AB1368 PROBLEMATIC USE OF OPIOIDS IN MUSCULOSKELETAL CHRONIC NON-CANCER PAIN: A PROSPECTIVE REAL LIFE STUDY
نویسندگان
چکیده
Background Musculoskeletal chronic non-cancer pain (CNCP) has a multidimensional impact. Opioid treatments have key role in their management but expose to risks of serious adverse effects and particular opioid use disorder misuse. There is lack data on this topic France. This work assesses the proportion patients with problematic treatment rheumatology department center University Hospital Tours. Objectives Methods We carried out prospective monocentric observational study routine care followed for musculoskeletal CNCP treated indication weak or strong at time inclusion between January December 2021. collected demographic, clinical prescribing data. The primary endpoint was percentage defined by overconsumption and/or misuse according Prescribed Misuse Index (POMI) DSM V criteria. Results 97 were included (68% women, median age 55 years); 37% opioids. duration 4.5 years; 30% had treatment. 20% patients, 22% 15%. group higher body mass index reported significantly more history psychotrauma. Conclusion opioids frequent. These are agreement those literature other indications. interest therapeutic education programs preventive interventions remains be defined. Keywords: opioids, pain, disorder, REFERENCES: NIL. Acknowledgements: Disclosure Interests None Declared.
منابع مشابه
[Use of opioids in chronic non-cancer pain].
Opioids play a much smaller role in the management of chronic noncancer pain than they do in that of severe acute pain and cancer pain. They are beneficial in a small subset of patients with chronic noncancer pain but there are pharmacological, psychological and societal concerns about their current widespread use for this indication. T here has been a dramatic increase in recent years in the u...
متن کاملOpioids in chronic non-cancer pain.
INTRODUCTION The use of chronic opioid therapy for chronic non-cancer pain is growing and is now accepted as an effective treatment modality. AREAS COVERED Although there are guidelines and reviews for chronic opioid therapy for chronic non-cancer pain patients, physicians may still have concerns and be reluctant to prescribe strong opioids for chronic non-cancer pain. Common issues and conce...
متن کاملUse and rotation of opioids in chronic non-oncologic pain.
BACKGROUND AND OBJECTIVES Prolonged use of opioids is a possibility for chronic pain treatment. Opioids are effective for virtually all chronic noncancer pain syndromes, but may cause dependence. The aim of this paper is to review the use and rotation of opioids in chronic non-oncologic pain. CONTENT The use of potent opioids is controversial and not recommended as first-line drugs due to the...
متن کاملThe role of opioids in managing chronic non-cancer pain.
The use of opioids for the treatment of chronic non-cancer pain has become more widespread recently. Available data support the short-term use of opioids in clearly defined nociceptive and neuropathic pain states. Their use in 'pathological' pain states without a clear diagnosis, such as chronic low back pain, is more contentious. A decision to initiate opioid treatment in these conditions requ...
متن کاملExperience of adjunctive cannabis use for chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study.
BACKGROUND There is increasing debate about cannabis use for medical purposes, including for symptomatic treatment of chronic pain. We investigated patterns and correlates of cannabis use in a large community sample of people who had been prescribed opioids for chronic non-cancer pain. METHODS The POINT study included 1514 people in Australia who had been prescribed pharmaceutical opioids for...
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ژورنال
عنوان ژورنال: Annals of the Rheumatic Diseases
سال: 2023
ISSN: ['1468-2060', '0003-4967']
DOI: https://doi.org/10.1136/annrheumdis-2023-eular.789