Evidence map›Paper›PMID 25479710›Full record

ArticleSchmerz (Berlin, Germany)2015

[Practice of regional anesthesia for chronic pain patients in specialized pain services : A nationwide survey in Germany].

S Tafelski, T Beutlhauser, E Gouliou-Mayerhauser, T Fritzsche, C Denke, M Schäfer

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Schmerz (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02747758 naterminatednot on this mapstarted 2016, after this paper: background citation

Randomized Controlled Clinical Trial Evaluating Transcranial Direct Current Stimulation (tDCS) in Chronic Pain Patients With Neuropathy

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2016 to 2021Enrolled17ConditionsNeuropathic Pain, NeuralgiaArmscathodal transcranial direct current stimulation (tDCS), sham transcranial direct current stimulation (tDCS), anodal transcranial direct current stimulation (tDCS)
NCT03066037 completednot on this map

Regional-anaesthesiological Infiltration Techniques for the Management of Chronic Pain: a Retrospective Study

TypeobservationalSponsorCharite University, Berlin, GermanyRan2009 to 2016Enrolled83ConditionsChronic Pain, Trigeminal Neuralgia, Cluster Headache, Post-Zoster NeuralgiaArmsregional-anaesthesiological infiltration
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [The problem with the hammer].Schmerz (Berlin, Germany) · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

S TafelskiKlinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Charité Mitte und Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland, sascha.tafelski@charite.de.
T Beutlhauser
E Gouliou-Mayerhauser
T Fritzsche
C Denke
M Schäfer
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of chronic pain has been estimated to be 19% in the European population and criteria for disabling chronic pain were found in approximately 7% of the German population. Clinical care for these patients is provided in ambulant and hospital-associated facilities. In this context, invasive interventions are part of the diagnosis and treatment of several specific diseases. Current data on the structure of clinical care based regional anesthesia for chronic pain patients in Germany are not available.

objectiveThis study focused on the application and practice of interventional procedures in the context of pain management. MATERIAL AND

methodsAn internet-based survey addressing pain facilities and pain specialists in Germany was carried out. The response rate achieved 54%.

resultsOverall 79% of the pain therapists who responded included regional anesthesia techniques in the therapeutic spectrum in up to 25% of patients. The leading indications for invasive procedures were back pain and neuropathic pain. Two thirds of the therapists reported performing a series of blocks. A reduction of pain intensity of 30-50% was often reported as a sufficient criterion for the success of regional anesthesia interventions. Typically, approximately 40% of the chronic pain patients undergoing a series of blocks achieved sufficient pain relief which lasted most commonly for 12 weeks up to 6 months.

conclusionThis survey describes the current structures of specialized pain facilities for regional anesthesia in Germany including responses from predominantly anesthesiologists in a hospital-associated setting. In light of the limited evidence in the literature there is no consensus on the interventional therapeutic management of chronic pain. Especially the application of a series of blocks and the frequency as well as criteria to support continuing or terminating a series of regional anesthesia interventions are not sufficiently evaluated. This survey also gives an incentive for a possible revision of the existing practice in regional anesthesia in the context of multimodal therapy and currently existing guidelines in future clinical studies.

Indexed as

Ambulatory CareAnesthesia, ConductionHospitalizationBack PainChronic PainGermanyHealth Care SurveysHumansNeuralgiaPain ClinicsPain MeasurementUtilization Review

Identifiers

PMID25479710
OpenAlexW3212360909

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.