Reviewing long-term opioid use in patients experiencing chronic pain in general practice: Activating patients and supporting clinical decision making.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2025-07-01 DOI:10.31128/AJGP-06-24-7330

Hester HK Wilson, Louisa Picco, Suzanne Nielsen

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引用次数: 0

Abstract

Background: Australia has a high rate of opioid prescribing, which has been associated with multiple harms. Regular review of patients' opioid-related risk factors and realigning treatment improves clinical outcomes; however, general practitioners (GPs) can find this consultation difficult.

Objective: The aim of this article is to support GPs and their chronic pain patients who have been prescribed long-term opioids with a structured and validated opioid review process through the Routine Opioid Outcome Monitoring (ROOM) tool and the patient-led Opioid Safety Toolkit.

Discussion: The ROOM tool is a validated patient-reported measure that assists with assessment of current pain, functioning, risk of dependence, mood, constipation and risky alcohol use. The online Opioid Safety Toolkit improves patient health literacy and activation in their pain management. These tools, combined with real-time prescription monitoring (RTPM) information and naloxone for opioid overdose, can provide a comprehensive, efficient approach that helps identify and manage medication-related risks, supports quality use of opioids and assists conversations with patients regarding best treatment options.

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回顾全科实践中慢性疼痛患者的长期阿片类药物使用：激活患者并支持临床决策。

背景：澳大利亚的阿片类药物处方率很高，这与多种危害有关。定期审查患者阿片类药物相关危险因素并调整治疗可改善临床结果；然而，全科医生（全科医生）可能会发现这个咨询困难。目的：本文的目的是通过常规阿片类药物结局监测（ROOM）工具和患者主导的阿片类药物安全工具包，为全科医生及其长期服用阿片类药物的慢性疼痛患者提供结构化和有效的阿片类药物审查过程。讨论：ROOM工具是一种经过验证的患者报告的措施，有助于评估当前的疼痛、功能、依赖风险、情绪、便秘和危险的酒精使用。在线阿片类药物安全工具包提高了患者的健康素养并激活了他们的疼痛管理。这些工具与阿片类药物过量的实时处方监测（RTPM）信息和纳洛酮相结合，可以提供一种全面、有效的方法，帮助识别和管理药物相关风险，支持阿片类药物的高质量使用，并协助与患者就最佳治疗方案进行对话。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.