Consumption of and satisfaction with health care among opioid users with chronic non‐malignant pain

Hansen, Anneli Borge; Borchgrevink, Petter C.; Dale, Ola; Romundstad, Pål Richard; Mahic, Milada; Fredheim, Olav Magnus S.

doi:10.1111/aas.12568

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…Studies were published from 1997 to 2019. Studies were mainly from the United States (n¼33) [10,, with other studies from Australia [54][55][56], Belgium [57], Brazil [58], Canada [59], Chile [60], England [61], Denmark [9,[62][63][64][65][66][67], Germany [68,69], India [70], Iran [71,72], Israel [73], Norway [74], Portugal [75], Spain [76], The Netherlands [77], and/or from multiple countries (France, Germany, Italy, Spain, the UK) [78]. Four studies were from middle-income countries [58,[70][71][72], and no studies were from low-income countries.…”

Section: Included Studiesmentioning

confidence: 99%

The Prevalence of Opioid Analgesic Use in People with Chronic Noncancer Pain: Systematic Review and Meta-Analysis of Observational Studies

et al. 2020

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Objective To review studies examining the proportion of people with chronic noncancer pain who report consuming opioids and characteristics associated with their use. Design Systematic review. Methods We searched databases from inception to February 8, 2020, and conducted citation tracking. We included observational studies reporting the proportion of adults with chronic noncancer pain who used opioid analgesics. Opioids were categorized as weak (e.g., codeine) or strong (e.g., oxycodone). Study risk of bias was assessed, and Grading of Recommendations Assessment, Development and Evaluations provided a summary of the overall quality. Results were pooled using a random-effects model. Meta-regression determined factors associated with opioid use. Results Sixty studies (N=3,961,739) reported data on opioid use in people with chronic noncancer pain from 1990 to 2017. Of these 46, 77% had moderate risk of bias. Opioid use was reported by 26.8% (95% confidence interval [CI], 23.1–30.8; moderate-quality evidence) of people with chronic noncancer pain. The use of weak opioids (17.3%; 95% CI 11.9–24.4; moderate-quality evidence) was more common than the use of strong opioids (9.8%; 95% CI, 6.8–14.0; low-quality evidence). Meta-regression determined that opioid use was associated with geographic region (P=0.02; lower in Europe than North America), but not sampling year (P=0.77), setting (P=0.06), diagnosis (P=0.34), or disclosure of funding (P=0.77). Conclusions Our review summarized data from over 3.9 million people with chronic noncancer pain reporting their opioid use. Between 1990 and 2017, one-quarter of people with chronic noncancer pain reported taking opioids, and this proportion did not change over time.

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Section: Included Studiesmentioning

confidence: 99%

The Prevalence of Opioid Analgesic Use in People with Chronic Noncancer Pain: Systematic Review and Meta-Analysis of Observational Studies

et al. 2020

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“…It is with interest that we read the article by Hansen et al, "Consumption of and satisfaction with health care among opioid users with chronic non-malignant pain" published in the June 2015 issue of "Acta Anaesthesiologica Scandinavica". 1 The authors performed a cross-sectional study, using self-reported data from the substudy of health care use in HUNT3. The authors discovered persons with chronic non-malignant pain reported a higher consumption of health care services, increased level of opioid use, and high satisfaction with health care service.…”

Section: Sirmentioning

confidence: 99%

Consumption of and satisfaction with health care among opioid users with chronic non‐malignant pain

Ruan

Kaye

2015

Acta Anaesthesiol Scand

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Not All Pain is Created Equal: Basic Definitions and Diagnostic Work-Up

et al. 2020

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Chronic pain is considered a public health priority by the World Health Organization and European health institutions. It has reached alarming proportions in terms of disability, consumption of health and social resources, and impact on primary and specialist care services. Primary care physicians are often called on to manage this condition. Chronic pain management can be challenging due to its complexity. It has traditionally been considered to include nociceptive pain that that persists longer than the normal healing time, neuropathic pain lasting more than 3 months, or a combination of these. More recently, a third descriptor, nociplastic (primary) pain, was added to classify patients with chronic pain conditions such as fibromyalgia, nonspecific back pain, or mixed pain that persists or other conditions in which altered central pain modulation results in central sensitization and chronic pain in the absence of actual or threatened damage to tissues, including in the somatosensory nervous system. This document provides an overview of pain types and their underlying mechanisms. Successful pain management is facilitated by identification of the pain type. A set of diagnostic tools and a pain algorithm are presented to guide the clinician toward the correct diagnosis. The algorithm identifies cases that may require referral to a pain specialist. Once the site of origin of the pain (the “pain generator”) is identified, or a primary pain syndrome is suspected, the accompanying article provides information and rationale to support treatment decisions based on patient characteristics.

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Consumption of and satisfaction with health care among opioid users with chronic non‐malignant pain

Abstract: Combined with previous findings of high levels of pain in spite of opioid treatment, the present findings indicate that symptomatic relief is not a prerequisite for patient satisfaction. The study shows higher patient satisfaction compared to previous studies.

Cited by 6 publications

References 14 publications

The Prevalence of Opioid Analgesic Use in People with Chronic Noncancer Pain: Systematic Review and Meta-Analysis of Observational Studies

The Prevalence of Opioid Analgesic Use in People with Chronic Noncancer Pain: Systematic Review and Meta-Analysis of Observational Studies

Consumption of and satisfaction with health care among opioid users with chronic non‐malignant pain

Not All Pain is Created Equal: Basic Definitions and Diagnostic Work-Up

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