Articles: opioid.
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To describe the analgesic treatment of patients with advanced chronic disease (ACD), to determine pain management, and to detect opportunities for improvement. ⋯ In patients with ACD and palliative needs, the use of strong opioids continues to prevail in the hospital setting and oncological disease, although pain is highly prevalent in all EOL trajectories and places of care. The high percentage of negative PMI reveals the opportunity for an individualised analgesic ladder stepping for better pain control. Also, incorporating non-pharmacological approaches could help improve pain in these patients.
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Prospective cohort using routinely collected health data. ⋯ Level III.
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Observational Study
The Incidence and Risk Factors of Persistent Opioid Use After Surgery—a Retrospective Secondary Data Analysis.
The risk of persistent postoperative opioid use (PPOU) and its association with the type of surgery are still unclear in Germany. ⋯ The incidence of PPOU in Germany is low (1.4%). The type of surgery plays an important role in its development.