An epidemic of the use, misuse and overdose of opioids and deaths due to overdose, in the United States and Canada

被引:111
|
作者
Helmerhorst, G. T. T. [1 ,5 ]
Teunis, T. [1 ,6 ]
Janssen, S. J. [1 ,7 ]
Ring, D. [2 ,3 ,4 ]
机构
[1] Univ Texas Austin, Austin, TX 78712 USA
[2] Univ Texas Austin, Dell Med Sch, Comprehens Care, 1912 Speedway, Austin, TX 78712 USA
[3] Univ Texas Austin, Dell Med Sch, Surg & Perioperat Care, 1912 Speedway, Austin, TX 78712 USA
[4] Univ Texas Austin, Dell Med Sch, Dept Surg & Perioperat Care, 1912 Speedway, Austin, TX 78712 USA
[5] Univ Amsterdam, Dept Orthopaed Surg, Acad Med Ctr, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[6] Univ Med Ctr Utrecht, Plast Reconstruct & Hand Surg, Heidelberglaan 100, NL-3584 CX Utrecht, Netherlands
[7] Onze Lieve Vrouw Hosp, Orthopaed Surg, Dept Gen Surg, Oosterpk 9, NL-1091 AC Amsterdam, Netherlands
来源
BONE & JOINT JOURNAL | 2017年 / 99B卷 / 07期
关键词
CHRONIC NONCANCER PAIN; LOW-BACK-PAIN; EMERGENCY-DEPARTMENT VISITS; FUNDAMENTAL HUMAN RIGHT; NONMALIGNANT PAIN; INDUCED HYPERALGESIA; OPERATIVE TREATMENT; ORTHOPEDIC-SURGERY; PRIMARY-CARE; PRESCRIPTION;
D O I
10.1302/0301-620X.99B7.BJJ-2016-1350.R1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The United States and Canada are in the midst of an epidemic of the use, misuse and overdose of opioids, and deaths related to overdose. This is the direct result of overstatement of the benefits and understatement of the risks of using opioids by advocates and pharmaceutical companies. Massive amounts of prescription opioids entered the community and were often diverted and misused. Most other parts of the world achieve comparable pain relief using fewer opioids. The misconceptions about opioids that created this epidemic are finding their way around the world. There is particular evidence of the increased prescription of strong opioids in Europe. Opioids are addictive and dangerous. Evidence is mounting that the best pain relief is obtained through resilience. Opioids are often prescribed when treatments to increase resilience would be more effective.
引用
收藏
页码:856 / 864
页数:9
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