The current healthcare provision in Germany is established, in particular, for the diagnostics and treatment of chronic pain conditions; however, the current aim is to initiate the diagnostic and therapeutic approaches oriented towards the biopsychosocial pain model in the early stages of pain, i.e. before the onset of chronification, for patients with pain and a risk of chronification in order to actively avoid chronification processes. In this context, multiple risk factors play an important role for the diagnostic and therapeutic approaches as well as for the interdisciplinary multimodal pain therapy developed for this purpose. The Global Year of the International Association for the Study of Pain (IASP) 2020 addressed the prevention of (chronic) pain, a welcome opportunity to provide a short review of the evidence for and clinical experiences with timely diagnostic and therapeutic options and to summarize the current framework conditions and scientific recommendations for Germany. At the end of this article the implications for future research are summarized, particularly for the treatment of patients with pain and risk of chronification.

中文翻译：

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Vermeidung chronischer Schmerzen in der deutschen Gesundheitsversorgung

德国目前的医疗保健规定是建立在慢性疼痛疾病的诊断和治疗方面的；然而，目前的目标是在疼痛的早期阶段，即在慢性化开始之前，针对具有疼痛和慢性化风险的患者启动面向生物心理社会疼痛模型的诊断和治疗方法，以积极避免慢性化过程。在这种情况下，多种风险因素对诊断和治疗方法以及为此目的开发的跨学科多模式疼痛治疗起着重要作用。国际疼痛研究协会 (IASP) 2020 全球年讨论了（慢性）疼痛的预防，一个受欢迎的机会，通过及时的诊断和治疗选择对证据和临床经验进行简短回顾，并总结德国当前的框架条件和科学建议。在本文的结尾，总结了对未来研究的影响，特别是对于治疗有疼痛和慢性化风险的患者。