[Prescription of opiates. Analysis of outpatient care of pain patients insured with the AOK.].

Der Schmerz
A Willweber-StrumpfM Strumpf

Abstract

The efficacy of morphine and other opioids in the treatment of severe pain, especially cancer pain, is undoubted. If opioids are used according to the WHO guidelines no severe side effects or psychological dependence develop. In Germany the use of strong opioids is controlled by law and requires a special prescription with offical forms and difficult regulations. In Bochum, a city in Germany with about 400000 inhabitants, we analysed the treatment of outpatients with strong opioids in the last 3 months of 1989 and the first 3 months of 1990. Only 55 of the 92842 people insured with the Bochum branch of the AOK, a large health insurance company, received a prescription for strong opioids in these two quarters (0.059% of all members): 42 of these patients had a cancer disease and 13 a disease of nonmalignant origin. In all, these patients received 504 prescriptions for strong opioids (0.078% of the total number of prescriptions). Most of the patients received only one to five prescriptions. Only two patients with cancer pain received more than 20 prescriptions. Of all physicians in Bochum only 10.88% prescribed strong opioids. The prescription patterns we found demonstrate inadequate medical care of patients with severe pain. Con...Continue Reading

References

May 18, 1990·Deutsche medizinische Wochenschrift·J G Gostomzyk, W D Heller
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Citations

Dec 1, 1994·Der Schmerz·A Willweber-Strumpf, M Strumpf
May 26, 2005·Der Schmerz·M Thöns, M Zenz
Aug 4, 2009·Der Schmerz·L Radbruch, F Nauck
Apr 24, 1993·Lancet·M Zenz, A Willweber-Strumpf
Apr 1, 1995·Journal of Pain and Symptom Management·M ZenzM Strumpf
Aug 1, 1993·Journal of Pain and Symptom Management·M Zenz
Mar 9, 2004·Der Schmerz·A SchwarzerE Klaschik
Jul 16, 2008·Der Nervenarzt·S SternbergA May
Nov 24, 2011·Journal of Environmental Science and Health. Part C, Environmental Carcinogenesis & Ecotoxicology Reviews·Deacqunita L DiggsAramandla Ramesh
Feb 16, 2013·Deutsches Ärzteblatt International·Ingrid SchubertRainer Sabatowski

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