Evidence map›Paper›PMID 40982028›Full record

ArticleOrthopadie (Heidelberg, Germany)2025

[When nothing helps anymore outside: interdisciplinary multimodal pain therapy].

Hans-Raimund Casser

Abstract readEnglish Abstract
In one paragraph

Article in Orthopadie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

1 author.

Hans-Raimund Casser, Am Viktorstift 19, 55130, Mainz, Deutschland. hrcasser@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nearly 10% of the German population suffers from debilitating chronic pain with psychosocial factors and significant consequences for their quality of life. These individuals require early interdisciplinary assessment and treatment when there are corresponding indications. Neurophysiologically detectable sensitization processes explain the clinical experiences and studies that timely referral of patients with unclear, persistent symptoms to an early interdisciplinary multimodal assessment (IMA) and, if necessary, to interdisciplinary multimodal therapy (IMST) can prevent the development or progression of pain chronification. The chronification of pain is not a problem of time but of the increase in the somatic and psychosocial factors involved. Therefore, recognizing and clarifying these chronification factors in a timely manner is more crucial than adhering to temporal definitions for chronic pain, which often leads to late interdisciplinary assessment and treatment.

Indexed as

Chronic PainPain ManagementPatient Care TeamCombined Modality TherapyGermanyHumansInterdisciplinary CommunicationPain MeasurementQuality of LifeCentral sensitizationChronic painLife qualityMultimodal treatmentPain assessment

Identifiers

PMID40982028
PMCPMC12589319

What OpenQuestion holds

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Registered trials

None linked

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.