2019
DOI: 10.2174/1381612825666190716095337
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Access to Opioids for Patients with Advanced Disease

Abstract: Pain at the end of life is common in both malignant and non-malignant disease. It is feared by patients, their families and careers, and professionals. Effective pain control can be achieved for the majority of patients at the end of life using a multimodal approach. Pharmacological management relies predominantly on strong opioids. In spite of this, evidence suggests that under treatment of pain is common resulting in unnecessary suffering. Multiple barriers to use of opioids have been identified. Patient bar… Show more

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Cited by 6 publications
(3 citation statements)
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“…Furthermore, the physicians' concern expressed about patients using opioids for purposes other than medical treatment may indicate either a lack of doctors' confidence in the adequacy of their assessment of pain, the low efficacy of opioids for pain management, other opioids' potential for abuse and patients' rapid addiction. These findings are in agreement with prior reviews about incorrect pain assessment and documentation of pain levels, errors in treatment, and limited patient education as major barriers to adequate pain management [37,38].…”
Section: Discussionsupporting
confidence: 90%
“…Furthermore, the physicians' concern expressed about patients using opioids for purposes other than medical treatment may indicate either a lack of doctors' confidence in the adequacy of their assessment of pain, the low efficacy of opioids for pain management, other opioids' potential for abuse and patients' rapid addiction. These findings are in agreement with prior reviews about incorrect pain assessment and documentation of pain levels, errors in treatment, and limited patient education as major barriers to adequate pain management [37,38].…”
Section: Discussionsupporting
confidence: 90%
“…More studies will be required to clarify the impact of increased opioid regulations on opioid access and adequacy of pain control in this specific group of patients. 49,50 Lack of impact of caregivers' views on patients' attitudes toward morphine use. Notably, views of the caregivers did not appear to have a significant impact on patients' attitudes toward future morphine use.…”
Section: Main Findings and Implications For Future Practicementioning
confidence: 99%
“…Respiratory depression is a side effect that causes worry and distress in patients and their care givers. 28–30 Aspects related to high risk of misuse are younger age, a history of a substance use disorder, major depression, and psychotropic medications. 31 , 58 , 59 …”
Section: The Need For Improving the Therapeutic Regimens Of Opioids A...mentioning
confidence: 99%