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  1. Book ; Thesis: Risiko für Opioid-Missbrauch bei Chronischen-Nicht-Tumor-Schmerzpatienten unter Langzeit-Opioid-Therapie

    Bingener, Linda / Weckbecker, Klaus

    eine Querschnittsstudie in Hausarztpraxen

    2019  

    Institution Rheinische Friedrich-Wilhelms-Universität Bonn
    Author's details Linda Bingener ; 1. Gutachter: Prof. Dr. Klaus Weckbecker
    Language German
    Size 107 Seiten, Diagramme
    Publishing place Bonn
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Dissertation, Rheinische Friedrich-Wilhelms-Universität Bonn, 2019
    HBZ-ID HT020114085
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2019 D 930 order for loan Magazin

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  2. Article ; Online: Risk of opioid misuse in chronic non-cancer pain in primary care patients - a cross sectional study.

    Just, Johannes Maximilian / Bingener, Linda / Bleckwenn, Markus / Schnakenberg, Rieke / Weckbecker, Klaus

    BMC family practice

    2018  Volume 19, Issue 1, Page(s) 92

    Abstract: Background: Efforts to improve treatment of pain using opioids have to adequately take into account their therapeutic shortcomings which involve addictiveness. While there are no signs of an "opioid epidemic" in Germany similar to that in the US, there ... ...

    Abstract Background: Efforts to improve treatment of pain using opioids have to adequately take into account their therapeutic shortcomings which involve addictiveness. While there are no signs of an "opioid epidemic" in Germany similar to that in the US, there is little data on the prevalence of prescription opioid misuse and addiction. Therefore, our objective was to screen primary care patients on long-term opioid therapy for signs of misuse of prescription opioids.
    Methods: We recruited 15 GPs practices and asked all patients on long-term opioid therapy (> 6 months) to fill out a questionnaire including the "Current Opioid Misuse Measure" (COMM®), a self-report questionnaire. Patients with a malignant disease were excluded.
    Results: N = 91 patients participated in the study (response rate: 75.2%). A third (31.5%) showed a positive COMM® - Score which represents a high risk of aberrant drug behaviour. A positive COMM® - Score showed a statistically significant correlation with a lifetime diagnosis of depression and neck pain.
    Conclusions: While Germany does not face an "opioid eoidemic", addictiveness of opioids should be considered when using them in chronic non-tumor pain. In our study population, almost every third patient was at risk and should therefore be followed up closely. Co-prevalence of depression is a significant issue and should always be screened for in patients with chronic pain, especially thus with aberrant drug behaviour.
    MeSH term(s) Analgesics, Opioid/adverse effects ; Analgesics, Opioid/therapeutic use ; Chronic Pain/drug therapy ; Chronic Pain/epidemiology ; Depression/diagnosis ; Depression/epidemiology ; Female ; Germany/epidemiology ; Humans ; Male ; Middle Aged ; Needs Assessment ; Opioid-Related Disorders/etiology ; Opioid-Related Disorders/prevention & control ; Prescription Drug Misuse/adverse effects ; Prescription Drug Misuse/prevention & control ; Prescription Drug Misuse/statistics & numerical data ; Primary Health Care/methods ; Primary Health Care/statistics & numerical data ; Risk Adjustment/methods ; Risk Factors ; Self Report ; Surveys and Questionnaires
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2018-06-20
    Publishing country England
    Document type Journal Article
    ISSN 1471-2296
    ISSN (online) 1471-2296
    DOI 10.1186/s12875-018-0775-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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