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As we all know, opioids ( Opioid ), as the main
type of analgesia, are very effective in relieving moderate to severe pain, especially for severe pain caused by cancer .
At the same time, opioids can effectively inhibit the stress response caused by tracheal intubation and surgical pain when used in anesthesia, and maintain the stability of blood pressure and heart rate
As we all know, opioids ( Opioid ), as the main
WHO
WHOAlthough opioids can relieve pain, they are very limited in effective pain control, and long-term use is associated with many adverse reactions, including immunosuppression , self-reward and punishment mechanism disorders, and neurohormonal defects
.
Then, with scientists' in-depth research on opioids, is the increase in clinical knowledge related to the decrease in opioid prescriptions?Although opioids can relieve pain, they are very limited in effective pain control, and long-term use is associated with many adverse reactions, including immunosuppression , self-reward and punishment mechanism disorders, and neurohormonal defects
Recently, published in JAMA Netw Open JAMA , a study in the journal showed that in the 2015 annual Zhi 2017 Between, clinical knowledge higher scores doctor reduces opioid prescription, then quickly transition to guide the direction of reducing opioid prescription
This cross-sectional study included 10,246 middle-aged general physicians in the United States and compared the relationship between clinical knowledge and opioid prescriptions from 2009 to 2011 , when prescriptions peaked in the country, and guidelines recommend reducing use from 2015 to 2017 Opioid prescriptions
.
.
The study included55,387 times lower back pain treatment, in which 37185 (67.
1%) times for female patients, 41,978 (75.
8%) times for white patients, the mean age was 76.
2 years
.
The rate of opioid prescriptions for any opioid prescription accounted for 21.
The study included55,387 times lower back pain treatment, in which 37185 (67.
The relationship between the level of knowledge and the prescription of opioids in the early ( 2009-2011 ), mid-term ( 2012-2014 ) and late ( 2015-2017 ) periods
The relationship between the level of knowledge and the prescription of opioids in the early ( 2009-2011 ), mid-term ( 2012-2014 ) and late ( 2015-2017 ) periodsIn summary, doctors' knowledge level is related to clinically significant prescription behavior
.
Doctors with high knowledge scores may be more sensitive to changes in the standard of care
In summary, the knowledge level of doctors is related to clinically significant prescription behavior
Original source
Bradley M.
Gray, PhD 1 ;Jonathan L.
Vandergrift, MS 1 ; Weifeng Weng, PhD 1 ; et al.
Bradley M.
Gray, PhD 1 1 1 ; Jonathan L.
Vandergrift, MS 1 ; Weifeng Weng, PhD 1 ; Jonathan L.
Vandergrift, MS 1 1 Weifeng Weng, PhD 1 1 et al.
Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017.
Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017.
JAMA Netw Open.
2021;4(7):e2115328.
doi:10.
1001/jamanetworkopen.
2021.
15328 JAMA Netw Open.
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