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Standardisierte Telefon-Interviews zur Schmerzverlaufskontrolle

Pilotuntersuchung zur Bestimmung der Durchführbarkeit

Standardized telephone interviews to monitor pain

Pilot study to determine feasibility

Zusammenfassung

Hintergrund

Elektronische Schmerztagebücher sind für Patienten und Ärzte von zunehmendem Interesse. Ziel der vorliegenden Pilotuntersuchung war es, die Durchführbarkeit eines standardisierten Telefon-Interviews bei therapierefraktären Schmerzpatienten, die auf Oxycodon umgestellt wurden, unter Praxisbedingungen zu evaluieren.

Patienten und Methoden

Ein Mal pro Woche beantworteten 33 weibliche und männliche Patienten während 3 Wochen ein standardisiertes Telefon-Interview über den Einfluss ihrer Schmerzen auf ihre Alltagsaktivitäten, nach ICF (International Classification of Functioning).

Ergebnisse

Für 70% aller teilnehmenden Patienten lagen nach 3 Wochen vollständige Daten vor. Bei einwandfreiem technischem Ablauf erschienen folgende Aspekte verbesserungsbedürftig: wechselnde Antwortkategorien für die einzelnen Fragen, limitierte Sprachenauswahl, Instruktionen an Ärzte und Patienten bzgl. der Bedienung. Die Wirksamkeit (Schmerzlinderung und Verbesserung der Einschränkungen der Alltagsaktivitäten) von Oxycodon war bei guter Verträglichkeit mit den Erkenntnissen aus klinischen Studien vergleichbar. Mehr als 95% der Patienten sagten einer anonymisierten Speicherung ihrer Daten für Qualitätssicherungszwecke zu.

Schlussfolgerung

Standardisierte Interviews zur Dokumentation des Schmerzverlaufs sind unter Praxisbedingungen durchführbar, sollten jedoch anwenderfreundlich vereinfacht werden.

Abstract

Background

Electronic pain diaries are of increasing interest to patients and physicians. The goal of the present pilot study was to evaluate the feasibility of standardized telephone interviews in patients with refractory pain who had been switched to oxycodone in the setting of daily practice.

Patients and methods

Once a week for 3 consecutive weeks, 33 female and male patients answered a standardized telephone interview derived from the ICF (International Classification of Functioning) about the impact of pain on their daily activities.

Results

After 3 weeks, complete datasets were available for 70% of all participants. With flawless technicalities, the following aspects appeared to be worth improving: non-uniform response categories, limited language choice, and handling instructions to physicians and patients. The efficacy (pain relief and improved limitations in the activities of daily living) and good tolerability of oxycodone were comparable with findings reported in clinical trials. More than 95% of patients accepted the anonymous storage of their data for quality control purposes.

Conclusion

Standardized telephone interviews aimed at documenting the evolution of pain are feasible in a daily practice setting. They should however be simplified for user-friendliness.

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Danksagung

Wir bedanken uns an dieser Stelle bei unseren Kollegen, die durch Ihre aktive Teilnahme die Durchführung dieses Projekts ermöglicht haben: Berli Adolf, Ellerkmann Edzard, Gallacchi Guido, Gallatti Markus, Keller Fritz, Senn Markus, Steiner Andreas, von Babo Christian, Zogg Thomas, Zurschmiede Christopher.

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Correspondence to R. Theiler.

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Gefördert durch einen unbeschränkten Forschungsbeitrag der Mundipharma Medical Company, Basel.

Qualitouch® ist eine geschützte Marke der QUALITOUCH-HC Stiftung. Alle Rechte vorbehalten. Weitere Informationen unter http://www.qualitouch-hc.org.

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Theiler, R., Widler, C. Standardisierte Telefon-Interviews zur Schmerzverlaufskontrolle. Schmerz 22, 75–81 (2008). https://doi.org/10.1007/s00482-007-0580-1

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  • DOI: https://doi.org/10.1007/s00482-007-0580-1

Schlüsselwörter

  • Schmerz
  • Alltagsaktivitäten
  • International Classification of Functioning (ICF)
  • Elektronische Schmerztagebücher
  • Standardisierte Telefon-Interviews

Keywords

  • Pain
  • Activities of daily living
  • International Classification of Functioning (ICF)
  • Electronic pain diaries
  • Standardized telephone interviews