– 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?
However, it really is not possible to determine with certainty whether or not the impact goes extra from hospitals to basic practitioners or vice versa, states Haarr.
News > 2025 > Oxycodone use is rising the two in hospitals and first care Oxycodone use is raising each in hospitals and first care
The task will Consider the result of a knowledge-based schooling intervention directed at normal practitioners.
Ifølge Eirik Haarr har funnene flere aspekter som er relevante for både sykehusleger og fastleger, i tillegg til å ha et helsetjenesteperspektiv:
– We see a big boost in the use of oxycodone over the overall Health care procedure, whilst the usage of morphine is declining in Most important healthcare and only escalating a bit in hospitals, describes lead author Eirik Haarr in the University of Stavanger and KORFOR.
Summary History: Increasing oxycodone prescribing and its Affiliation with opioid-similar harms have lifted issues. In Norway, nearly ninety% of opioids are prescribed in Major treatment, generating Key treatment decisions crucial to In general opioid exposure. In-clinic use may well impact Main care procedures by several mechanisms. This research analyses oxycodone and morphine use in Norwegian hospitals and its association with Main care prescribing from 2010 to 2021, alongside an assessment of tender agreements for these medicines. Procedures: Morphine and oxycodone, readily available in all applicable formulations, served as opioid proxies to check covariation amongst hospitals and their catchment areas. We analyzed 2010-2021 procurement details from medical center pharmacies and primary care dispensing data with the Norwegian Prescription Databases for all clinic trusts. Correlations between clinic and first treatment morphine-to-oxycodone prescribing ratios had been assessed working with Pearson's r. Annual tender agreements had been received within the national Hospital Procurement Firm. Effects: Medical center oxycodone use amplified by 67.0% and first treatment prescribing rose by 86.five%. Morphine use increased by twelve.six% in hospitals but diminished by 23.
Scientists have also appeared nearer at feasible explanations. The increase can't be attributed to enhanced exercise in hospitals.
Oksykodon var sentral i utviklingen av opioidepidemien i USA og kan være assosiert med høyere risiko for avhengighet og overdose ifølge nyere studier1. I Norge er det anbefalt å bruke morfin som fileørstevalg blant sterke opioider2.
– Jeg har nylig hatt kontakt med to uavhengige anestesiavdelinger som er i en prosess med å skifte til mer morfin og mindre oksykodon. Det at andre faginstanser tenker i samme baner støtter også vår anbefaling.
– If we have been to achieve modifying practices, we also need to have to look at how healthcare facility procedures impact basic practitioners, suggests co-author Torgeir Gilje Lid.
Numerous variables, like the escalating use of opioids among chronic pain people, the raising utilization of powerful opioids in particular, as well as climbing amount of overdoses due to prescription opioids, indicate the opportunity beginning of an opioid epidemic in Norway.
Strategies: This register-based cohort study will use data from Danish governmental databases related to people undergoing The ten most Repeated surgical processes in 2018, excluding most cancers-relevant and small strategies. The principal final result would be the dispensed postoperative opioid prescriptions at retail pharmacies above 4 quar- ters. Secondary analyses will consist of associations with intercourse, age, education attainment, and oral morphine equivalent quotient. Surgical solutions and diagnoses will more info be recognized employing NOMESCO technique codes and ICD-ten codes. Opioids are going to be iden- tified by ATC codes N02A and R05DA04. Topics are going to be categorised as preoperative opioid individuals or non-opioid individuals based on opioid prescriptions redeemed during the six months just before medical procedures. Discussion: The analyze will use comprehensive national sign-up-based details, making certain con- sistent details collection and boosting the generalizability of the results to identical Health care techniques. The analyze could recognize higher-possibility populations for lengthy-phrase opi- oids and provide data to aid opioid prescribing suggestions and community overall health insurance policies.
One of the undertaking’s most important targets was to research The provision of knowledge compiled by Czech state institutions and decide their openness and value for exploration checking using psychoactive prescription remedies. We aimed to reply two critical thoughts: one) Do We have now facts to watch the use of psychoactive prescription medicines as well as their health and fitness penalties from the populace?