Der Schmerz
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Data on the incidence and intensity of phantom limb pain (PLP) and phantom limb sensations (PLS) were collected in a nationwide survey. ⋯ To our knowledge the present study constitutes the largest field survey on phantom limb pain carried out in Europe and corroborates the high prevalence and intensity of PLP, unusual PLS and amputation-related sleep disturbances. The significance and manageability of phantom feelings and its risk factors need further research.
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There are no data available from representative samples of the general German population on predictors of widespread pain (WP) and fibromyalgia syndrome (FMS). ⋯ WP and FMS are components of a complex of high somatic symptom intensity, low social class index and older age.
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The German Society for the Study of Pain (DGSS) commissioned a meta-analytic review of the evidence on the long-term effects of opioids, non-opioid analgesics and cognitive- behavioral procedures for chronic non-cancer pain. A multidisciplinary expert panel was established to review the evidence and formulate recommendations as far as possible on the basis of means, standard deviations and group sizes from randomized controlled trials. ⋯ Therefore, the LONTS guidelines focus on the prevention of adverse effects and misuse and a multidisciplinary approach for the treatment of chronic pain is strongly recommended. Principles of opioid prescription and on the management of risks associated with the long-term use of opioids are described.
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This survey focussed on chronic postoperative pain and impairment of quality of life after living donor nephrectomy. ⋯ Measures have to be taken to prevent chronic postoperative pain and donors should be encouraged to express their pain to ensure an adequate pain therapy.
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Most people would like to spend the end of their life at home in their familiar surroundings. Is it possible to look after and care for people at home if the work of doctors, carers and hospices is coordinated and comprehensive? ⋯ Our results indicate that by introducing a specialized structure for outpatient palliative care, including a specialized 24-h palliative medical service, an improvement in total care for patients at the end of their lives can be achieved.