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Total 7543 results found since Jan 2013.

Psychosis after buprenorphine, heroin, methadone, morphine, oxycodone, and tramadol withdrawal: a systematic review
CONCLUSIONS: This study encompasses a comprehensive description of the literature concerning the possible not well-studied outcome of opioid withdrawal. There are some reports of temporal association between withdrawal and psychotic symptoms that improved after the reintroduction of the opioid; it could be taken into consideration in the clinical practice.PMID:34286498 | DOI:10.26355/eurrev_202107_26248
Source: European Review for Medical and Pharmacological Sciences - July 21, 2021 Category: Drugs & Pharmacology Authors: M T Lozano-L ópez S Gamonal-Limcaoco N Casado-Espada L Aguilar B Vicente-Hern ández L Grau-L ópez A Álvarez-Navares C Roncero Source Type: research

Serious health-related suffering and palliative care in South Asian countries
Purpose of review South Asia, with a population of 1.79 billion, has close to 9.9 million individuals experiencing serious health-related suffering (SHS). South Asia accounts for 10.23% of the world's cancer incidence. The prevalence of cancer mortality in the region is 68.44%, significantly higher than the world average of 59.74%. This poor outcome highlights the need to focus on SHS in the region. This review was undertaken to assess the current status of palliative care inequities in the region and to guide future action. Recent findings Using morphine-equivalent doses of opioid analgesics (excluding methadon...
Source: Current Opinion in Supportive and Palliative Care - August 6, 2021 Category: Palliative Care Tags: SOCIO-CULTURAL-ECONOMIC DETERMINANTS OF ACCESS TO QUALITY CANCER CARE: Edited by Elie Isenberg-Grzeda and Janet Ellis Source Type: research

The trend of opioid prescriptions among cancer patients in a tertiary hospital: A multimethod quantitative study
ConclusionOpioid use in cancer patients in this study is lower than the average global usage. Promoting opioid prescriptions for pain management through medical education can help doctors overcome opiophobia.
Source: Frontiers in Oncology - April 11, 2023 Category: Cancer & Oncology Source Type: research

Neither pre-operative education or a minimally invasive procedure have any influence on the recovery time after total hip replacement
Conclusions Neither pre-operative education nor mini-invasive surgery reduces the time to reach complete functional independence. Mini-invasive surgery significantly reduces blood loss and the need for morphine consumption.
Source: International Orthopaedics - May 15, 2015 Category: Orthopaedics Source Type: research

Medical Cannabis Certification Is Associated With Decreased Opiate Use in Patients With Chronic Pain: A Retrospective Cohort Study in Delaware
Conclusion The results display an association between medical cannabis certification and a decrease in opiate use among the study group individuals. This study suggests that medical cannabis use may help individuals to reduce their opiate requirements along with physician intervention. More research is needed to validate these findings with appropriate controls and verification of cannabis use.PMID:35004055 | PMC:PMC8730800 | DOI:10.7759/cureus.20240
Source: Pain Physician - January 10, 2022 Category: Anesthesiology Authors: Alan Balu Divya Mishra Jahan Marcu Ganesh Balu Source Type: research

Medical Cannabis Used as an Alternative Treatment for Chronic Pain Demonstrates Reduction in Chronic Opioid Use - A Prospective Study
CONCLUSIONS: Presenting medical cannabis to chronic pain patients on COT should be done in the context of a patient choice between medical cannabis WITH decrement of COT or continued current dose of COT in order to maximize effectiveness in opioid reduction as well as to limit polypharmacy concerns regarding medical cannabis. Allowing for a temporary short-term period where patients may trial medical cannabis, while concomitantly gradually weaning their COT, is also essential in determining medical cannabis' individual effectiveness for that patient's specific type of chronic pain, which should serve to maximize long-term ...
Source: Pain Physician - January 20, 2022 Category: Anesthesiology Authors: Gregory Benedict Annas Sabbagh Till Conermann Source Type: research

The Association Between Local Economic Conditions and Opioid Prescriptions Among Disabled Medicare Beneficiaries
Conclusions: Lower county median household income, higher unemployment rates, and less income inequality were consistently associated with more and higher MME opioid prescriptions among disabled Medicare beneficiaries. Geographically, we found that the urban-rural divide was not gradual and that beneficiaries in large central metro counties were less likely to have an opioid prescription than those living in other areas.
Source: Medical Care - December 12, 2017 Category: Health Management Tags: Original Articles Source Type: research

Managing opioid consumption after caesarean delivery: a quality improvement initiative
ConclusionThe results of this study suggest that postoperative opioid consumption can be reduced with specific analgesic protocols and allow us to improve patient ’s quality of recovery.
Source: Irish Journal of Medical Science - February 10, 2020 Category: General Medicine Source Type: research

Using provider-focused education toolkits can aid enhanced recovery programs to further reduce patient exposure to opioids
ConclusionOur multifaceted optimal analgesia program to manage perioperative pain in the hospital was effective and further improved analgesia in the setting of a mature enhanced recovery program.
Source: Perioperative Medicine - July 8, 2020 Category: Surgery Source Type: research

Nurse-Administered Analgesic Treatment in Italian Emergency Medical Services: A Nationwide Survey
CONCLUSION: Despite international consensus on the necessity, efficacy, and safety of nurses' prehospital analgesia provision, nurse-administered analgesia protocols are available in less than half of Italian provinces, with substantial differences between northern, central, and southern areas. These results indirectly indicate potential undertreatment of prehospital pain in Italy and yield practice improvements.PMID:34163237 | PMC:PMC8215928 | DOI:10.2147/JPR.S303998
Source: Pain Physician - June 24, 2021 Category: Anesthesiology Authors: Guglielmo Imbriaco Riccardo Rondelli Federica Maroni Selene Mazzolani Silvia Sasso Stefano Sebastiani Boaz Gedaliahu Samolsky Dekel Source Type: research

Problems in self-management of analgesics after outpatient shoulder surgery
CONCLUSION: Problems in analgesic use after outpatient surgery include undertreatment, poor compliance, overdosage, nightly breakthrough pain and poor tolerance due to side effects. Interventional studies should target these areas.FUNDING: none.TRIAL REGISTRATION: not relevant.PMID:36331151
Source: Danish Medical Journal - November 4, 2022 Category: General Medicine Authors: Karen Toftdahl Bj ørnholdt Lone Dragnes Brix Source Type: research