Historique
Article de Périodique
High prevalence of misuse of prescribed opioid analgesics in patients with chronic non-cancer pain (2019)
Auteur(s) :
EIDEN, C. ;
GINIES, P. ;
NOGUE, E. ;
DAMDJY, Y. ;
PICOT, M. C. ;
DONNADIEU-RIGOLE, H. ;
PEYRIÈRE, H.
Année :
2019
Page(s) :
371-376
Langue(s) :
Anglais
Domaine :
Autres substances / Other substances
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
OPIOIDES
;
ANALGESIQUES
;
MESUSAGE
;
PREVALENCE
;
DOULEUR
;
ETUDE CLINIQUE
Résumé :
Opioid analgesic misuse by patients with chronic non-cancer pain is increasing in Western countries. To determine the extent of opioid misuse by patients with chronic non-cancer pain followed at a French pain management clinic. A questionnaire on pain (severity, causes and management) and opioid misuse (based on the 11 DSM-V criteria for substance abuse disorders) was administered by a health professional to patients during a short hospitalization. During the study period (September 1, 2015 to March 31, 2016), 52 patients (73.1% women; median age = 50 years [IQR25-75: 43-57]) responded to the questionnaire. Chronic pain was caused by fibromyalgia in 55.6% of patients, and was mainly classified as neurogenic (32.6%), nociceptive (30.4%), and psychosomatic (15.2%). At hospitalization, the median pain visual analog scale score was 7/10 [IQR25-75: 6-8], despite the ongoing treatment. The opioid misuse evaluation suggested the presence of misuse in 76.9% of patients (>=2 DSM-V criteria) that was severe in 52% of patients (>=6 DSM-V criteria). Our data highlight the high prevalence of misuse of prescribed opioids by adults with chronic non-cancer pain. A consultation with an addiction specialist should be included in the management of such patients.
Affiliation :
Département de Pharmacologie médicale et Toxicologie, centre d'Addictovigilance, CHU Montpellier, University Montpellier, Montpellier, France
Cote :
Abonnement