TY - JOUR
KW - Analgesics, Opioid/administration & dosage
KW - Chronic Pain/prevention & control
KW - Europe
KW - Humans
KW - Opioid-Related Disorders/prevention & control
KW - Pain Management
KW - Practice Patterns, Physicians'
KW - Primary Health Care
KW - Quality of Life
KW - Risk Factors
KW - Surveys and Questionnaires
AU - C. Leonardi
AU - R. Vellucci
AU - M. Mammucari
AU - G. Fanelli
A1 - 
AB - OBJECTIVE: Chronic pain is one of the most common complaints for people seeking medical care, with a series of potential detrimental effects on the individual and his social texture. Despite the heavy impact of chronic pain on patients' quality of life, epidemiological data suggest that chronic pain is often untreated or undertreated. An accurate diagnostic flow and appropriate treatment should be considered as key factors for optimal management of patients with chronic pain. Opioids are recommended for treatment of chronic cancer pain (CCP) and chronic non-cancer pain (CNCP) in guidelines and can safely and effectively relieve pain in a number of patients with chronic pain. Conversely, fears of addiction and adverse events could result in ineffective pain management. Recent epidemiological and clinical data demonstrate that only low percentages of patients treated with opioids for chronic pain have a risk to develop addiction, with a prevalence rate similar to that observed in the general population. METHODS: Despite the iatrogenic risk can be considered as low, validated tools for the early identification of patients at higher risk of addiction can help health professionals in the overall management of chronic pain. CONCLUSIONS: Due to the increasing relevance of primary care physicians in chronic pain management, we propose a 28-item questionnaire to validate specifically conceived for GPs' and aimed at the preliminary evaluation of the risk of addiction in patients with chronic pain.
BT - European review for medical and pharmacological sciences
C5 - Opioids & Substance Use; Measures
CP - 24
CY - Italy
IS - 24
JF - European review for medical and pharmacological sciences
N2 - OBJECTIVE: Chronic pain is one of the most common complaints for people seeking medical care, with a series of potential detrimental effects on the individual and his social texture. Despite the heavy impact of chronic pain on patients' quality of life, epidemiological data suggest that chronic pain is often untreated or undertreated. An accurate diagnostic flow and appropriate treatment should be considered as key factors for optimal management of patients with chronic pain. Opioids are recommended for treatment of chronic cancer pain (CCP) and chronic non-cancer pain (CNCP) in guidelines and can safely and effectively relieve pain in a number of patients with chronic pain. Conversely, fears of addiction and adverse events could result in ineffective pain management. Recent epidemiological and clinical data demonstrate that only low percentages of patients treated with opioids for chronic pain have a risk to develop addiction, with a prevalence rate similar to that observed in the general population. METHODS: Despite the iatrogenic risk can be considered as low, validated tools for the early identification of patients at higher risk of addiction can help health professionals in the overall management of chronic pain. CONCLUSIONS: Due to the increasing relevance of primary care physicians in chronic pain management, we propose a 28-item questionnaire to validate specifically conceived for GPs' and aimed at the preliminary evaluation of the risk of addiction in patients with chronic pain.
PP - Italy
PY - 2015
SN - 2284-0729; 1128-3602
SP - 4898
EP - 4905
EP - 
T1 - Opioid risk addiction in the management of chronic pain in primary care: the addition risk questionnaire
T2 - European review for medical and pharmacological sciences
TI - Opioid risk addiction in the management of chronic pain in primary care: the addition risk questionnaire
U1 - Opioids & Substance Use; Measures
U2 - 26744882
VL - 19
VO - 2284-0729; 1128-3602
Y1 - 2015
ER -