Summary
Recent statistics reveal a substantial and even growing need for palliative care in present-day society. Providing adequate pain therapy remains a largely unsolved problem, mainly because of the small number of clinical studies in palliative medicine. Hence, clinical research is urgently needed – and therefore suitable tools to measure outcomes must be developed. Contrary to typical clinical studies, the usual outcome parameters such as decreased mortality and/or morbidity are unsuitable. Future research should focus on developing an instrument which allows to measure quality of life as the central outcome criterion of clinical studies in palliative medicine.
Einleitung
Neuere Statistiken zeigen einen substanziellen und wachsenden Bedarf an palliativer Versorgung in der heutigen Gesellschaft. Eine adäquate schmerztherapeutische Versorgung stellt aufgrund der geringen Anzahl klinischer Studien in der Palliativmedizin ein weitgehend ungelöstes Problem dar. Daher brauchen wir dringend klinische Forschung – und somit geeignete Instrumente zur Outcome-Messung. Im Gegensatz zu,,normalen“ klinischen Studien sind die üblichen Outcome-Parameter wie gesunkene Mortalität und/oder Morbidität ungeeignet. Der Fokus zukünftiger Forschung sollte auf der Entwicklung eines Instruments liegen, das in der Lage ist, Lebensqualität als das zentrale Outcome-Kriterium klinischer Studien in der Palliativmedizin zu messen.
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