Your browser doesn't support javascript.
loading
Opioid analgesic use in Australia and The Netherlands: a cross-country comparison.
Wagemaakers, Francisca N; Hollingworth, Samantha A; Kreijkamp-Kaspers, Sanne; Tee, Ernest H L; Leendertse, Anne J; van Driel, Mieke L.
Afiliación
  • Wagemaakers FN; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Hollingworth SA; School Pharmacy, University of Queensland, Brisbane, QLD, Australia.
  • Kreijkamp-Kaspers S; Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
  • Tee EHL; Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
  • Leendertse AJ; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
  • van Driel ML; Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia. m.vandriel@uq.edu.au.
Int J Clin Pharm ; 39(4): 874-880, 2017 Aug.
Article en En | MEDLINE | ID: mdl-28608330
Background Increasing use of opioid analgesics (OA) has been reported worldwide. Objective To compare the use of OA in two countries in order to better understand these trends. Setting Outpatient settings in Australia and The Netherlands. Method We analysed publicly available government data on outpatient OA dispensing over 15 years (2000-2014). We compared dispensing trends for specific OA and explored medical (national clinical guidelines), contextual and policy-related factors to explain differences in use between the two countries. Main outcome measure OA prescribing in Australia and The Netherlands, absolute volume of use, preferred types of opioids and changes over time. Results The average annual increase in OA prescribing was 10% in Australia and 8% in The Netherlands between 2000 and 2014. In 2014, the total use of OA was 10.0 daily defined doses (DDD)/1000 population/day in Australia and 9.4 DDD/1000 population/day in The Netherlands. In Australia, the most commonly prescribed opioids were oxycodone and tramadol, compared to fentanyl and tramadol in The Netherlands. We found differences in prescribing guidelines, culture of prescribing and regulatory frameworks that could explain some of the observed differences. Conclusion OA prescribing has increased remarkably in both countries between 2000 and 2014 but the types of prescribed OA vary. Differences in national evidence-based guidelines influenced the types of OA used. Prescribing culture as well as regulatory policies and costs, may also contribute to the different patterns of OA use.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prescripciones de Medicamentos / Utilización de Medicamentos / Analgésicos Opioides Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa / Oceania Idioma: En Revista: Int J Clin Pharm Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prescripciones de Medicamentos / Utilización de Medicamentos / Analgésicos Opioides Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa / Oceania Idioma: En Revista: Int J Clin Pharm Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos
...