{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T05:05:51Z","timestamp":1664255151282},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>\u201eQualit\u00e4tsverbesserung im konservativen Schmerzmanagement\u201c (QUIKS), das Modul f\u00fcr nichtoperative Patienten welches an das \u201eQUIPS\u201c-Projekt angelehnt ist, wurde an einer Kohorte Tumorpatienten auf Anwendbarkeit getestet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Prospektiv wurden station\u00e4r konservativ behandelte Patienten am Universit\u00e4tsklinikum W\u00fcrzburg (UKW) anhand des Ergebnisfragebogens QUIKS zur Qualit\u00e4t der Schmerztherapie befragt (AZ 129\/17, Ethikkommission am UKW). Informationen zur Therapie und Demografie wurden dem klinikinternen Dokumentationssystem entnommen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Im Erfassungszeitraum konnten 100 Tumorpatienten aus verschiedenen Kliniken eingeschlossen werden. 74\u202f% der Patienten ben\u00f6tigten Unterst\u00fctzung bei der Beantwortung des Fragebogens. Funktionelle Einschr\u00e4nkungen oder schmerztherapiebedingte Nebenwirkungen lagen bei 77\u202f% der Patienten vor, im Durchschnitt lagen Schmerzen von 6\u00a0auf der numerischen Rating-Skala vor. Die am h\u00e4ufigsten benannten Schmerzentit\u00e4ten waren R\u00fccken- und Kopfschmerzen. 18\u202f% der Patienten erhielten eine Schmerztherapie mit Opioiden, 26\u202f% mit Nichtopioiden, eine Anpassung der Schmerztherapie erfolgte in 5\u202f% mit Opioiden und in 44\u202f% mit Nichtopioiden, ein Einbezug schmerzmedizinischer Spezialisten erfolgte in 9\u202f%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fazit<\/jats:title>\n                <jats:p>Die Anwendung des Fragebogens wurde von den Patienten gut akzeptiert, war jedoch mit einem gro\u00dfen Ma\u00df an Unterst\u00fctzung beim Ausf\u00fcllen verbunden. Es zeigte sich ein hohes Schmerzniveau w\u00e4hrend des Krankenhausaufenthalts. Eine Anpassung der Schmerztherapie oder ein Einbezug schmerzmedizinischer Spezialisten erfolgte selten. Die Interpretation bzgl. Aussagen zur Qualit\u00e4t des Schmerzmanagements k\u00f6nnte eingeschr\u00e4nkt sein, da andere (vorbestehende) Schmerzentit\u00e4ten, wie nichttumorassoziierter Schmerz oder chronischer Tumorschmerz, nicht eindeutig abgrenzbar sind.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00482-021-00599-6","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T10:03:43Z","timestamp":1635329023000},"page":"342-349","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anwendbarkeit von QUIKS bei station\u00e4r konservativ behandelten Tumorpatienten"],"prefix":"10.1007","volume":"36","author":[{"given":"Carmen","family":"Roch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Kress","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Erlenwein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winfried","family":"Meissner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmar Marc","family":"Brede","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgitt","family":"van Oorschot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"599_CR1","unstructured":"S3-Leitlinie \u201eBehandlung akuter perioperativer und posttraumatischer Schmerzen\u201c AWMF-Register Nr.\u00a0041\/001 Stand 21.05.2007 inkl. \u00c4nderungen vom 20.04.2009. https:\/\/www.dgni.de\/images\/stories\/Leitlinien\/behandlung_akuter_perioperativer_und_posttraumatischer_schmerzen.pdf. 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W.\u00a0Meissner: Vortragst\u00e4tigkeiten\/Beratung; Mundipharma, Gr\u00fcnenthal, Bionorica, Kyowa, TAD, Tilray, Spectrum Therapeutics, Septodont, Northern Swan; Aktive T\u00e4tigkeiten in Arbeitskreisen und Kommissionen; Deutsche Schmerzgesellschaft, IASP Institutionelle Forschungsf\u00f6rderung; EU, DFG, BMBF, EFIC, Pfizer, Mundipharma, Gr\u00fcnenthal. J.\u00a0Erlenwein: Vortragst\u00e4tigkeiten: Braun Aesculap AG, Tuttlingen (1\u202f\u00d7\u20092017); Gr\u00fcnenthal GmbH, Stolberg (1\u202f\u00d7\u20092017); aktive T\u00e4tigkeiten in Arbeitskreisen und Kommissionen; Deutsche Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin e.\u202fV., N\u00fcrnberg (1.\u00a0Sprecher Wiss. AK Schmerzmedizin, Mitglied WAK Regionalan\u00e4sthesie); Deutsche Schmerzgesellschaft e.\u202fV., Berlin (2.\u00a0Sprecher AK Akutschmerz, Kommis. Koordinator Akutschmerzkurse, Ad-hoc-Kommissionen Zertifizierung und Ad-hoc-Kommissionen Kongressfortbildung, Mitglied AK R\u00fcckenschmerz, Mitglied AK Viszeraler Schmerz); Forschungsf\u00f6rderung: Forschungsf\u00f6rderprogramm der Med. Fakult\u00e4t der Georg-August-Universit\u00e4t G\u00f6ttingen; Nachwuchsf\u00f6rderpreis Schmerz (gestiftet durch Janssen-Cilag GmbH); G\u00f6ttinger Schmerz- und Palliativverein e.\u202fV.; G\u2011BA-Innovationsfonds (Konsortialpartner Projekt POET-Pain, Deutsche Schmerzgesellschaft e.\u202fV.); sonstige Konflikte: QUIPS Team: QUIKS\u00a0\u2013 Modul nicht-operative Patienten. E.M.\u00a0Brede: Vortragst\u00e4tigkeiten\/Beratung: Gr\u00fcnenthal GmbH, Stolberg.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}