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1
Opioid prescribing is a surrogate for inadequate pain management resources.阿片类药物的处方开具是疼痛管理资源不足的一种表现。
Can Fam Physician. 2016 Jun;62(6):465-8.
2
Combating the increase in opioid misuse.应对阿片类药物滥用情况的增加。
Conn Med. 2013 Sep;77(8):495-8.
3
The opioid crisis: combating misuse through better prescribing.阿片类药物危机：通过优化处方来对抗药物滥用。
Minn Med. 2013 Mar;96(3):20-5.
4
Chronic noncancer pain management in primary care: family medicine physicians' risk assessment of opioid misuse.基层医疗中的慢性非癌性疼痛管理：家庭医学医生对阿片类药物滥用的风险评估
Postgrad Med. 2015 Jan;127(1):22-6. doi: 10.1080/00325481.2015.993572. Epub 2014 Dec 25.
5
Managing twin crises in chronic pain and prescription opioids.应对慢性疼痛和处方阿片类药物的双重危机。
BMJ. 2019 Mar 6;364:l917. doi: 10.1136/bmj.l917.
6
The price of pain. Physicians cite need for better communication to successfully treat pain and monitor for possible abuse.疼痛的代价。医生们指出需要更好的沟通来成功治疗疼痛并监测可能的药物滥用情况。
Med Econ. 2013 Mar 10;90(5):30, 32, 39.
7
Physicians' beliefs and likelihood of prescribing opioid tamper-resistant formulations for chronic noncancer pain patients.医生对慢性非癌痛患者开具阿片类药物控释制剂的信念和可能性。
Pain Med. 2014 Apr;15(4):625-36. doi: 10.1111/pme.12352. Epub 2014 Jan 21.
8
Opioid use and abuse: a pain clinic perspective.阿片类药物的使用与滥用：疼痛诊所视角
Minn Med. 2013 Mar;96(3):42-4.
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Pain policy and abuse of prescription opioids in the USA: a cautionary tale for Europe.美国的疼痛政策与处方阿片类药物滥用：给欧洲的警示故事
Anaesthesia. 2013 Dec;68(12):1210-5. doi: 10.1111/anae.12450.
10
Challenges of chronic pain management: public health consequences and considered responses.慢性疼痛管理的挑战：对公共健康的影响及应对策略
N C Med J. 2013 May-Jun;74(3):243-5, 247-8.

引用本文的文献

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Problems accessing pain care, and the adverse outcomes among adults with chronic pain: a cross-sectional survey study.成人慢性疼痛患者在获取疼痛治疗方面存在的问题及不良后果：一项横断面调查研究。
Pain Manag. 2025 Feb;15(2):81-91. doi: 10.1080/17581869.2025.2463865. Epub 2025 Feb 12.
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'What script am I meant to use?': a qualitative study in chronic primary pain.“我该用什么字体？”：一项关于慢性原发性疼痛的定性研究
BJGP Open. 2025 Jan 2;8(4). doi: 10.3399/BJGPO.2024.0101. Print 2024 Dec.
3
Chronic noncancer pain management: Integration of a nurse-led program in primary care.慢性非癌性疼痛管理：初级保健中护士主导计划的整合。
Can Fam Physician. 2023 Mar;69(3):e52-e60. doi: 10.46747/cfp.6903e52.
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Healthcare resource utilisation and cost analysis associated with opioid analgesic use for non-cancer pain: A case-control, retrospective study between 2005 and 2015.与非癌性疼痛使用阿片类镇痛药相关的医疗资源利用和成本分析：一项2005年至2015年的病例对照回顾性研究。
Br J Pain. 2022 Apr;16(2):243-256. doi: 10.1177/20494637211045898. Epub 2021 Nov 3.
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A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids.关于改善阿片类药物合理使用、减少阿片类药物使用障碍及处方阿片类药物所致死亡的策略的系统评价。
Can J Pain. 2018 Jul 31;2(1):218-235. doi: 10.1080/24740527.2018.1479842. eCollection 2018.
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Examining opioid prescribing trends for non-cancer pain using an estimated oral morphine equivalence measure: a retrospective cohort study between 2005 and 2015.使用估计的口服吗啡等效剂量衡量指标研究非癌性疼痛的阿片类药物处方趋势：一项2005年至2015年的回顾性队列研究。
BJGP Open. 2021 Feb 23;5(1). doi: 10.3399/bjgpopen20X101122. Print 2021 Jan.
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Complementary, Integrative, and Nondrug Therapy Use for Pain Among US Military Veterans on Long-term Opioids.美国长期使用阿片类药物的退伍军人中补充、综合、非药物治疗疼痛的使用情况。
Med Care. 2020 Sep;58 Suppl 2 9S(Suppl 2 9 Suppl):S116-S124. doi: 10.1097/MLR.0000000000001333.
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Factors Associated With Opiate Use Among Psychiatric Inpatients: A Population-Based Study of Hospital Admissions in Ontario, Canada.精神科住院患者中与阿片类药物使用相关的因素：一项基于加拿大安大略省住院情况的人群研究。
Health Serv Insights. 2019 Nov 22;12:1178632919888631. doi: 10.1177/1178632919888631. eCollection 2019.
9
Academic Consortium for Integrative Medicine & Health Commentary to CMS; RE: National Coverage Analysis (NCA) Tracking Sheet for Acupuncture for Chronic Low Back Pain (CAG-00452N).整合医学与健康学术联盟致医疗保险与医疗补助服务中心的评论；主题：慢性下腰痛针灸治疗的国家覆盖范围分析（NCA）跟踪表（CAG-00452N）。
Glob Adv Health Med. 2019 Jul 11;8:2164956119857648. doi: 10.1177/2164956119857648. eCollection 2019.
10
Feasibility of a tapering opioids prescription program for trauma patients at high risk of chronic consumption (TOPP-trauma): protocol for a pilot randomized controlled trial.针对有慢性阿片类药物高消费风险的创伤患者的阿片类药物减量处方计划的可行性（TOPP-创伤）：一项试点随机对照试验的方案
Pilot Feasibility Stud. 2019 May 10;5:67. doi: 10.1186/s40814-019-0444-3. eCollection 2019.

本文引用的文献

1
Impact of legislation and a prescription monitoring program on the prevalence of potentially inappropriate prescriptions for monitored drugs in Ontario: a time series analysis.立法和处方监测计划对安大略省受监测药物潜在不适当处方流行率的影响：一项时间序列分析
CMAJ Open. 2014 Oct 1;2(4):E256-61. doi: 10.9778/cmajo.20140027. eCollection 2014 Oct.
2
Trends in high-dose opioid prescribing in Canada.加拿大高剂量阿片类药物处方趋势。
Can Fam Physician. 2014 Sep;60(9):826-32.
3
Prescription opioid misuse in the United States and the United Kingdom: cautionary lessons.美国和英国的处方阿片类药物滥用：警示教训。
Int J Drug Policy. 2014 Nov;25(6):1124-30. doi: 10.1016/j.drugpo.2014.07.009. Epub 2014 Jul 30.
4
The burden of premature opioid-related mortality.过早出现的与阿片类药物相关的死亡负担。
Addiction. 2014 Sep;109(9):1482-8. doi: 10.1111/add.12598. Epub 2014 Jul 7.
5
Chronic pain, addiction, and Zohydro.慢性疼痛、成瘾与羟考酮缓释片（Zohydro）
N Engl J Med. 2014 May 29;370(22):2061-3. doi: 10.1056/NEJMp1404181. Epub 2014 Apr 23.
6
Medication-assisted therapies--tackling the opioid-overdose epidemic.药物辅助治疗——应对阿片类药物过量流行问题
N Engl J Med. 2014 May 29;370(22):2063-6. doi: 10.1056/NEJMp1402780. Epub 2014 Apr 23.
7
Opioids compared to placebo or other treatments for chronic low-back pain.与安慰剂或其他治疗方法相比，阿片类药物用于治疗慢性腰痛。
Cochrane Database Syst Rev. 2013 Aug 27;2013(8):CD004959. doi: 10.1002/14651858.CD004959.pub4.
8
Questionable content of an industry-supported medical school lecture series: a case study.行业支持的医学院讲座系列中的可疑内容：一个案例研究
J Med Ethics. 2014 Jun;40(6):414-8. doi: 10.1136/medethics-2013-101343. Epub 2013 Jun 11.
9
A primary care-based interdisciplinary team approach to the treatment of chronic pain utilizing a pragmatic clinical trials framework.一种基于初级保健的跨学科团队方法，用于利用实用临床试验框架治疗慢性疼痛。
Transl Behav Med. 2012 Dec 1;2(4):523-530. doi: 10.1007/s13142-012-0163-2. Epub 2012 Aug 30.
10
Opioid analgesics for rheumatoid arthritis pain.用于治疗类风湿关节炎疼痛的阿片类镇痛药。
JAMA. 2013 Feb 6;309(5):485-6. doi: 10.1001/jama.2012.193412.

Opioid prescribing is a surrogate for inadequate pain management resources.

作者信息

Finestone Hillel M, Juurlink David N, Power Barry, Gomes Tara, Pimlott Nicholas

机构信息

Director of Stroke Rehabilitation Research at the Élisabeth Bruyère Hospital in Ottawa, Ont, and Professor in the Division of Physical Medicine and Rehabilitation in the Department of Medicine at the University of Ottawa.

Head of the Division of Clinical Pharmacology and Toxicology at Sunnybrook Health Sciences Centre in Toronto, Ont, and Eaton Scholar and Professor in the Department of Medicine, the Department of Paediatrics, and the Institute of Health Policy, Management and Evaluation at the University of Toronto.

出版信息

Can Fam Physician. 2016 Jun;62(6):465-8.

PMID:27302997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4907548/
Abstract
摘要