医疗执照委员会能否向明智的阿片类药物处方做法摆动摆摆?
Lewis S Nelson1, Jeanmarie Perrone2
1RUTGERS NEW JERSEY MEDICAL SCHOOL, NEWARK, NEW JERSEY, USA.
概括
尽管阿片类药物处方减少,但与阿片类药物相关的死亡率仍然很高. 非法制造的芬太尼 (IMF) 现在导致大多数死亡,但治疗慢性疼痛的处方阿片类药物仍然令人担忧.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疼痛管理 疼痛管理
背景情况:
- 最初的阿片类药物危机是由不知情的处方做法和疏松的监督驱动的.
- 阿片类药物处方减少了44.4% (2011-2020年),但与阿片类药物相关的死亡仅略有减少.
- 非法制造的芬太尼 (IMF) 现在占每年大约81000例阿片类药物相关死亡的大部分.
研究的目的:
- 分析阿片类药物处方和相关死亡的趋势.
- 调查处方阿片类药物的持续相关性,在非法制造芬太尼的上升.
主要方法:
- 对2011-2020年间阿片类药物处方数据的分析.
- 检查与阿片类药物相关的死亡率的趋势.
- 对处方阿片类药物死亡与IMF相关死亡的比较分析.
主要成果:
- 处方阿片类药物处方显著下降,但与处方阿片类药物相关的死亡仅略有下降.
- 减少处方并没有相应地减少处方阿片类药物死亡.
- 非法制造的芬太尼 (IMF) 现在是阿片类药物相关死亡的主要驱动因素.
结论:
- 有关风险人群可能仍在接受处方阿片类药物.
- 处方阿片类药物对慢性疼痛的致命影响仍然是一个相关的问题,尽管被国际货币基金组织的死亡事件所掩盖.
- 监测和解决处方阿片类药物使用的持续警至关重要.
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