La douleur en médecine générale

Tajfel, P.; Gerche, S.; Huas, Dominique

doi:10.1007/bf03008120

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…13 A one-day cross-sectional study from primary care in Paris observed that, of all patients seen, 43% presented with pain. 28 In 20% of those with pain, it was chronic (for musculoskeletal pain, this figure was higher with 50%). The great majority of chronic pain is managed in community or primary care settings, with approximately 0.3% to 2% of those with chronic pain referred to specialist pain clinics, 4,28 while 7% to 35% are referred to other secondary care specialists, e.g.…”

Section: Definition and Goals Of Primary Carementioning

confidence: 97%

“…28 In 20% of those with pain, it was chronic (for musculoskeletal pain, this figure was higher with 50%). The great majority of chronic pain is managed in community or primary care settings, with approximately 0.3% to 2% of those with chronic pain referred to specialist pain clinics, 4,28 while 7% to 35% are referred to other secondary care specialists, e.g. an orthopaedic surgeon or a rheumatologist, and 26% to a physiotherapist.…”

Section: Definition and Goals Of Primary Carementioning

confidence: 97%

“…consultations are related to pain. 11,17,28 A Swedish study showed that, of those presenting to primary care with pain, this was chronic in 37%, chronic and intermittent in 11%…”

Section: Definition and Goals Of Primary Carementioning

confidence: 99%

“…an orthopaedic surgeon or a rheumatologist, and 26% to a physiotherapist. 13,28 De facto, chronic pain recognition and treatment is of central importance in primary care. However, the lack of a It is clear that addressing chronic pain in primary care is consistent with WHO priorities.…”

Section: Definition and Goals Of Primary Carementioning

confidence: 99%

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The IASP classification of chronic pain for ICD-11: applicability in primary care

Smith

Fors

Korwisi

et al. 2019

Pain

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The International Classification of Diseases, 11 th Revision (ICD-11) proposes, for the first time, a coding system for chronic pain. This system contains one code for 'chronic primary pain', where chronic pain is the disease, and six codes for secondary chronic pain syndromes, where pain developed in the context of another disease. This provides the opportunity for routine, standardised coding of chronic pain throughout all healthcare systems. In primary care, this will confer many important, novel advantages over current or absent coding systems. Chronic pain will be recognized as a centrally important condition in primary care. The capacity to measure incidence, prevalence and impact will help identification of human, financial, and educational needs required to address chronic pain in primary care. Finally, opportunities to match evidence-based treatment pathways to distinct chronic pain subtypes will be enhanced.

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Section: Definition and Goals Of Primary Carementioning

confidence: 97%

Section: Definition and Goals Of Primary Carementioning

confidence: 97%

“…consultations are related to pain. 11,17,28 A Swedish study showed that, of those presenting to primary care with pain, this was chronic in 37%, chronic and intermittent in 11%…”

Section: Definition and Goals Of Primary Carementioning

confidence: 99%

Section: Definition and Goals Of Primary Carementioning

confidence: 99%

See 2 more Smart Citations

The IASP classification of chronic pain for ICD-11: applicability in primary care

Smith

Fors

Korwisi

et al. 2019

Pain

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“…Dans le rapport de la HAS (2008) [1], la répartition des patients selon leur type de douleurs est la suivante : Du fait des progrès thérapeutiques permettant des survies plus importantes des malades (atteints de cancers notamment) et le vieillissement de la population générale, beaucoup de patients souffrant de diverses douleurs chroniques sont amenés à être suivis au long cours en médecine générale [5].…”

Section: Quels Malades Consultent Les Structures Spécialisées En Doulunclassified

Les douleurs chroniques en France Recommandations pour une meilleure prise en charge

et al. 2019

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Environ 22 millions de Français (environ 30 % de la population adulte) souffrent de douleurs chroniques rebelles aux traitements antalgiques conventionnels. La France a été l'un des premiers pays déterminés à lutter contre la douleur chronique, en mettant en place plusieurs plans gouvernementaux. Toutefois, l'état actuel fait apparaître de réelles menaces sur la prise en charge des malades douloureux chroniques, en raison : 1) de départs prochains à la retraite de nombreux médecins spécialisés, qui avaient créé les « structures spécialisées douleur chronique » (SDC) ; 2) et de grandes difficultés de recrutement de leurs successeurs. L'Académie nationale de médecine émet les recommandations suivantes : 1) consolider l'existence des 273 SDC pour les années à venir ; 2) désigner au sein de chaque faculté de médecine un « coordinateur universitaire douleur » rattaché à la sous-section « Thérapeutique médecine de la douleur » du Conseil national des universités ou à une des grandes disciplines universitaires concernant la douleur ; 3) veiller au renouvellement des équipes des SDC par : des médecins ayant reçu une formation spécialisée transversale « Médecine de la douleur », en plus de leur diplôme d'études spécialisées d'origine ; d'autres soignants (infirmières, physio-thérapeutes, psychologues…) ayant bénéficié d'une formation « douleur » ; 4) en plus de l'indispensable formation initiale de tous les médecins et soignants à la spécificité de la douleur chronique, faciliter l'accès à des formations complémentaires sur les nouvelles approches non médicamenteuses, technologiques et psychosociales ; 5) développer la recherche clinique et fondamentale translationnelle par la mise en place de choix stratégiques, politiques et organisationnels. Mots clés Douleur chronique · Structures spécialisées douleur chronique · Traitement antalgique · Formation · RechercheAbstract Approximately 22 million people (approximately 30% French adult population) suffer from chronic pain in France, refractory to analgesic treatments. France was one of the first countries that determined to fight against chronic pain, by setting up several governmental plans. However, the present situation reveals real threats about chronic pain sickness care, because of numerous upcoming doctors' retirements, which induces a question on the recruitments of their successors. The French Academy of Medicine purposes five recommendations: 1) strengthen the existence of 273 specialized structures chronic pain (SPC) for upcoming years; 2) appoint in every university department an "university pain coordinator" connected with the sub-section "Therapeutics-Pain medicine" of the National University Council or in one of the major university disciplines concerning pain; 3) ensure teams renewal of the SPC by doctors having received a transverse specialist training (TST) "pain", in addition to their specialty diploma; 4) improve the initial and continuous training of all the doctors and nurses. Value the time dedicated to the sick person, as well as with the non-medicina...

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Les douleurs chroniques en France. Recommandations de l’Académie nationale de médecine pour une meilleure prise en charge des malades

Queneau

Serrié

Trèves

et al. 2018

Douleurs : Évaluation - Diagnostic - Traitement

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La douleur en médecine générale

Cited by 9 publications

References 10 publications

The IASP classification of chronic pain for ICD-11: applicability in primary care

The IASP classification of chronic pain for ICD-11: applicability in primary care

Les douleurs chroniques en France Recommandations pour une meilleure prise en charge

Les douleurs chroniques en France. Recommandations de l’Académie nationale de médecine pour une meilleure prise en charge des malades

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