Opioids and the Treatment of Chronic Pain in a Primary Care Sample

Chronic pain is a widespread, difficult problem facing clinicians. This study assessed the current medical management of a general population of patients with chronic pain in 12 family medicine practices located throughout the state of Wisconsin. Medical record audits were conducted on a sample of 2...

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Veröffentlicht in:Journal of pain and symptom management 2001-09, Vol.22 (3), p.791-796
Hauptverfasser: Adams, Nancy J, Plane, Mary Beth, Fleming, Michael F, Mundt, Marlon P, Saunders, Laura A, Stauffacher, Ellyn A
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Sprache:eng
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Zusammenfassung:Chronic pain is a widespread, difficult problem facing clinicians. This study assessed the current medical management of a general population of patients with chronic pain in 12 family medicine practices located throughout the state of Wisconsin. Medical record audits were conducted on a sample of 209 adults. Sixty-seven percent were female with an average age of 53 years. The most common pain diagnoses included lumbar/low back (44%), joint disease/arthritis (33%), and headache/migraine (28%) pain. The most frequently prescribed opioids were oxycodone/acetaminophen (31%), morphine ERT (19%), Tylenol #3 (15%), and hydrocodone/acetaminophen (14%). Depression/affective disorders were reported in 36% of the patient charts, anxiety/panic disorders (15%), drug abuse (6%), and alcohol abuse (3%). Written drug contracts were utilized by 42% ( n = 31) of the practitioners, pain scales 25% ( n = 29), and urine toxicology screens 8% ( n = 6). This study suggests that primary care practitioners have unique opportunities to identify and successfully treat patients with chronic pain.
ISSN:0885-3924
1873-6513
DOI:10.1016/S0885-3924(01)00320-7