Spread the Word: There Are Two Opioid Crises!
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s40265-020-01342-8 http://hdl.handle.net/11449/198984 |
Resumo: | Pain is associated with emotional and physical suffering that severely impacts quality of life. Many guidelines for the treatment of moderate to severe cancer pain indicate the use of opioids. For a small proportion of the global population, opioids are readily accessible, but are consequently also subject to risk of overuse and misuse. On the other hand, many regions provide limited access to licensed opioid therapeutics and patients struggle for better pain management. The use of prescription opioids for treatment of severe cancer and acute pain is well established, but opioid use in chronic non-cancer pain is controversial and not supported by the literature. The opioid crisis and the increasing overdose fatalities in some countries have resulted in a resurgence of opiophobia in these countries, but even worse, amplified opiophobia in countries with lower opioid consumption. In this narrative review, we highlight how the opioid crisis of overuse in some countries can negatively impact appropriate access to opioids elsewhere. The availability of opioids for clinical and recreational use differs between countries worldwide—this is an important factor in determining the occurrence of a ‘crisis of recreational use of opioids’ or a ‘crisis of under-prescription of opioids’ for pain management. |
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Spread the Word: There Are Two Opioid Crises!Pain is associated with emotional and physical suffering that severely impacts quality of life. Many guidelines for the treatment of moderate to severe cancer pain indicate the use of opioids. For a small proportion of the global population, opioids are readily accessible, but are consequently also subject to risk of overuse and misuse. On the other hand, many regions provide limited access to licensed opioid therapeutics and patients struggle for better pain management. The use of prescription opioids for treatment of severe cancer and acute pain is well established, but opioid use in chronic non-cancer pain is controversial and not supported by the literature. The opioid crisis and the increasing overdose fatalities in some countries have resulted in a resurgence of opiophobia in these countries, but even worse, amplified opiophobia in countries with lower opioid consumption. In this narrative review, we highlight how the opioid crisis of overuse in some countries can negatively impact appropriate access to opioids elsewhere. The availability of opioids for clinical and recreational use differs between countries worldwide—this is an important factor in determining the occurrence of a ‘crisis of recreational use of opioids’ or a ‘crisis of under-prescription of opioids’ for pain management.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Versus ArthritisBarts CharityMedical School Sao Paulo State University (UNESP)William Harvey Research Institute Barts The London School of Medicine and Dentistry Queen Mary University of LondonPalliative Medicine Research and Education OhioHealthAnesthesiology Department Medical School Sao Paulo State University (UNESP), Av. Prof. Mario Rubens Guimaraes Montenegro, s/nMedical School Sao Paulo State University (UNESP)Anesthesiology Department Medical School Sao Paulo State University (UNESP), Av. Prof. Mario Rubens Guimaraes Montenegro, s/nCAPES: 001Versus Arthritis: 21734Barts Charity: MGU0515Universidade Estadual Paulista (Unesp)Queen Mary University of LondonOhioHealthMarchetti Calônego, Marco Antônio [UNESP]Sikandar, ShafaqFerris, Frank D.Moreira de Barros, Guilherme Antonio [UNESP]2020-12-12T01:27:32Z2020-12-12T01:27:32Z2020-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1147-1154http://dx.doi.org/10.1007/s40265-020-01342-8Drugs, v. 80, n. 12, p. 1147-1154, 2020.1179-19500012-6667http://hdl.handle.net/11449/19898410.1007/s40265-020-01342-82-s2.0-85086439273Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDrugsinfo:eu-repo/semantics/openAccess2021-10-22T21:54:28Zoai:repositorio.unesp.br:11449/198984Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T20:20:35.859741Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Spread the Word: There Are Two Opioid Crises! |
title |
Spread the Word: There Are Two Opioid Crises! |
spellingShingle |
Spread the Word: There Are Two Opioid Crises! Marchetti Calônego, Marco Antônio [UNESP] |
title_short |
Spread the Word: There Are Two Opioid Crises! |
title_full |
Spread the Word: There Are Two Opioid Crises! |
title_fullStr |
Spread the Word: There Are Two Opioid Crises! |
title_full_unstemmed |
Spread the Word: There Are Two Opioid Crises! |
title_sort |
Spread the Word: There Are Two Opioid Crises! |
author |
Marchetti Calônego, Marco Antônio [UNESP] |
author_facet |
Marchetti Calônego, Marco Antônio [UNESP] Sikandar, Shafaq Ferris, Frank D. Moreira de Barros, Guilherme Antonio [UNESP] |
author_role |
author |
author2 |
Sikandar, Shafaq Ferris, Frank D. Moreira de Barros, Guilherme Antonio [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Queen Mary University of London OhioHealth |
dc.contributor.author.fl_str_mv |
Marchetti Calônego, Marco Antônio [UNESP] Sikandar, Shafaq Ferris, Frank D. Moreira de Barros, Guilherme Antonio [UNESP] |
description |
Pain is associated with emotional and physical suffering that severely impacts quality of life. Many guidelines for the treatment of moderate to severe cancer pain indicate the use of opioids. For a small proportion of the global population, opioids are readily accessible, but are consequently also subject to risk of overuse and misuse. On the other hand, many regions provide limited access to licensed opioid therapeutics and patients struggle for better pain management. The use of prescription opioids for treatment of severe cancer and acute pain is well established, but opioid use in chronic non-cancer pain is controversial and not supported by the literature. The opioid crisis and the increasing overdose fatalities in some countries have resulted in a resurgence of opiophobia in these countries, but even worse, amplified opiophobia in countries with lower opioid consumption. In this narrative review, we highlight how the opioid crisis of overuse in some countries can negatively impact appropriate access to opioids elsewhere. The availability of opioids for clinical and recreational use differs between countries worldwide—this is an important factor in determining the occurrence of a ‘crisis of recreational use of opioids’ or a ‘crisis of under-prescription of opioids’ for pain management. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:27:32Z 2020-12-12T01:27:32Z 2020-08-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s40265-020-01342-8 Drugs, v. 80, n. 12, p. 1147-1154, 2020. 1179-1950 0012-6667 http://hdl.handle.net/11449/198984 10.1007/s40265-020-01342-8 2-s2.0-85086439273 |
url |
http://dx.doi.org/10.1007/s40265-020-01342-8 http://hdl.handle.net/11449/198984 |
identifier_str_mv |
Drugs, v. 80, n. 12, p. 1147-1154, 2020. 1179-1950 0012-6667 10.1007/s40265-020-01342-8 2-s2.0-85086439273 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Drugs |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1147-1154 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808129190448332800 |