[德国没有癌症的保险人员的阿片类药物处方:来自BARMER的数据]
Veronika Lappe1, Daniel Grandt2, Ursula Marschall3
1PMV Forschungsgruppe an der Medizinischen Fakultät und Universitätsklinikum Köln, Universität zu Köln, Köln, Deutschland. veronika.lappe@uk-koeln.de.
Schmerz (Berlin, Germany)
|December 5, 2024
概括
对非癌症疼痛的阿片类药物处方在德国很常见,特别是在老年多病患者中. 一般医生经常处方这些药物,强调需要仔细的决策和药物相互作用审查.
科学领域:
- 疼痛管理 疼痛管理
- 药物监督 药物监督 药物监督
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物在治疗非癌症性疼痛中的作用仍然存在争议.
- 德国缺乏关于阿片类药物用于治疗非癌症疼痛的全面数据.
研究的目的:
- 确定德国非癌症患者短期和长期阿片类药物处方的患病率.
- 识别常见的处方阿片类药物,辅助药物,以及处方医生的专业.
- 描述接受非癌症疼痛阿片类药物治疗的患者的人口统计和临床资料.
主要方法:
- 对德国BARMER保险人员的健康保险计费数据的回顾性分析.
- 包括2021年超过670万没有癌症的成年患者.
- 专注于大约142,598名在2019年启动阿片类药物治疗的患者.
主要成果:
- 2021年,5.7%的非癌症患者至少接受了一次阿片类药物处方,其中1.9%接受长期治疗.
- 提利丁和特拉马多尔是最常见的阿片类药物.
- 阿片类药物处方随着年龄的增长而增加,在女性中更为常见,并且经常涉及NSAID,抗抑郁药和抗药等联合药物.
结论:
- 治疗非癌症疼痛的阿片类药物治疗主要由全科医生进行,通常用于老年,多病症患者.
- 患者,医生和亲属之间的共同决策对于阿片类药物治疗的指示至关重要.
- 对潜在药物相互作用的彻底审查对于使用阿片类药物来治疗非癌症疼痛至关重要.
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