Now showing 1 - 10 of 39
  • 2015Journal Article
    [["dc.bibliographiccitation.firstpage","266"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","275"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Hinz, Jose Maria"],["dc.contributor.author","Meissner, W."],["dc.contributor.author","Stamer, Ulrike M."],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T09:55:13Z"],["dc.date.available","2018-11-07T09:55:13Z"],["dc.date.issued","2015"],["dc.description.abstract","Due to the implementation of the diagnosis-related groups (DRG) system, the competitive pressure on German hospitals increased. In this context it has been shown that acute pain management offers economic benefits for hospitals. The aim of this study was to analyze the impact of the competitive situation, the ownership and the economic resources required on structures and processes for acute pain management. A standardized questionnaire on structures and processes of acute pain management was mailed to the 885 directors of German departments of anesthesiology listed as members of the German Society of Anesthesiology and Intensive Care Medicine (DGAI, Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin). For most hospitals a strong regional competition existed; however, this parameter affected neither the implementation of structures nor the recommended treatment processes for pain therapy. In contrast, a clear preference for hospitals in private ownership to use the benchmarking tool QUIPS (quality improvement in postoperative pain therapy) was found. These hospitals also presented information on coping with the management of pain in the corporate clinic mission statement more often and published information about the quality of acute pain management in the quality reports more frequently. No differences were found between hospitals with different forms of ownership in the implementation of acute pain services, quality circles, expert standard pain management and the implementation of recommended processes. Hospitals with a higher case mix index (CMI) had a certified acute pain management more often. The corporate mission statement of these hospitals also contained information on how to cope with pain, presentation of the quality of pain management in the quality report, implementation of quality circles and the implementation of the expert standard pain management more frequently. There were no differences in the frequency of using the benchmarking tool QUIPS or the implementation of recommended treatment processes with respect to the CMI. In this survey no effect of the competitive situation of hospitals on acute pain management could be demonstrated. Private ownership and a higher CMI were more often associated with structures of acute pain management which were publicly accessible in terms of hospital marketing."],["dc.identifier.doi","10.1007/s00482-015-0002-8"],["dc.identifier.isi","000357432700002"],["dc.identifier.pmid","25994606"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36696"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Acute pain therapy in German hospitals as competitive factor. Do competition, ownership and case severity influence the practice of acute pain therapy?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2017Journal Article
    [["dc.bibliographiccitation.firstpage","56"],["dc.bibliographiccitation.journal","Musculoskeletal Science & Practice"],["dc.bibliographiccitation.lastpage","63"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Rivard, Jim"],["dc.contributor.author","Unsleber, Cindy"],["dc.contributor.author","Schomacher, Jochen"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Falla, Deborah"],["dc.date.accessioned","2020-12-10T15:20:24Z"],["dc.date.available","2020-12-10T15:20:24Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.1016/j.msksp.2017.05.007"],["dc.identifier.issn","2468-7812"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/72657"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Activation of the semispinalis cervicis and splenius capitis with cervical pulley exercises"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2016Journal Article
    [["dc.bibliographiccitation.firstpage","874"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","European Journal of Pain"],["dc.bibliographiccitation.lastpage","883"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Koschwitz, Regina"],["dc.contributor.author","Pauli-Magnus, D."],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Meissner, W."],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Stamer, Ulrike M."],["dc.date.accessioned","2018-11-07T10:12:33Z"],["dc.date.available","2018-11-07T10:12:33Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: After the introduction of instruments for benchmarking, certification and a national guideline for acute pain management, the aim of this study was to describe the current structure, processes and quality of German acute pain services (APS). Methods: All directors of German departments of anaesthesiology were invited to complete a postal questionnaire on structures und processes of acute pain management. The survey asked for staff, techniques and quality criteria, which enabled a comparison to previous data from 1999 and surveys from other countries. Results: Four hundred and eight (46%) questionnaires were returned. APS have increased considerably and are now available in 81% of the hospitals, mainly anaesthesia based. However, only 45% fulfilled the minimum quality criteria, such as the assignment of personnel, the organization of patient care during nights and weekends, written protocols for postoperative pain management, regular assessments and documenting pain scores. Staff resources varied considerably, but increased compared to 1999. Two daily rounds were performed in 71%, either by physicians and nurses (42%), by physicians only (25%) or by supervised nurses (31%). Most personnel assigned to the APS shared this work along with other duties. Only 53% of the hospitals had an integrated rotation for training their specialty trainees. Conclusions: The availability of APS in Germany and other countries has increased over the last decade; however, the quality of nearly half of the APS is questionable. Against the disillusioning background of recently reported unfavourable pain-related patient outcomes, the structures, organization and quality of APS should be revisited."],["dc.identifier.doi","10.1002/ejp.812"],["dc.identifier.isi","000376167500002"],["dc.identifier.pmid","26517182"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/40259"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1532-2149"],["dc.relation.issn","1090-3801"],["dc.title","A follow-up on Acute Pain Services in Germany compared to international survey data"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article
    [["dc.bibliographiccitation.firstpage","95"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","107"],["dc.bibliographiccitation.volume","69"],["dc.contributor.author","Erlenwein, J."],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Hüppe, M."],["dc.contributor.author","Seeger, D."],["dc.contributor.author","Kästner, A."],["dc.contributor.author","Graner, R."],["dc.contributor.author","Petzke, F."],["dc.date.accessioned","2020-12-10T14:08:07Z"],["dc.date.available","2020-12-10T14:08:07Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00101-019-00708-2"],["dc.identifier.eissn","1432-055X"],["dc.identifier.issn","0003-2417"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70378"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-354"],["dc.relation.haserratum","/handle/2/70384"],["dc.title","Management von Patienten mit chronischen Schmerzen in der Akut- und perioperativen Medizin"],["dc.title.alternative","Management of patients with chronic pain in acute and perioperative medicine. An interdisciplinary challenge"],["dc.title.subtitle","Eine interdisziplinäre Herausforderung"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2012Journal Article
    [["dc.bibliographiccitation.firstpage","692"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","698"],["dc.bibliographiccitation.volume","26"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Schlink, Julia"],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T09:02:30Z"],["dc.date.available","2018-11-07T09:02:30Z"],["dc.date.issued","2012"],["dc.description.abstract","Background. The aim of this investigation was to describe the performance profile and the requirements for the management of complex pain patients for the structures of a consultation service. Material and methods. The content and number of all inpatient consultations of the pain department (as an independent service in addition to acute pain and palliative care services) were evaluated for the period from 2008-2010. Results. During the study, 1,391 contacts were made in 882 patients; in approx. 50% of the consultations diagnostic or specific (interventional) procedures were requested. Beside additional diagnostic tests, physiotherapy (19.2%), psychological and psychiatric care (11.1%), and other therapeutic approaches (e. g., mirror therapy, transcutaneous electrical nerve stimulation, progressive muscle relaxation) or the long-term follow-up in specialized pain service (20.5%) were recommended. Conclusion. Within the scope of the pain consultation, a wide spectrum of pain diagnoses and difficult patients are examined. Mixed forms of acute, chronic, and tumor-related pain are often present. Therapeutically, optimization of only the pharmacological regimen is often not sufficient. Similar requirements for a multimodal diagnosis and therapeutic concept as established in ambulatory and/or specialist care are ultimately needed."],["dc.identifier.doi","10.1007/s00482-012-1212-y"],["dc.identifier.isi","000314502200009"],["dc.identifier.pmid","22810215"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/24697"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0932-433X"],["dc.title","Clinical pain consultation. Profiles of clinical pain consultation and requirements for management of complex pain patients in inpatient care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2014Journal Article
    [["dc.bibliographiccitation.firstpage","493"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","503"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Emons, Miriam I."],["dc.contributor.author","Hecke, A."],["dc.contributor.author","Nestler, N."],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Meissner, W."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T09:34:49Z"],["dc.date.available","2018-11-07T09:34:49Z"],["dc.date.issued","2014"],["dc.description.abstract","The aim of this study was to analyze the degree of organization of different standard protocols for acute pain management, as well as the derivation and definition of typical but structurally different models. A total of 85 hospitals provided their written standardized protocols for analysis. Protocols for defined target processes from 76 hospitals and another protocol used by more than one hospital were included into the analysis. The suggested courses of action were theoretically simulated to identify and characterize process types in a multistage evaluation process. The analysis included 148 standards. Four differentiated process types were defined (\"standardized order\", \"analgesic ladder\", \"algorithm\", \"therapy path\"), each with an increasing level of organization. These four types had the following distribution: 27 % (n = 40) \"standardized order\", 47 % (n = 70) \"analgesic ladder\", 22 % (n = 33) \"algorithm\", 4 % (n = 5) \"therapy path\". Models with a higher degree of organization included more control elements, such as action and intervention triggers or safety and supervisory elements, and were also associated with a formally better access to medication. For models with a lower degree of organization, immediate courses of action were more dependent on individual decisions. Although not quantifiable, this was particularly evident when simulating downstream courses of action. Interfaces between areas of hospital activity and a cross-departmental-boundary validity were only considered in a fraction of the protocols. Concepts from clinics with a certificate in (acute) pain management were more strongly process-oriented. For children, there were proportionately more simple concepts with a lower degree of organization and less controlling elements. This is the first analysis of a large sample of standardized protocols for acute pain management focusing on the degree of organization and the possible influence on courses of action. The analysis shows how different the structures and presumably the practical objectives of the various concepts are. The analyzed protocols with a lower degree of organization can manage only the assignment of a particular medication to the corresponding patient group, with a presumably high requirement for considerable implicit knowledge of the responsible employees. Accordingly, a requirement for such protocols should be that they not only describe the preferred standard therapy, but also define the interactions between the staff members involved. It remains questionable whether a protocol with a low level of organization and a comparably high requirement for implicit knowledge and individual action-also from nonmedical personnel-is able to ensure efficient pain therapy, particularly in view changing staff and dynamic responses to changing pain situations."],["dc.identifier.doi","10.1007/s00482-014-1479-2"],["dc.identifier.isi","000342428400005"],["dc.identifier.pmid","25179416"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32259"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Process control in acute pain management. An analysis of the degree of organization of applied standard protocols"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2013Journal Article
    [["dc.bibliographiccitation.firstpage","808"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","816"],["dc.bibliographiccitation.volume","62"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Schlink, Julia"],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Hinz, Jose Maria"],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T09:19:00Z"],["dc.date.available","2018-11-07T09:19:00Z"],["dc.date.issued","2013"],["dc.description.abstract","Pre-existing or chronic pain is a relevant risk factor for severe postoperative pain. The prevalence of pre-existing and chronic pain in hospital depends on the time definition used and is approximately 44 % and 33 %, at 3 or 6 months, respectively. The aim of this study was to determine the prevalence and importance of pre-existing pain in patients treated by a postoperative acute pain service (APS) and to evaluate the requirements for treatment and resources as well as its quality in this context. This study involved an evaluation of all visits by the APS of the University Hospital in Gottingen over an 8-week period including patient subjective quality assessment on the basis of the quality improvement in postoperative pain therapy (QUIPS) questionnaire. Pre-existing pain (> 12 weeks) was assessed by recording patients history of pain by members of the APS. The results from patients with and without pre-existing pain were compared. A total of 128 patients (38 % female, 62 % male, aged 15-88 years old, mean age 59.8 +/- 14.4 years) were seen by the APS on 633 occasions. Of these patients 91 % had been admitted to hospital for surgery (66 % for tumor surgery, 8 % joint replacement, 9 % other joint surgery and 16 % other interventions), 50 % had acute postoperative pain without pre-existing pain, 50 % had had pre-existing pain for at least 12 weeks, 31 % had chronic non-cancer pain and 19 % pain possibly related to cancer. Patients with pre-existing pain showed no significant differences in the treatment requirements (e.g. adjustment of medication), use of resources (e.g. number of visits to the APS and time spent in hospital) and quality of care (e.g. pain intensity, functional aspects, side effects and complications) in the setting of the APS. However, there was an additional subsequent support by chronic pain and palliative care services. Pre-existing pain is a common comorbidity in surgery patients treated by the APS. There were no significant differences in treatment requirements and quality of care between the patients. This is in contrast to other studies of postoperative pain management which showed that patients with pre-existing postoperative pain had higher pain intensity. This indicates indirectly that the presence of pre-existing pain should be further evaluated as a potentially useful indication for the support by an APS. However there is an urgent need for further studies to clarify whether this indirect effect can be replicated at other hospitals or in other patient collectives. Also it has to be clarified what benefits pain patients have from this kind of treatment: if they benefit from the APS in general or from the special technique, if there is a long-term effect lasting beyond treatment in the APS or if this group of patients would benefit in general from multiprofessional and non-invasive concepts of acute pain treatment."],["dc.identifier.doi","10.1007/s00101-013-2224-4"],["dc.identifier.isi","000326042700005"],["dc.identifier.pmid","23989962"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/28533"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.title","Pre-existing pain as comorbidity in postoperative acute pain service"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article Erratum
    [["dc.bibliographiccitation.firstpage","330"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","330"],["dc.bibliographiccitation.volume","69"],["dc.contributor.author","Erlenwein, J."],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Hüppe, M."],["dc.contributor.author","Seeger, D."],["dc.contributor.author","Kästner, A."],["dc.contributor.author","Graner, R."],["dc.contributor.author","Petzke, F."],["dc.date.accessioned","2020-12-10T14:08:08Z"],["dc.date.available","2020-12-10T14:08:08Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00101-020-00759-w"],["dc.identifier.eissn","1432-055X"],["dc.identifier.issn","0003-2417"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70384"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-354"],["dc.relation.iserratumof","/handle/2/70378"],["dc.title","Erratum zu: Management von Patienten mit chronischen Schmerzen in der Akut- und perioperativen Medizin"],["dc.title.alternative","Erratum to: Management of patients with chronic pain in acute and perioperativemedicine. An interdisciplinary challenge"],["dc.title.subtitle","Eine interdisziplinäre Herausforderung"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","erratum_ja"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article
    [["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Minerva Anestesiologica"],["dc.bibliographiccitation.volume","86"],["dc.contributor.author","Ng Kuet Leong, Virginie S."],["dc.contributor.author","Kästner, Anne"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Erlenwein, Joachim"],["dc.date.accessioned","2021-04-14T08:32:41Z"],["dc.date.available","2021-04-14T08:32:41Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.23736/S0375-9393.20.14084-7"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83983"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1827-1596"],["dc.relation.issn","0375-9393"],["dc.title","The influence of pain expectation on pain experience after orthopedic surgery: an observational cohort study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2017Journal Article
    [["dc.bibliographiccitation.firstpage","587"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Pain Practice"],["dc.bibliographiccitation.lastpage","596"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Olesen, Anne E."],["dc.contributor.author","Nielsen, Lecia M."],["dc.contributor.author","Feddersen, Søren"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Christrup, Lona L."],["dc.contributor.author","Drewes, Asbjørn M."],["dc.date.accessioned","2020-12-10T18:36:21Z"],["dc.date.available","2020-12-10T18:36:21Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.1111/papr.12648"],["dc.identifier.issn","1530-7085"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/76598"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Association Between Genetic Polymorphisms and Pain Sensitivity in Patients with Hip Osteoarthritis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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