PMID- 18415445
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20121002
LR  - 20211020
IS  - 0932-433X (Print)
IS  - 0932-433X (Linking)
VI  - 8
IP  - 2
DP  - 1994 Jun
TI  - [AIDS and pain management-a survey of German AIDS and pain management units.].
PG  - 119-24
AB  - The number of AIDS patients is steadily increasing. According to the literature 
      these patients are often in severe pain. METHODS: We evaluated pain diagnoses and 
      treatments with two almost identical questionnaires for AIDS treatment units 
      (ATU) and pain management units (PMU). Questions dealt with unit type and size, 
      number of patients treated per year and the proportion of intravenous drug users. 
      The units were also asked to give an estimate of pain aetiologies, pain types and 
      localizations and treatment modalities offered. RESULTS: Completed questionnaires 
      were returned by 38 of 235 ATU and 85 of 127 PMU. In the ATU, 16% of the patients 
      (estimated at 580 patients per year) had pain requiring treatment. In 26 of the 
      PMU approximately 120 AIDS patients per year were treated, while 59 PMU had not 
      yet seen any AIDS patients. Pain was caused mainly by opportunistic infections 
      and by neurological syndromes connected with AIDS. Pain aetiologies could not be 
      differentiated in the ATU in 22% of patients (PMU 9%), and pain types in 33% (PMU 
      9%). Neuropathic pain (ATU 38%, PMU 89%) was more frequent than nociceptive pain 
      (ATU 29%, PMU 36%). The treatment modalities were systemic pharmacotherapy in 76% 
      of ATU and 73% of PMU and nerve blocks in 37% of ATU and 42% of PMU. In 82% of 
      ATU the staff thought their analgesic therapy was adequate, and in 92% staff were 
      interested in closer cooperation with PMU such as was currently practised in only 
      6 of the 38 units (16%) that responded. CONCLUSIONS: The high incidence of 
      complicated neuropathic pain syndromes in AIDS patients requires a sophisticated 
      therapeutic approach. Closer cooperation between AIDS specialists and pain 
      specialists, comparable to that already existing for other patient groups, is 
      therefore desirable.
FAU - Zech, D
AU  - Zech D
AD  - Klinik fur Anaesthesiologie und Operative Intensivmedizin, Universitat zu Koln, 
      Joseph-Stelzmann-Strasse 9, D-50924, Koln.
FAU - Radbruch, L
AU  - Radbruch L
FAU - Grond, S
AU  - Grond S
FAU - Heise, W
AU  - Heise W
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Schmerz und Schmerztherapie bei AIDS-Patienten : Eine Umfrage an deutschen AIDS- 
      und Schmerztherapie-Einrichtungen.
PL  - Germany
TA  - Schmerz
JT  - Schmerz (Berlin, Germany)
JID - 8906258
EDAT- 1994/06/01 00:00
MHDA- 1994/06/01 00:01
CRDT- 1994/06/01 00:00
PHST- 1993/11/08 00:00 [received]
PHST- 1994/01/21 00:00 [accepted]
PHST- 1994/06/01 00:00 [pubmed]
PHST- 1994/06/01 00:01 [medline]
PHST- 1994/06/01 00:00 [entrez]
AID - 10.1007/BF02530417 [doi]
PST - ppublish
SO  - Schmerz. 1994 Jun;8(2):119-24. doi: 10.1007/BF02530417.