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  1. Book ; Thesis: Prävalenz der Opioidgebrauchsstörung bei chronischen Schmerzpatienten in spezialisierter ambulanter Behandlung

    Schwerbrock, Fabian / Weckbecker, Klaus

    eine Querschnittstudie unter Verwendung der DSM-5 Kriterien als Self-Assessment Test

    2020  

    Institution Rheinische Friedrich-Wilhelms-Universität Bonn
    Author's details Fabian Schwerbrock ; 1. Gutachter: Prof. Dr. med. Klaus Weckbecker
    Language German
    Size 124 Seiten, Diagramme
    Publishing place Bonn
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Dissertation, Rheinische Friedrich-Wilhelms-Universität Bonn, 2020
    HBZ-ID HT020592563
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Opioid use disorder in chronic non-cancer pain in Germany: a cross sectional study.

    Just, Johannes Maximilian / Schwerbrock, Fabian / Bleckwenn, Markus / Schnakenberg, Rieke / Weckbecker, Klaus

    BMJ open

    2019  Volume 9, Issue 4, Page(s) e026871

    Abstract: Objectives: The DSM-5 diagnosis 'opioid use disorder' (OUD) was established to better describe and detect significant impairment or distress related to opioid use. There is no data on rates of OUD in chronic non-cancer pain (CNCP) in European countries. ...

    Abstract Objectives: The DSM-5 diagnosis 'opioid use disorder' (OUD) was established to better describe and detect significant impairment or distress related to opioid use. There is no data on rates of OUD in chronic non-cancer pain (CNCP) in European countries. Therefore, our objective was to screen patients in specialised pain centres for signs of OUD.
    Design: Cross-sectional questionnaire study.
    Setting: Four outpatient pain clinics in the area of Bonn, Germany.
    Participants: n=204 patients participated in the study (response rate: 87.9%). All adult patients with opioid pain therapy >6 months for CNCP were included. Excluded were patients with malignant disease, patients who could not collect their prescription themselves due to age or multimorbidity and patients on opioid-maintenance therapy.
    Primary and secondary outcome measure: Primary outcome measure was the proportion of patients with mild to severe OUD.
    Results: One-fourth (26.5%) of participants were diagnosed with OUD. Moderate to severe disorder was found in 9.3. Young age was the only connected risk factor (OR 0.96 [95% CI 0.94 to 0.99], p: 0.003).
    Conclusions: OUD is a relevant diagnosis in patients on long-term opioid therapy for CNCP in the Bonn area. Careful follow-up by the attending physicians is advisable, especially in patients with moderate or severe disorder.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Analgesics, Opioid/therapeutic use ; Chronic Pain/epidemiology ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Opioid-Related Disorders/epidemiology ; Opioid-Related Disorders/etiology ; Risk Factors ; Severity of Illness Index ; Surveys and Questionnaires
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2019-04-03
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2018-026871
    Database MEDical Literature Analysis and Retrieval System OnLINE

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