Evaluation of an Opioid Decrease Strategy in Chronic Pain Patients at the Pain Assessment and Treatment Center in Montpellier: Prospective Study Over 6 Months.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- Change of the dosage of opioid and co-analgesic treatments
研究概览
简要总结
Increase in the consumption of analgesics observed in many countries with a mediatic crisis resulting in an increasingly frequent wish of patients to wean themselves from opiates. A recent update (B. Rolland 2017) suggests that upon initiation of an opioid analgesic treatment, the patient should be informed of the risk of opioid dependence and misuse. There is no clearly validated decay scheme in the event of dependence in patients with Chronic Non-Cancer Pain.
Hypotheses:
- Possibility of a rapid decrease in opioid analgesic treatments at DCNC sensitized to the risk of DOP and MOP. (Protocol implemented: Multidisciplinary assessment, workshops and information sheet on chronic pain, treatments and risk of DOP, pharmacological and nonpharmacological adaptation)
- Highlight the need for additional information from patients and prescribers on the risk of DOP and MOP in DCNC.
详细描述
Main objective: Check if the rapid to semi-rapid regimen (- 25 to -60% dosage in 5 days of HDS) of opioid analgesics, without the use of methadone or buprenorphine agonists, in the case of DCNC at the CETD in Montpellier is efficient in the medium term (6 months).
Secondary objective:
- With our inclusion questionnaire we wanted to check if the patients had been made aware of the risk of opiate dependence and misuse.
- Detect the conditions of prescriptions that can promote the misuse of opiates.
- Evaluating the different components of residual pain at 6 months (type, intensity, anxiety component and depression, function).
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Patients included from 10/01/19 to 12/31/19.
Patients included from 10/01/19 to 12/31/19. (the study will be extended to a larger number of patients according to the first results), continued according to the first results. DCNC patients treated at the Montpellier Pain Assessment and Treatment Center hospitalized during the period from 10/01/19 to 12/31/19, for misuse of opioid treatment.
干预措施: opioid withdrawal (Drug)
结局指标
主要结局
Change of the dosage of opioid and co-analgesic treatments
时间窗: 3 months and 6 months
Change of the dosage of opioid and co-analgesic treatments
次要结局
- Measuring quality of life(Inclusion, 3 and 6 months)