Sökning: onr:"swepub:oai:lup.lub.lu.se:e892d678-b3f4-46a8-85bb-01421c846872" > The Surgeon's Role ...
Fältnamn | Indikatorer | Metadata |
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000 | 04292naa a2200529 4500 | |
001 | oai:lup.lub.lu.se:e892d678-b3f4-46a8-85bb-01421c846872 | |
003 | SwePub | |
008 | 200403s2020 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:143149403 | |
024 | 7 | a https://lup.lub.lu.se/record/e892d678-b3f4-46a8-85bb-01421c8468722 URI |
024 | 7 | a https://doi.org/10.3389/fsurg.2020.000042 DOI |
024 | 7 | 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 | 7 | a for2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Shadbolt, Cadeu University of Melbourne4 aut |
245 | 1 0 | a The Surgeon's Role in the Opioid Crisis : A Narrative Review and Call to Action |
264 | c 2020-02-18 | |
264 | 1 | b 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 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a 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 | |
700 | 1 | a Abbott, J. Haxbyu Dunedin School of Medicine4 aut |
700 | 1 | a Camacho, Ximenau University of Melbourne4 aut |
700 | 1 | a Clarke, Philipu University of Oxford4 aut0 (Swepub:lu)med-phc |
700 | 1 | 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 |
700 | 1 | a Spelman, Timu Karolinska Institute,University of Melbourne,Copenhagen University Hospital4 aut |
700 | 1 | a Sun, Eric C.u Stanford University4 aut |
700 | 1 | a Thorlund, Jonas B.u University of Southern Denmark4 aut |
700 | 1 | a Zhang, Yutingu University of Melbourne4 aut |
700 | 1 | a Dowsey, Michelle M.u University of Melbourne,St. Vincent's Hospital, Melbourne4 aut |
700 | 1 | a Choong, Peter F.M.u University of Melbourne,St. Vincent's Hospital, Melbourne4 aut |
710 | 2 | a University of Melbourneb Dunedin School of Medicine4 org |
710 | 2 | a CAOS (Consortium Against the Overuse of Opioids in Surgery) |
773 | 0 | t Frontiers in surgeryd : Frontiers Media SAg 7q 7x 2296-875X |
856 | 4 | u http://dx.doi.org/10.3389/fsurg.2020.00004x freey FULLTEXT |
856 | 4 | u https://www.frontiersin.org/articles/10.3389/fsurg.2020.00004/pdf |
856 | 4 8 | u https://lup.lub.lu.se/record/e892d678-b3f4-46a8-85bb-01421c846872 |
856 | 4 8 | u https://doi.org/10.3389/fsurg.2020.00004 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:143149403 |
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