Series VI: Medical Sciences – SUPPLEMENT ... - Krongres

L. TARTAU, ez al.: - Doctor-patient relationship in neuropathic pain: a comparative study between 57
urban and rural zone
treatment of neuropathic pain, he proved
high overall responsiveness to the patients
and tasks performed complies their
demands.
Conclusions
� in this two medical centres, the most
frequent causes of neuropathic pain are
represented by chronic radiculopathy,
diabetic, neoplastic and postherpethic
neuralgia;
� in both medical centers, the pharmacological
treatment of neuropathic pain
consists of nonopioid analgesic drugs
(especially the nonsteroidal antiinflammatory
- ketoprofen, indometacin,
and analgesic antipyretic – acetaminophen)
administration.
� opioid, antidepressant and anticonvulsant
drugs were recommended especially in
urban medical center, but in a small
number of neuropathic patients.
� in our country, most health care
practices are not sufficiently prepared
to manage neuropathic pain;
� neuropathic pain is often undertreated,
due to insufficient acquainted of the
literature data, regarding the new
modern therapeutic strategies in this
type of pain.
� primary health care system particularities
are less important for doctorpatient
communication that was
expected;
� patients in rural area are more satisfied
with the medical consultation and more
likely to comply with the treatment,
than patients in urban area;
� the doctor-patient relationship in rural
health care is better than in urban
medical care;
� the obtained data has provided detailed
understandings of the strengths and
limitations of primary medical care
services, not evident in official reports.
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