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- Bernhard Hess and Martin Toniolo.
- 1 Innere Medizin und Nephrologie, Klinik Im Park, Zürich.
- Praxis (Bern 1994). 2015 May 20; 104 (11): 557-63.
MethodNational survey on treatment with opioids among 1206 Swiss general internists and rheumatologists, using a questionnaire. TYPES OF PAIN: More self-declared pain specialists than non-specialists treat neuropathic pain (49,3 vs. 35,8%; p=0,002), whereas other types of pain are similarly often treated by specialists and non-specialists. OPIOID PRESCRIPTION: Pain specialists more often than non-specialists use opioids in visceral (12,8 vs. 5,9%, p=0,004) and postoperative pain (29,3 vs. 20,1%, p=0,013). TUMOR PAIN: Non-specialists rather than specialists prescribe opioids (80,4 vs. 72,8%, p=0,039); younger physicians (<50 years) rather than older ones often prescribe opioids (82,5 vs. 76,9%; p=0,026), and rheumatologists use opioids less often than general internists (43,3 vs. 83,0%, p<0,0001). WHO ANALGESIC LADDER: Specialists more often change directly from level 1 to level 3 analgesics (66,4 vs. 53,8%; p=0,001).
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