Title |
What Are We Treating with Chronic Opioid Therapy?
|
---|---|
Published in |
Current Rheumatology Reports, January 2013
|
DOI | 10.1007/s11926-012-0311-1 |
Pubmed ID | |
Authors |
Daniel Krashin, Mark Sullivan, Jane Ballantyne |
Abstract |
The recent increase in the number of patients taking opioids chronically for pain has not yielded the expected benefits in reduction of symptoms and improved function. Chronic pain patients typically respond well initially to opioid medications, but regular use is associated with adverse psychological and physical effects. Patients with significant psychiatric comorbidity and substance use issues are more likely to stay on opioids and to receive higher doses. In the common rheumatological conditions of fibromyalgia and osteoarthritis, opioid treatment is of limited benefit because of lack of efficacy and prominent side effects. Chronic opioid therapy may be more usefully regarded as a form of comfort care, reserved for those patients who have exhausted other treatments and prospects of recovery. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Korea, Republic of | 1 | 2% |
Australia | 1 | 2% |
Unknown | 62 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 11 | 17% |
Student > Ph. D. Student | 9 | 14% |
Student > Postgraduate | 7 | 11% |
Student > Bachelor | 5 | 8% |
Student > Doctoral Student | 5 | 8% |
Other | 12 | 19% |
Unknown | 15 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 23 | 36% |
Psychology | 6 | 9% |
Nursing and Health Professions | 4 | 6% |
Agricultural and Biological Sciences | 4 | 6% |
Social Sciences | 4 | 6% |
Other | 7 | 11% |
Unknown | 16 | 25% |