Evidence map›Paper›PMID 40417072›Full record

ArticleJournal of pain research2025

Needs and Wishes Towards Sex- and Gender-Sensitive Chronic Pain Management: A Qualitative Study with German General Practitioners.

Alexandra Piotrowski, Alexandra Schmidt, Natalie Seuken, Lia Goldberg, Neele Kufeld, Christine Kersting, Veronika Bencheva, Petra Thürmann, Achim Mortsiefer, GESCO study group

Abstract read
In one paragraph

Article in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Alexandra PiotrowskiGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0000-0001-5206-4514
Alexandra SchmidtGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0000-0002-8528-9709
Natalie SeukenGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0009-0004-1594-5071
Lia GoldbergGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.
Neele KufeldGeneral Practice I and Interprofessional Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0009-0009-0897-5201
Christine KerstingGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0000-0001-9393-4766
Veronika BenchevaClinical Pharmacology, Faculty of Health, Witten/Herdecke University, Witten, Germany.
Petra ThürmannClinical Pharmacology, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0000-0001-9724-1422
Achim MortsieferGeneral Practice II and Patient-Centeredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany.ORCID 0000-0001-9901-1727
GESCO study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study is part of the GESCO feasibility project (funded by the German Federal Ministry of Health) aimed at developing a sex- and gender-sensitive primary care intervention for patients with chronic non-cancer pain (CNCP) receiving long-term opioid therapy (LTOT). To inform the intervention design, we explored general practitioners' (GPs) experiences and needs in managing this patient group, with a particular focus on the role of sex and gender. Methods: We conducted semi-structured telephone interviews with five GPs in Germany using a convenience sample. Interviews were transcribed verbatim and analyzed using the Rapid approach to integrate findings quickly into the broader project. Results: Treating patients with CNCP and LTOT is highly complex and emotionally demanding. GPs described feeling caught between patients' high expectations and their own limitations, which often strained therapeutic relationships. Gender dynamics played a key role in shaping these interactions. While male GPs emphasized neutrality, underlying gender stereotypes still influenced their behavior. Female GPs reported stronger trust with female patients, while male GPs described a greater focus on asserting control. Stigmatization-especially affecting female patients-was reported to hinder open communication and trust. GPs expressed the need for more time, better training in gender-sensitive care, and stronger interdisciplinary collaboration. Conclusion: To improve care for patients with CNCP and LTOT, recommendations include: extending consultation times with adequate reimbursement, ensuring comprehensive medical histories, enhancing GP training in gender-sensitive care, improving diagnostic tools, and promoting peer collaboration. Further measures involve supporting patient self-management, empathy, and communication, as well as adopting a biopsychosocial and sex- and gender-sensitive approach to treatment.

Indexed as

chronic non-cancer painchronic pain in general practicelong-term opioid therapyneeds assessmentsex- and gender-sensitive medical care

Identifiers

PMID40417072
PMCPMC12103195

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Registered trials

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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.