Aktualisierung der DEGAM-S1-Handlungsempfehlung zum chronischen, nichttumorbedingten Schmerz

In accordance with the guidelines of the Association of Scientific Medical Societies in Germany (AWMF), the DEGAM (“Deutsche Gesellschaft für Allgemeinmedizin”) S1 guideline “Chronic pain” required updating.

A selective nonsystematic literature search was performed and comments from the DEGAM guideline commission were obtained.

The content of the previous version can largely be maintained. The content was expanded, particularly in the areas of assessment, nondrug therapy approaches and self-care and opioid management. The short version was supplemented by a document with explanations and implementation aids.

Chronic noncancer pain is a very common reason for consultation with a general practitioner (GP). Recommendations for action and instruments specifically for the GP setting are urgently needed. An upgrade of the guideline to S2 or S3 level and practical aids for joint decision-making for individual long-term patient support should be developed in the future.