scholarly journals Addressing Opioid-Related Chemical Coping in Long-Term Opioid Therapy for Chronic Noncancer Pain: A Multicenter, Observational, Cross-Sectional Study

2018 ◽  
Vol 7 (10) ◽  
pp. 354 ◽  
Author(s):  
Anyela Castañeda ◽  
Chang-Soon Lee ◽  
Yong-Chul Kim ◽  
Dasom Lee ◽  
Jee Moon
Keyword(s):  
United States ◽  
The United States ◽  
Opioid Therapy ◽  
Cross Sectional Study ◽  
Opioid Consumption ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

Opioid consumption has increased worldwide, which carries the risk of opioid use disorder (OUD). However, the literature on OUD and opioid-related chemical coping (OrCC) in chronic noncancer pain (CNCP) is heterogeneous, with most studies conducted in the United States. We performed a multicenter, observational, cross-sectional study to address OrCC in long-term opioid therapy (LtOT) for CNCP in South Korea. The objectives were to determine the frequency and predictors of OrCC. We included 258 patients. Among them, fifty-five (21%) patients showed OrCC. The sample had high pain catastrophizing (≥30 points; 66%), moderate-severe insomnia (≥15 points; 63%), low resilience (68 points), and high suicidal ideation (67%). OrCC patients had greater pain interference (85.18% vs. 58.28%, p = 0.017) and lower satisfaction with the LtOT (56.4% vs. 78.3%, p = 0.002). In multivariable analysis, alcohol abuse (OR = 6.84, p = 0.001), prescription drugs abuse (OR = 19.32, p = 0.016), functional pain (OR = 12.96, p < 0.001), head and neck pain (OR = 2.48, p = 0.039), MEDD (morphine equivalent daily dose) ≥ 200 mg/day (OR = 3.48, p = 0.006), and ongoing litigation (OR = 2.33, p = 0.047) were significant predictors of OrCC. In conclusion, the break-out of OrCC in CNCP in South Korea was comparable to those in countries with high opioid consumption, such as the United States, regardless of the country’s opioid consumption rate.

scholarly journals Long-term use of opioids in 210 officially registered patients with chronic noncancer pain in Taiwan: A cross-sectional study

2017 ◽  
Vol 116 (4) ◽  
pp. 257-265 ◽  
Author(s):  
Tso-Chou Lin ◽  
Luo-Ping Ger ◽  
Joseph V. Pergolizzi ◽  
Robert B. Raffa ◽  
Ju-O Wang ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Perceptions and Impact of the 2017 Canadian Guideline for Opioid Therapy and Chronic Noncancer Pain: A Cross-Sectional Study of Canadian Physicians

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jason W. Busse ◽  
Joyce Douglas ◽  
Tara S. Chauhan ◽  
Bilal Kobeissi ◽  
Jeff Blackmer
Keyword(s):  
Online Survey ◽  
Preliminary Evidence ◽  
Opioid Therapy ◽  
Cross Sectional Study ◽  
High Dose ◽  
Cross Sectional ◽  
Chronic Noncancer Pain ◽  
Canadian Guideline ◽  
Opioid Tapering ◽  
Noncancer Pain

Background. Physician adherence to guideline recommendations for the use of opioids to manage chronic pain is often limited. Objective. In February 2018, we administered a 28-item online survey to explore perceptions of the 2017 Canadian guideline for opioid therapy and chronic noncancer pain and if physicians had altered practices in response to recommendations. Results. We invited 34,322 Canadian physicians to complete our survey, and 1,128 responded for a response rate of 3%; 687 respondents indicated they prescribed opioids for noncancer pain and answered survey questions about the guideline and their practice. Almost all were aware of the guideline, 94% had read the document, and 89% endorsed the clarity as good or excellent. The majority (86%) felt the guideline was feasible to implement, but 66% highlighted resistance by patients, and 63% the lack of access to effective nonopioid treatment as barriers. Thirty-six percent of respondents mistakenly believed the guideline recommended mandatory tapering for patients using high-dose opioid therapy (≥90 mg morphine equivalent per day), and 58% felt they would benefit from support for opioid tapering. Seventy percent of respondents had changed practices to align with guideline recommendations, with 51% engaging some high-dose patients in opioid tapering and 43% reducing the number of new opioid starts. Conclusion. There was high awareness of the 2017 Canadian opioid guideline among respondents, and preliminary evidence that recommendations have changed practice to better align with the evidence. Ongoing education is required to avoid the misunderstanding that opioid tapering is mandatory, and research to identify effective strategies to manage chronic noncancer pain is urgently needed.

scholarly journals The Epidemiology of Adult Tracheostomy in the United States 2002–2017: A Serial Cross-Sectional Study

2021 ◽  
Vol 3 (9) ◽  
pp. e0523
Author(s):  
Maria K. Abril ◽  
David M. Berkowitz ◽  
Yunyun Chen ◽  
Lance A. Waller ◽  
Greg S. Martin ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Psychological Responses of Hospital-Based Nurses Working During the COVID-19 Pandemic in the United States: A Cross-sectional Study

2021 ◽  
pp. 151517
Author(s):  
Janell L. Mensinger ◽  
Heather Brom ◽  
Donna S. Havens ◽  
Alexander Costello ◽  
Christine D’Annunzio ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Cross Sectional Study ◽  
Psychological Responses ◽  
Sectional Study ◽  
Cross Sectional

A Cross-sectional Study of the Current Treatment Patterns in Noninfectious Uveitis among Specialists in the United States

Ophthalmology ◽  
2011 ◽  
Vol 118 (1) ◽  
pp. 184-190 ◽  
Author(s):  
Quan Dong Nguyen ◽  
Elham Hatef ◽  
Brian Kayen ◽  
Cynthia P. Macahilig ◽  
Mohamed Ibrahim ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Cross Sectional Study ◽  
Current Treatment ◽  
Treatment Patterns ◽  
Sectional Study ◽  
Cross Sectional
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