Analgesic consumption in a large sample of people in musculoskeletal rehabilitation: A descriptive study.
Ann Phys Rehabil Med
; 67(1): 101776, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38118341
ABSTRACT
BACKGROUND:
Consumption of opioids is increasing worldwide in people with chronic non-cancer pain, although their effectiveness is debated.OBJECTIVES:
The aim of the current study was to evaluate analgesic consumption and its association with different variables (demographic variables, pain, anxiety/depression, catastrophism, and kinesiophobia), in the field of musculoskeletal rehabilitation, where no data are available.METHODS:
This was a retrospective study over a period of 8 years on people hospitalised for rehabilitation after injury. Participants were classified into 3 categories no analgesics (NA), non-opioid analgesics (NOA), and opioid analgesics (OPA). ANOVA or chi-squared tests were used to compare the 3 groups.RESULTS:
A total of 4,350 people (84% men; mean [SD] age, 44 [11] years) were included. In total, 20% were taking OPA, 40% NOA and 40% NA. In the OPA group, tramadol was mainly used, and the morphine equivalent median dose was 8.3 mg/day. In the NOA group, paracetamol and ibuprofen were mostly used. Symptoms increased progressively across the 3 groups (NA/NOA/OPA), with increased levels of pain severity/interference, anxiety/depression and catastrophizing, and a higher prevalence of neuropathic pain in the OPA group versus the others.CONCLUSIONS:
These results are consistent with those found in groups of people with chronic pain taking larger doses of opioids and following opioid reduction or cessation programs. Opioid prescription did not increase over the 8 years, which was reassuring. These factors are important to emphasise because they can be modified in the rehabilitation setting with interdisciplinary management. REGISTRATION Our database was registered on Mendeley Data.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Dor Crônica
/
Analgésicos Opioides
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Ann Phys Rehabil Med
/
Annals of physical and rehabilitation medicine (En ligne)
Assunto da revista:
MEDICINA FISICA
/
REABILITACAO
Ano de publicação:
2024
Tipo de documento:
Article