Prevalence of and Risk Factors for Prescription Opioid Misuse, Abuse, Diversion and Doctor Shopping in Japan: A Survey Study

Takasusuki, Toshifumi; Hayashi, Shinji; Koretaka, Yuichi; Yamaguchi, Shigeki

doi:10.1007/s40122-022-00409-6

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…In the UK, opioid misuse and related deaths are growing, with Scotland reporting the highest opioid-related mortality and one-year use increase in Europe (Alenezi et al , 2021). A recent survey in Japan reported that 45.5% of participants misused opioids (Takasusuki et al , 2022).…”

Section: Introductionmentioning

confidence: 99%

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

Nelson

Odeigah²,

Dumbili

2023

DHS

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Purpose The purpose of this study is to understand the complex interplay between illicit opioids trade and consumption practices and state policies that aim to reduce their misuse. Design/methodology/approach The study adopted an exploratory design. Data were gathered through in-depth interviews with 31 commercially oriented drug dealers in Uyo, Nigeria. The framework approach was used in data analyses, while “friction” provided the interpretive lens. Findings Accounts revealed public concerns over the misuse of tramadol and other opioids among young people and the associated health and social harms. These concerns provided support for enforcement-based approaches to prescription opioids control, including police raids on pharmacy stores. These measures did not curtail opioids supply and consumption. Instead, they constrained access to essential medicines for pain management, encouraged illegal markets and fuelled law enforcement corruption in the form of police complicity in illegal tramadol trade. Research limitations/implications The findings reveal the frictions of drug control in Nigeria, wherein enforcement-based approaches gained traction through public concerns about opioids misuse but also faced resistance due to the persistence of non-medical use and illegal supply channels made possible by law enforcement complicity. These indicate a need to prioritize approaches that seek to reduce illegal supply and misuse of opioids while ensuring availability of these medications for health-care needs. Originality/value The study is unique in its focus on the creative tension that exists between state control measures and local opioids supply and consumption practices.

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Section: Introductionmentioning

confidence: 99%

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

Nelson

Odeigah²,

Dumbili

2023

DHS

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Consensus statement on chronic pain treatment in cancer survivors

Mamiya,

Iida,

Iseki

et al. 2024

J Anesth

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In September 2023, the Japanese Society for Palliative Medicine (JSPM) issued this consensus statement on chronic pain treatment in cancer survivors. With recent advances in the early diagnosis and treatment of cancer, its prognosis has improved, so prolonged pain in cancer survivors is considered to represent chronic pain and should be addressed. In this statement, we emphasize that not all cancer survivor pain is cancer pain. Pain that is not cancer pain should be managed with analgesics other than opioids and nerve blocks, and pain that persists despite this approach should be treated as non-cancer chronic pain so as to prevent opioid overuse. In addition, cancer survivors at any stage of disease have a potentially life-threatening condition and constantly carry the fear of cancer recurrence. Therefore, even non-cancer pain should not be treated in the same way as general chronic pain, but should be managed with consideration of emotional distress. In the future, we plan to create educational tools for healthcare professionals and to conduct online seminars, both with the goal of providing cancer survivors with appropriate assessment and treatment of chronic pain.

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Prevalence of opioid misuse in patients with cancer: a systematic review and meta-analysis

Ako,

Ørnskov,

Lykke

et al. 2024

Br J Cancer

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Background/Objectives Long-term consequences of opioid consumption, such as misuse, have been a major concern in patients with chronic non-cancer pain. Potentially opioid misuse may also be a consequence in patients with cancer in opioid treatment which encouraged us to undertake this systematic review assessing the frequency of opioid misuse in this population. Materials/Methods The search strategy comprised words related to cancer, opioid misuse, and frequency. PubMed, Embase, PsycInfo, and Cinahl were searched from inception to July 2023. Prospective studies were selected and analysed regarding frequency, study characteristics, and quality. A meta-analysis was possible to carry out for a sub-group (opioid misuse risk). Results From 585 abstracts screened, six articles were included. Only prevalence data were found. The prevalence of opioid misuse ranged from 5.7% to 84%, while the prevalence of opioid misuse risk varied from 2.4% to 35.4%. The pooled prevalence of opioid misuse risk was 12.3% (95% CI: 0.8–36.3; I2 = 98.4%, 95% CI: 97.2–99.1). The studies differed regarding, e.g., methods, misuse definitions, and assessment instruments. Conclusions Few studies were identified and large differences in prevalence for opioid misuse and opioid misuse risk were observed. Methodological disparities and the studies quality underscore the importance of improved studies in the future.

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Prevalence of and Risk Factors for Prescription Opioid Misuse, Abuse, Diversion and Doctor Shopping in Japan: A Survey Study

Cited by 3 publications

References 26 publications

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

Consensus statement on chronic pain treatment in cancer survivors

Prevalence of opioid misuse in patients with cancer: a systematic review and meta-analysis

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