– Mange har en oppfatning av at fastleger generelt ofte er litt mer tilbakeholdne med medikamenter enn sykehusleger. Hvis dette stemmer, er det ikke litt rart at dere fant det motsatte?
We are aware that individuals struggling from Continual discomfort have to have very good therapy. The usage of opioids for Serious, non-cancer similar ache may perhaps appear ideal in the short term, but can usually have detrimental consequences for each the individual and society in the long term.
News > 2025 > Oxycodone use is growing both of those in hospitals and primary care Oxycodone use is raising equally in hospitals and first care
Det er ingen nasjonale norske retningslinjer som anbefaler legene å bruke morfin fremfor oksykodon. Norsk legemiddelhåndbok anbefaler morfin ved valg av sterke opioidagonister.
Guys dette er et vanskelig bilde, for det finnes jo også mange andre smertestillende legemidler enn morfin og oksykodon. Grunnen til at vi valgte disse to er at de er ganske like, brukes ofte til det samme og derfor er mest sammenlignbare og most effective egnet til å kunne si noe statistisk om sammenhengen mellom bruken på sykehus og i sykehusenes opptaksområder.
– We see a major boost in the use of oxycodone throughout the overall Health care method, even though using morphine is declining in Principal healthcare and only rising slightly in hospitals, describes lead writer Eirik Haarr within the College of Stavanger and KORFOR.
Summary History: Escalating oxycodone prescribing and its association with opioid-connected harms have elevated concerns. In Norway, almost ninety% of opioids are prescribed in Main treatment, earning Key treatment conclusions important to Over-all opioid exposure. In-clinic use may perhaps influence Key treatment practices by means of many mechanisms. This analyze analyses oxycodone and morphine use in Norwegian hospitals and its Affiliation with Main treatment prescribing from 2010 to 2021, together with an evaluation of tender agreements for these prescription drugs. Solutions: Morphine and oxycodone, accessible in all related formulations, served as opioid proxies to match covariation involving hospitals and their catchment locations. We analyzed 2010-2021 procurement data from healthcare facility pharmacies and primary treatment dispensing info from the Norwegian Prescription Database for all healthcare facility trusts. Correlations amongst healthcare facility and primary care morphine-to-oxycodone prescribing ratios were being assessed making use of Pearson's r. Once-a-year tender agreements were acquired with the countrywide Healthcare facility Procurement Business. Benefits: Medical center oxycodone use amplified by sixty seven.0% and first treatment prescribing rose by 86.5%. Morphine use greater by twelve.6% in hospitals but reduced by 23.
Name your selection: Identify need to be fewer than a hundred figures Pick a collection: Struggling to load your assortment resulting from an error
Foruten den sterke økningen i forskrivningen av oksykodon finner de en moderat samvariasjon mellom endringer i forskrivning som skjer på sykehus og de samme endringene i primærhelsetjenesten.
Oksykodon Oksykodon (C18H21NO4) er et opioid nært i slekt med morfin og heroin. Det er sterkt avhengighetsskapende og brukes derfor gjerne når tilstanden ikke lar seg behandle med annet enn opioidanalgetika.
Fastlegene har den fulle bredde av pasienter – også de pasientene som ikke fikk god nok smertelindring på sykehus. Gentlemen forskjellene mellom sykehusleger og fastleger kan gå begge veier når det gjelder forskriving, understreker Haarr, som selv er allmennlege ved Byhaugen legesenter i Stavanger to dager i uken.
Outcomes Hospital oxycodone use elevated by 67.0% and primary treatment prescribing rose by 86.five%. Morphine use greater by twelve.six% in hospitals but diminished by 23.two% in Key care. A moderate covariation (Pearson's r = 0.48) concerning medical center use and primary care prescribing was noticed. Clinic tender agreements for morphine declined by eighty%, when People for oxycodone remained stable. Conclusions Oxycodone use considerably elevated relative to morphine in Norwegian hospitals and first treatment. Prescription styles demonstrate average covariation, suggesting a potential url concerning hospital and primary care prescribing, even though causality stays uncertain. Tender agreements may possibly lead to prescribing tendencies in hospitals, with probable associations read more in primary treatment. Importance This review is the main to deliver quantitative proof of covariation amongst in-clinic use and first care opioid prescribing across a nationwide healthcare system. Inspite of suggestions favoring morphine, oxycodone prescribing continues to increase in Norway, with marked geographical variation. By linking procurement information, prescription styles and tender agreements, our findings spotlight the necessity to look at medical center methods and structural things when addressing opioid prescribing. These outcomes present new insights into potential levers for opioid stewardship across care amounts.
Strategies: This register-primarily based cohort examine will use knowledge from Danish governmental databases connected to people going through The ten most Regular surgical methods in 2018, excluding most cancers-linked and slight methods. The first result will be the dispensed postoperative opioid prescriptions at retail pharmacies in excess of four quar- ters. Secondary analyses will incorporate associations with sex, age, education and learning attainment, and oral morphine equivalent quotient. Surgical therapies and diagnoses will probably be recognized applying NOMESCO process codes and ICD-ten codes. Opioids are going to be iden- tified by ATC codes N02A and R05DA04. Topics will probably be categorized as preoperative opioid shoppers or non-opioid buyers dependant on opioid prescriptions redeemed in the six months before surgical procedures. Dialogue: The review will use intensive nationwide sign up-dependent info, ensuring con- sistent knowledge selection and enhancing the generalizability with the findings to very similar Health care techniques. The analyze could detect higher-chance populations for extensive-term opi- oids and provide details to assist opioid prescribing pointers and general public health and fitness policies.
Checking opioid prescribing across different Health care techniques is crucial to understanding populace-level exposure and informing global wellbeing policies.