| Titre : | High prevalence of misuse of prescribed opioid analgesics in patients with chronic non-cancer pain (2019) |
| Auteurs : | C. EIDEN ; P. GINIES ; E. NOGUE ; Y. DAMDJY ; M. C. PICOT ; H. DONNADIEU-RIGOLE ; H. PEYRIÈRE |
| Type de document : | Article : Périodique |
| Dans : | Journal of Psychoactive Drugs (Vol.51, n°4, September-October 2019) |
| Article en page(s) : | 371-376 |
| Langues: | Anglais |
| Discipline : | EPI (Epidémiologie / Epidemiology) |
| Mots-clés : |
Thésaurus géographique FRANCEThésaurus 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. |
| Domaine : | Autres substances / Other substances |
| Affiliation : | Département de Pharmacologie médicale et Toxicologie, centre d'Addictovigilance, CHU Montpellier, University Montpellier, Montpellier, France |
| Cote : | Abonnement |
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