[Long-term opioid therapy of non-cancer pain : Prevalence and predictors of hospitalization in the event of possible misuse].

Der Schmerz
W HäuserT Tölle

Abstract

One major concern of long-term opioid therapy (LTOT) for chronic noncancer pain (CNCP) is the risk of abuse of prescribed opioids. To examine the prevalence and predictors of opioid use-related hospitalizations and potential abuse of prescribed opioids by persons with LTOT for CNCP in a sample representative of the German statutory health insurance companies. Retrospective cross-sectional study in 2014. Anonymized German health claims database, including 4,028,618 insured individuals of 69 German statutory health insurances. Univariate logistic regression models to evaluate demographic and medical characteristics associated with hospital stays and a diagnosis of mental and behavioral disorders due to alcohol, opioids, tranquilizers, multiple substances and intoxications by narcotic agents in insured individuals with CNCP receiving LTOT. The prevalence of LTOT for CNCP was 0.8%; 9.9% of these insured individuals received high-dose LTOT (≥120 morphine equivalent mg/day). The 1‑year prevalence of hospital stays with a diagnosis of mental and behavioral disorders due to alcohol, opioids, tranquilizers, multiple substances and intoxications by narcotic agents was 1.75% of persons with LTOT. These diagnoses were strongly associated w...Continue Reading

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Citations

Jul 18, 2020·Journal of Psychopharmacology·Uwe VertheinBernd Schulte
Nov 7, 2018·Zeitschrift für Gerontologie und Geriatrie·R Thiesemann
Dec 7, 2018·Current Opinion in Anaesthesiology·Benjamin Luchting, Shahnaz Christina Azad
Feb 23, 2020·Der Schmerz·Winfried HäuserLukas Radbruch
Jun 4, 2020·Der Schmerz·Peter Cremer-Schaeffer, Claudia Sommer
May 8, 2020·Der Schmerz·Winfried HäuserUNKNOWN Koautoren für die Konsensusgruppe der 2. Aktualisierung der S3-Leitlinie LONTS
Sep 4, 2020·Der Schmerz·Michael Zenz
Mar 4, 2021·European Journal of Pain : EJP·Nevenka Krčevski ŠkvarčWinfried Häuser

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