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Opioid analgesics - Risky drugs, not risky patients

机译:阿片类镇痛药 - 风险毒品,而不是危险的患者

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摘要

FROM 1999 TO 2010 THE NUMBER OF PEOPLE IN the United States dying annually from opioid analgesic-related overdoses quadrupled, from 4030 to 16651. Patients' predisposition to overdose could not have changed substantially in that time; what has changed substantially is their exposure to opioids. During this same time, the amount of opioids prescribed also quadrupled. The increase in prescribing occurred in the context of a greater emphasis on treating pain following efforts by the American Pain Society, the Veterans Health Administration, The Joint Commission, and others to increase recognition and management of pain, as well as advocacy by pain societies urging physicians to use opioids more readily for patients with chronic noncancer pain.Even though it is well known that prescription opioid use can lead to addiction or overdose, some opioid manufacturers and pain specialists suggest that few patients are susceptible to these risks. To distinguish low-risk from high-risk patients, use of screening tools, including the Screener and Opioid Assessment for Patients with Pain, has been advocated.
机译:从1999年到2010年,美国每年从阿片类镇痛相关的过量的人死亡的人数从4030到16651。患者过量的倾向于在那段时间内没有改变;什么改变的是他们暴露于阿片类药物。在此期间,规定的阿片类药物的量也是四倍。规定的增加发生在更加重视痛苦的背景下,在美国痛苦社会,退伍军人健康管理局,联合委员会和其他人增加痛苦的认可和管理以及痛苦社会催促的倡导之后对于患有慢性非癌症患者的患者来说,医生更容易使用阿片类药物。虽然众所周知,处方阿片类药物可以导致成瘾或过量,一些阿片类药物制造商和痛苦专家表明,很少有患者易受这些风险的影响。为了区分低风险从高风险患者,已经提倡使用筛选工具,包括筛选患者的筛选剂和阿片类药物评估。

著录项

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  • 作者

    DowellD.; KuninsH.V.; FarleyT.A.;

  • 作者单位

    New York City Department of Health and Mental Hygiene 42-09 28th St Queens NY 11101 United;

    New York City Department of Health and Mental Hygiene 42-09 28th St Queens NY 11101 United;

    New York City Department of Health and Mental Hygiene 42-09 28th St Queens NY 11101 United;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
  • 关键词

  • 入库时间 2022-08-19 19:21:26

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