• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Canadian journal of clinical pharmacology =: Journal canadien de pharmacologie clinique >Access and intensity of use of prescription analgesics among older Manitobans
【24h】

Access and intensity of use of prescription analgesics among older Manitobans

机译：老年马尼托班人使用处方镇痛药的机会和使用强度

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Under-treatment of pain is frequently reported, especially among seniors, with chronic non-cancer pain most likely to be under-treated. Legislation regarding the prescribing/dispensing of opioid analgesics (including multiple prescription programs [MPP]) may impede access to needed analgesics. Objective: To describe access and intensity of use of analgesics among older Manitobans by health region. Methods: A cross-sectional study of non-Aboriginal non-institutionalized Manitoba residents over 65 years of age during April 1, 2002 to March 31, 2003 was conducted using the Pharmaceutical Claims data and the Cancer Registry from the province of Manitoba. Access to analgesics (users/1000/Yr) and intensity of use (using defined daily dose [DDD] methodology) were calculated for non-opioid analgesics, opioids, and multiple-prescription-program opioids [MPP-opioids]. Usage was categorized by age, gender, and stratified by cancer diagnosis. Age-sex standardized rates of prevalence and intensity are reported for the eleven health regions of Manitoba. Results: Thirty-four percent of older Manitobans accessed analgesics during the study period. Female gender, increasing age, and a cancer diagnosis were associated with greater access and intensity of use of all classes of analgesics. Age-sex standardized access and intensity measures revealed the highest overall analgesic use in the most rural / remote regions of the province. However, these same regions had the lowest use of opioids, and MPP-opioids among residents lacking a cancer diagnosis. Conclusion: This population-based study of analgesic use suggests that there may be variations in use of opioids and other analgesics depending on an urban or rural residence. The impact of programs such as the MPP program requires further study to describe its impact on analgesic use.
机译：背景：疼痛的治疗不足经常被报道，尤其是在老年人中，慢性非癌性疼痛最有可能得到治疗。有关阿片类镇痛药处方/分配的法律（包括多种处方药计划[MPP]）可能会阻碍获得所需镇痛药的机会。目的：按健康区域描述马尼托班老年人的镇痛药使用情况和使用强度。方法：使用药物索赔数据和来自曼尼托巴省的癌症登记处，对2002年4月1日至2003年3月31日期间65岁以上的非原住民非机构化曼尼托巴居民进行了横断面研究。计算了非阿片类镇痛药，阿片类药物和多种处方药类阿片类药物[MPP-阿片类药物]的镇痛剂使用率（用户/ 1000 /年）和使用强度（使用规定的每日剂量[DDD]方法）。使用情况按年龄，性别分类，并按癌症诊断分类。据报道，曼尼托巴省的十一个健康地区的年龄性别标准化患病率和强度。结果：在研究期间，百分之三十四的马尼托班老年人使用了止痛药。女性，年龄增长和癌症诊断与所有类型的镇痛药的普及和使用强度有关。年龄性别标准化的使用和强度测量表明，该省大多数农村/偏远地区的总体镇痛剂使用率最高。然而，在缺乏癌症诊断的居民中，这些相同地区的阿片类药物使用最少，而MPP-阿片类药物的使用率最高。结论：基于人群的止痛药研究表明，根据城市或农村居民的居住情况，类阿片和其他止痛药的使用可能会有差异。 MPP程序等程序的影响需要进一步研究，以描述其对止痛药使用的影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号