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Search: onr:"swepub:oai:lup.lub.lu.se:e892d678-b3f4-46a8-85bb-01421c846872" > The Surgeon's Role ...

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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004292naa a2200529 4500
001oai:lup.lub.lu.se:e892d678-b3f4-46a8-85bb-01421c846872
003SwePub
008200403s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:143149403
0247 a https://lup.lub.lu.se/record/e892d678-b3f4-46a8-85bb-01421c8468722 URI
0247 a https://doi.org/10.3389/fsurg.2020.000042 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1431494032 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a for2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Shadbolt, Cadeu University of Melbourne4 aut
2451 0a The Surgeon's Role in the Opioid Crisis : A Narrative Review and Call to Action
264 c 2020-02-18
264 1b Frontiers Media SA,c 2020
520 a Over the past two decades, there has been a sharp rise in the use of prescription opioids. In several countries, most notably the United States, opioid-related harm has been deemed a public health crisis. As surgeons are among the most prolific prescribers of opioids, growing attention is now being paid to the role that opioids play in surgical care. While opioids may sometimes be necessary to provide patients with adequate relief from acute pain after major surgery, the impact of opioids on the quality and safety of surgical care calls for greater scrutiny. This narrative review summarizes the available evidence on rates of persistent postsurgical opioid use and highlights the need to target known risk factors for persistent postoperative use before patients present for surgery. We draw attention to the mounting evidence that preoperative opioid exposure places patients at risk of persistent postoperative use, while also contributing to an increased risk of several other adverse clinical outcomes. By discussing the prevalence of excess opioid prescribing following surgery and highlighting significant variations in prescribing practices between countries, we note that there is a pressing need to optimize postoperative prescribing practices. Guided by the available evidence, we call for specific actions to be taken to address important research gaps and alleviate the harms associated with opioid use among surgical patients.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a opioids
653 a postoperative opioid use
653 a prescribing practices
653 a risk factors
653 a surgery
7001 a Abbott, J. Haxbyu Dunedin School of Medicine4 aut
7001 a Camacho, Ximenau University of Melbourne4 aut
7001 a Clarke, Philipu University of Oxford4 aut0 (Swepub:lu)med-phc
7001 a Lohmander, L. Stefanu Lund University,Lunds universitet,Lund OsteoArthritis Division - Nedbrytning av ledbrosk: en biologisk process som leder till artros,Forskargrupper vid Lunds universitet,Lund OsteoArthritis Division - Molecular marker research group,Lund University Research Groups4 aut0 (Swepub:lu)ort-slo
7001 a Spelman, Timu Karolinska Institute,University of Melbourne,Copenhagen University Hospital4 aut
7001 a Sun, Eric C.u Stanford University4 aut
7001 a Thorlund, Jonas B.u University of Southern Denmark4 aut
7001 a Zhang, Yutingu University of Melbourne4 aut
7001 a Dowsey, Michelle M.u University of Melbourne,St. Vincent's Hospital, Melbourne4 aut
7001 a Choong, Peter F.M.u University of Melbourne,St. Vincent's Hospital, Melbourne4 aut
7102 a University of Melbourneb Dunedin School of Medicine4 org
7102 a CAOS (Consortium Against the Overuse of Opioids in Surgery)
7730 t Frontiers in surgeryd : Frontiers Media SAg 7q 7x 2296-875X
8564 u http://dx.doi.org/10.3389/fsurg.2020.00004x freey FULLTEXT
8564 u https://www.frontiersin.org/articles/10.3389/fsurg.2020.00004/pdf
8564 8u https://lup.lub.lu.se/record/e892d678-b3f4-46a8-85bb-01421c846872
8564 8u https://doi.org/10.3389/fsurg.2020.00004
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:143149403

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