Exploring cannabis as a treatment for chronic pain in a rural Appalachian population.

IF 2.5 4区 医学 Q2 SUBSTANCE ABUSE
Treah Haggerty, Toni M Rudisill, Patricia Dekeseredy, Abigail Cowher, Cara L Sedney
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Abstract

Background and objectives: Many cannabis laws include medical use with pain as an indication. However, it is not known the extent of cannabis use for pain, the types of pain treated, and the perceived effectiveness of cannabis for chronic pain in this region. The purpose of this study was to understand cannabis use for pain in West Virginia patients.

Methods: Ten thousand chronic pain patients were surveyed, and users and non-users of cannabis were compared.

Results: One thousand three hundred fifty-one people responded, with 24% using cannabis. They were in pain for longer, most >10 years. They often used other medications for pain and more often had a previous opioid prescription for pain.

Discussions and conclusions: Patients who use cannabis have higher levels of reported pain for longer durations of time than those who do not use cannabis. More information is needed to understand the implications for cannabis use in this population.

Scientific significance: Patients with chronic pain who use cannabis have tried multiple treatment modalities, had more types of pain, and often received an opioid prescription.

探索大麻作为阿巴拉契亚农村人口慢性疼痛的治疗方法。
背景和目的:许多大麻法律将医疗用途与疼痛作为适应症。然而,目前尚不清楚大麻用于治疗疼痛的程度、治疗的疼痛类型以及大麻在该地区治疗慢性疼痛的有效性。这项研究的目的是了解西弗吉尼亚州患者使用大麻治疗疼痛的情况。方法:对1万例慢性疼痛患者进行调查,对大麻使用者和非大麻使用者进行比较。结果:一千三百五十一人回应,其中24%使用大麻。他们的痛苦持续的时间更长,大多数人在10年左右。他们经常使用其他药物治疗疼痛,更经常的是以前有阿片类药物治疗疼痛的处方。讨论和结论:与不使用大麻的患者相比,使用大麻的患者报告的疼痛程度更高,持续时间更长。需要更多的信息来了解这一人群使用大麻的影响。科学意义:使用大麻的慢性疼痛患者尝试了多种治疗方式,疼痛类型更多,并且经常接受阿片类药物处方。
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来源期刊
CiteScore
5.00
自引率
0.00%
发文量
118
期刊介绍: The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.
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