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2 The views in this publication do not necessarily represent those of the Publishers or Sponsors. This edition is sponsored by Grünenthal GmbH. However, all editorial control remains with the authors and editors. Published by Euromed Communications 2011 copyright © Euromed Communications Chairs Professor Giustino Varrassi Italy Dr Gerhard H.H. Müller-Schwefe Germany Dr Wolfgang Jaksch – Austria Professor Bart Morlion – Belgium Dr Patrick Sichere – France Dr Flaminia Coluzzi – Italy Professor Frank Huygen – Netherlands Dr Magdalena Kocot-Kępska – Poland Dr Ana Cristina Mangas – Portugal Dr Cesar Margarit Ferri – Spain Dr Concepción Pérez – Spain Dr Karsten Ahlbeck – Sweden Professor Eli Alon – Switzerland Dr Philippe Mavrocordatos – Switzerland Dr Beverly Collett – UK Dr Dominic Aldington – UK Dr Andrew Nicolaou – UK Professor Joseph Pergolizzi – USA INTERNATIONAL CHANGE PAIN ADVISORY PANEL 4th meeting November 2010 From the beginning the European Fe- deration of IASP Chapters (EFIC) has been one of the major driving forces of the CHANGE PAIN initiative and its objective to increase public awa- reness of the burden of chronic pain and to improve pain treatment. The international CHANGE PAIN Advisory Panel held its 4th meeting in Novem- ber 2010 with the aim to discuss la- test research findings and exchange best practice in severe chronic pain management. In order to get a better understanding of the patients’ perspective, CHANGE PAIN supports several research projects. One of these, the Na- tional Health and Wellness Survey 2008 has demonstrated the extent of chronic pain in Europe and its negative impact on pa- tients’ quality of life. The results of this 2008 survey have been further confirmed by a second survey in 2010. Another patient survey, in Germany, has shown patients’ expe- riences of living with severe chronic pain and the wide variety of ways in which the condition is treated by different specialties. The results of this survey should provide us with a better under- standing of the way chronic pain can affect lives and help us to develop more effective coping strategies. Intensity and duration of pain are not the only factors which need to be taken into account when deciding on adequate pain the- rapy. The use of a multi-factorial risk score approach emphasises the importance of other factors which play a role in the chronicity of pain. The value of this will be discussed further in this issue. The European Federation of IASP Chapters (EFIC) has suc- cessfully organized the “Societal Impact of Pain” (SIP) meetings in 2010 and 2011 to further raise awareness on the issues in chronic pain management among health authorities, budget holders and policy makers. The aim is to ensure that through an effective, focused approach action will be taken to improve pain management. F O R E W O R D Professor Hans Georg Kress President of the European Federation of IASP Chapters (EFIC)