期刊
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
卷 22, 期 3, 页码 791-796出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/S0885-3924(01)00320-7
关键词
chronic pain; opioids; primary care; mental illness; lumbar/low back; arthritis; joint disease; family medicine; medical management; physician protocols
Chronic pain is a widespread, difficult problem facing clinicians. This study assessed the current medical management of a general Population of patients with chronic pain in 12 family medicine practices located throughout the state of Wisconsin. Medical record audits were conducted on a sample of 209 adults. Sixty-seven percent were female with an average age of 53 years. The most common pain diagnoses included lumbar/low back (44%), joint disease/arthritis (33%), and headache/migraine (28%) pain. The most frequently prescribed opioids were oxycodone/acetaminophen (31%), morphine ERT (19%), Tylenol #3 (15%), and hydrocodone/acetaminophen (14%). Depression/affective disorders were reported in 36% of the patient charts, anxiety/panic disorders (15%), drug abuse (6%), and alcohol abuse (3%). Written drug contracts were utilized by 42% (n = 31) of the practitioners, pain scales 25% (n = 29), and urine toxicology screens 8%(n = 6). This study suggests that primary care practitioners have unique opportunities to identify and successfully treat patients with chronic pain. (C) U.S. Cancer Pain Relief Committee, 2001.
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