Projekt QUIKS\u00a0\u2013 Qualit\u00e4tsverbesserung im konservativen Schmerzmanagement, dem Modul f\u00fcr nichtoperative Fachbereiche des QUIPS-Projekts, wissenschaftlich beteiligt. W.\u00a0Mei\u00dfner gibt an, unabh\u00e4ngig von der eingereichten Arbeit folgende Zuwendungen erhalten zu haben: Forschungsgelder und pers\u00f6nliche Honorare von Gr\u00fcnenthal, Forschungsgelder von Pfizer, pers\u00f6nliche Honorare von TAD, pers\u00f6nliche Honorare von BioQ Pharm, pers\u00f6nliche Honorare von Bionorica, pers\u00f6nliche Honorare von Kyowa, pers\u00f6nliche Honorare von Northern Swan, Forschungsgelder von Mundipharma, pers\u00f6nliche Honorare von Tilray. Er ist am Projekt QUIKS\u00a0\u2013 Qualit\u00e4tsverbesserung im konservativen Schmerzmanagement, dem Modul f\u00fcr nichtoperative Fachbereiche des QUIPS-Projekts, wissenschaftlich beteiligt. Dar\u00fcber hinaus ist W.\u00a0Mei\u00dfner als Projektleiter von QUIPS beteiligt. J.\u00a0Erlenwein ist 2.\u00a0Sprecher des Arbeitskreises Akutschmerz und Mitglied der Ad-hoc-Kommission Zertifizierung der Deutschen Schmerzgesellschaft e.\u202fV., Berlin. Au\u00dferdem ist er 1.\u00a0Sprecher des Wissenschaftlichen Arbeitskreises Schmerzmedizin der Deutschen Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin e.\u202fV., N\u00fcrnberg. Er ist am Projekt QUIKS\u00a0\u2013 Qualit\u00e4tsverbesserung im konservativen Schmerzmanagement, dem Modul f\u00fcr nichtoperative Fachbereiche des QUIPS-Projekts, wissenschaftlich beteiligt.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Ein Ethikvotum war f\u00fcr die vorliegende Arbeit nicht n\u00f6tig. Es wurden in der vorliegenden Arbeit keine Studien an Menschen oder Tieren durchgef\u00fchrt. Es handelt sich um eine anonymisierte Befragung \u00e4rztlicher bzw. pflegerischer Kollegen zur Praxis der Schmerztherapie in der jeweiligen Abteilung. Es wurde nicht auf Patientendaten zur\u00fcckgegriffen, sondern lediglich auf die Aussage der Kollegen zur g\u00e4ngigen Praxis der Schmerzerfassung und Therapie.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}