Opioid Prescriptions in Chronic Pain Rehabilitation: A Prospective Study on the Prevalence and Association between Individual Patient Characteristics and Opioids

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Svanberg, Mikael,1958-Uppsala universitet,Örebro universitet,Institutionen för hälsovetenskaper,Centre for Clinical Research, Uppsala University, County Hospital, Västerås, Sweden,Centrum för klinisk forskning, Västerås,Örebro Univ, Fac Med & Hlth, Sch Hlth Sci, SE-70185 Örebro, Sweden (författare)

Opioid Prescriptions in Chronic Pain Rehabilitation : A Prospective Study on the Prevalence and Association between Individual Patient Characteristics and Opioids

Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

2021-05-14
MDPI,2021
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:oru-92125
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-92125URI
https://doi.org/10.3390/jcm10102130DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-187656URI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-446190URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:146739268URI

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Språk:engelska
Sammanfattning på:engelska

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Anmärkningar

While against recommendations, long-term opioid therapy (LTOT) for chronic pain is common. This study aimed to describe the prevalence of opioid prescriptions and to study the association of patient characteristics (demographics, pain characteristics, anxiety, depressive symptoms and pain coping) with future LTOT. The sample included N = 1334 chronic musculoskeletal pain patients, aged 18–65, who were assessed for Interdisciplinary Multimodal Pain Rehabilitation (IMMR) in Swedish specialist rehabilitation. Prescriptions were tracked across a two-year target period after assessment. In total, 9100 opioid prescriptions were prescribed to 55% of the sample (Mmedian = 6, IQR = 14). Prediction of LTOT was analyzed separately for those who did (24%) and did not (76%) receive IMMR. The odds of receiving opioids was similar for these subsamples, after controlling for differences in baseline characteristics. In both samples, there were significant associations between patient characteristics and future opioid prescriptions. Dysfunctional pain coping was a unique predictor of LTOT in those who received IMMR while pain intensity and depressive symptoms were unique predictors in those who did not receive IMMR. The results underscore that opioid treatment is common among patients in chronic pain rehabilitation and relates to pain and psychological factors. Understanding in detail why these factors relate to opioid prescription patterns is an important future study area as it is a prerequisite for better management and fundamental for preventing overuse.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
SQRP
biopsychosocial
chronic pain
interdisciplinary treatment
opioids
rehabilitation

Biuppslag (personer, institutioner, konferenser, titlar ...)

Stålnacke, Britt-Marie,1955-Karolinska Institutet,Umeå universitet,Rehabiliteringsmedicin,Umeå Univ, Dept Community Med & Rehabil, Rehabil Med, SE-90187 Umeå, Sweden.(Swepub:umu)brst0005 (författare)
Quinn, Patrick D.Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, USA,Indiana Univ, Sch Publ Hlth, Dept Appl Hlth Sci, Bloomington, IN 47405 USA. (författare)
Boersma, Katja,professor,1973-Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Center for Health and Medical Psychology (CHAMP),Örebro Univ, Sch Law Psychol & Social Work, Ctr Hlth & Med Psychol CHAMP, SE-70182 Örebro, Sweden.(Swepub:oru)kba (författare)
Örebro universitetInstitutionen för hälsovetenskaper (creator_code:org_t)

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Ingår i:Journal of Clinical Medicine: MDPI10:102077-0383

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Av författaren/redakt...: Svanberg, Mikael ...; Stålnacke, Britt ...; Quinn, Patrick D ...; Boersma, Katja, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Artiklar i publikationen: Journal of Clini ...

Av lärosätet: Örebro universitet; Umeå universitet; Uppsala universitet; Karolinska Institutet

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