Joachim Erlenwein1, Christopher Bertemes2, Steffen Kunsch3, Antje Göttermann4, Marcus Komann4, Lars Sturm5, Frank Petzke2, Winfried Meißner4,6. 1. Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland. joachim.erlenwein@med.uni-goettingen.de. 2. Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland. 3. Klinik für Gastroenterologie und Gastrointestinale Onkologie, Universitätsmedizin Göttingen, Göttingen, Deutschland. 4. Klinik für Anästhesie und Intensivmedizin, Universitätsklinikum Jena, Jena, Deutschland. 5. Klinik für Anästhesiologie, Intensivmedizin, Schmerztherapie und Interdisziplinäre Notaufnahme, Krankenhaus Martha-Maria Halle-Dölau, Halle, Deutschland. 6. Klinik für Innere Medizin II, Abteilung Palliativmedizin, Universitätsklinikum Jena, Jena, Deutschland.
Abstract
BACKGROUND: National and international surveys have shown that the quality of pain therapy in hospitals shows deficits, especially in the nonoperative disciplines. OBJECTIVE: The objective was to develop and clinically validate a module for the outcome and process parameters for pain management in patients in the context of a conservative/nonoperative hospital treatment analogous to the QUIPS questionnaire (quality improvement in postoperative pain therapy), which focuses on postoperative pain management. MATERIAL AND METHODS: In a 4-step procedure the QUIPS outcome questionnaire and the process assessment sheet of the QUIPS module were adapted to the conditions of conservative/nonoperative treatment. Patients from internal medicine, neurology and dermatology took part in the systematic testing and the clinical validation. RESULTS: A total of 973 patients were enrolled (inclusion rate 74%, n = 403 internal medicine, n = 401 neurology, n = 169 dermatology). The majority completed the questionnaire independently while 33% of the patients needed support, which was given in the form of an interview. Apart from a few deficits, most questions about pain intensity and function were fully recorded. The evaluation of the outcome was difficult as regardless of the pain therapy, a relevant proportion of the patients reported no pain. Due to the lack of conclusive diagnoses at the time of the assessment, organ-related disease groups were developed using word diagnoses instead of the OPS coding used in QUIPS. CONCLUSION: In addition to the perioperative modules of QUIPS, QUIKS (quality improvement in conservative pain management), an instrument for quality assurance of pain treatment in patients in nonoperative disciplines, is now available.
BACKGROUND: National and international surveys have shown that the quality of pain therapy in hospitals shows deficits, especially in the nonoperative disciplines. OBJECTIVE: The objective was to develop and clinically validate a module for the outcome and process parameters for pain management in patients in the context of a conservative/nonoperative hospital treatment analogous to the QUIPS questionnaire (quality improvement in postoperative pain therapy), which focuses on postoperative pain management. MATERIAL AND METHODS: In a 4-step procedure the QUIPS outcome questionnaire and the process assessment sheet of the QUIPS module were adapted to the conditions of conservative/nonoperative treatment. Patients from internal medicine, neurology and dermatology took part in the systematic testing and the clinical validation. RESULTS: A total of 973 patients were enrolled (inclusion rate 74%, n = 403 internal medicine, n = 401 neurology, n = 169 dermatology). The majority completed the questionnaire independently while 33% of the patients needed support, which was given in the form of an interview. Apart from a few deficits, most questions about pain intensity and function were fully recorded. The evaluation of the outcome was difficult as regardless of the pain therapy, a relevant proportion of the patients reported no pain. Due to the lack of conclusive diagnoses at the time of the assessment, organ-related disease groups were developed using word diagnoses instead of the OPS coding used in QUIPS. CONCLUSION: In addition to the perioperative modules of QUIPS, QUIKS (quality improvement in conservative pain management), an instrument for quality assurance of pain treatment in patients in nonoperative disciplines, is now available.
Authors: J Erlenwein; A Moroder; E Biermann; F Petzke; A P F Ehlers; H Bitter; E Pogatzki-Zahn Journal: Anaesthesist Date: 2018-01 Impact factor: 1.041
Authors: Winfried Meißner; Marcus Komann; Joachim Erlenwein; Ulrike Stamer; André Scherag Journal: Dtsch Arztebl Int Date: 2017-03-10 Impact factor: 5.594
Authors: Christoph Maier; Nadja Nestler; Helmut Richter; Winfried Hardinghaus; Esther Pogatzki-Zahn; Michael Zenz; Jürgen Osterbrink Journal: Dtsch Arztebl Int Date: 2010-09-10 Impact factor: 5.594
Authors: Hans J Gerbershagen; Sanjay Aduckathil; Albert J M van Wijck; Linda M Peelen; Cor J Kalkman; Winfried Meissner Journal: Anesthesiology Date: 2013-04 Impact factor: 7.892
Authors: Carmen Roch; Theresa Kress; Joachim Erlenwein; Winfried Meissner; Elmar Marc Brede; Birgitt van Oorschot Journal: Schmerz Date: 2021-10-27 Impact factor: 1.629
Authors: M I Emons; T H Scheeper-von der Born; F Petzke; V Ellenrieder; L Reinhardt; W Meißner; J Erlenwein Journal: Schmerz Date: 2021-04-20 Impact factor: 1.107