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Is Europe also faci...
Is Europe also facing an opioid crisis? : A survey of European Pain Federation chapters
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- Häuser, Winfried (författare)
- Tech Univ Munich, Dept Psychosomat Med & Psychotherapy, Munich, Germany.
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- Buchser, Eric (författare)
- Dept Anaesthesia & Pain Management Neuromodulat C, Morges, Switzerland.
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- Finn, David (författare)
- Galway Neurosci Ctr Natl Univ Ireland Galway, Sch Med, Ctr Pain Res, Pharmacol & Therapeut, Galway, Ireland.
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- Dom, Geerd (författare)
- Antwerp Univ, Collaborat Antwerp Psychiat Res Inst, Antwerp, Belgium.
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- Fors, Egil (författare)
- Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Trondheim, Norway.
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- Heiskanen, Tarja (författare)
- Helsinki Univ Hosp, Pain Clin, Helsinki, Finland.
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- Jarlbaek, Lene (författare)
- Univ Southern Denmark, Dept Clin Res, REHPA Danish Knowledge Ctr Rehabil & Palliat Care, Nyborg, Denmark.
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- Knaggs, Roger D. (författare)
- Univ Nottingham, Sch Pharm, Nottingham, England.;City Hosp Nottingham, Pain Ctr Versus Arthrit, Clin Sci Bldg, Nottingham, England.
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- Kosek, Eva (författare)
- Karolinska Institutet,Uppsala universitet,Klinisk smärtforskning
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- Krcevski-Skvarc, Nevenka (författare)
- Univ Maribor, Fac Med, Dept Anesthesiol Intens Care & Pain Treatmen, Maribor, Slovenia.
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- Pakkonen, Kaire (författare)
- Parnu Hosp, Anaesthesiol Operat & Intens Care Serv, Parnu, Estonia.
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- Perrot, Serge (författare)
- Univ Paris, Univ Hosp Cochin, Pain Med Dept, Paris, France.
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- Trouvin, Anne-Priscille (författare)
- Univ Paris, Univ Hosp Cochin, Pain Med Dept, Paris, France.
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- Morlion, Bart (författare)
- Univ Hosp Leuven, Ctr Algol & Pain Management, Leuven, Belgium.
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Tech Univ Munich, Dept Psychosomat Med & Psychotherapy, Munich, Germany Dept Anaesthesia & Pain Management Neuromodulat C, Morges, Switzerland. (creator_code:org_t)
- 2021-05-15
- 2021
- Engelska.
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Ingår i: European Journal of Pain. - : John Wiley & Sons. - 1090-3801 .- 1532-2149. ; 25:8, s. 1760-1769
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Abstract
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- Background There is considerable public interest in whether Europe is facing an opioid crisis comparable to the one in the United States and the contribution of opioid prescriptions for pain to a potential opioid crisis. Methods A task force of the European Pain Federation (EFIC) conducted a survey with its national chapter representatives on trends of opioid prescriptions and of drug-related emergency departments and substance use disorder treatment admissions and of deaths as proxies of opioid-related harms over the last 20 years. Results Data from 25 European countries were received. In most European countries opioid prescriptions increased from 2004 to 2016. The levels of opioid consumption and their increase differed between countries. Some Eastern European countries still have a low opioid consumption. Opioids are mainly prescribed for acute pain and chronic noncancer pain in some Western and Northern European countries. There was a parallel increase in opioid prescriptions and some proxies of opioid-related harms in France, Finland and the Netherlands, but not in Germany, Spain and Norway. In United Kingdom, opioid overdose deaths, but not opioid prescriptions increased between 2016 and 2018. There are no robust data available on whether prescribed opioids for pain patients contributed to opioid-related harms. Conclusions There are marked differences between European countries in trends of opioid prescribing and of proxies for opioid-related harms. Europe as a whole is not facing an opioid crisis. Discussions on the potential harms of opioids should not obstruct their prescription for cancer pain and palliative care. Significance Europe as a whole is not facing an opioid crisis. Some Eastern European countries have limited access to opioid medicines. Discussions on the potential harms of opioid medicines for noncancer pain should not obstruct opioid therapy for cancer therapy and palliative care.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Beroendelära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Substance Abuse (hsv//eng)
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Häuser, Winfried
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Buchser, Eric
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Finn, David
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Dom, Geerd
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Fors, Egil
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Heiskanen, Tarja
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Jarlbaek, Lene
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Knaggs, Roger D.
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Kosek, Eva
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Krcevski-Skvarc, ...
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Pakkonen, Kaire
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Perrot, Serge
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Trouvin, Anne-Pr ...
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Morlion, Bart
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