Is Europe also facing an opioid crisis?—A survey of European Pain Federation chapters

Haüser, Winfried; Buchser, Eric; Finn, David P.; Dom, Geerd; Fors, Egil Andreas; Heiskanen, Tarja; Jarlbæk, Lene; Knaggs, Roger; Kosek, Eva; Krcevski–Škvarc, Nevenka; Pakkonen, Kaire; Perrot, Serge; Trouvin, Anne-Priscille; Morlion, Bart

doi:10.1002/ejp.1786

Cited by 65 publications

(54 citation statements)

References 30 publications

(49 reference statements)

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“…Europe is far from the (prescription) opioid epidemic faced by the United States (Häuser et al, 2021) for most of the authors reporting observational data: opioid prescription rates increased (Giraudon et al, 2013;Helmerhorst et al, 2017;Schubert et al, 2013), but there are marked differences between European countries in trends of opioid prescribing (Häuser et al, 2021). Proxies for opioid-related harms has increased in France, Finland, the Netherlands and the United Kingdom but not in Germany, Spain and Norway (Häuser et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Perceived risk of opioid use disorder secondary to opioid analgesic medication use by the general population in France

Lavergne

Debin

Blanchon

et al. 2022

European Journal of Pain

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Background: In Europe and France, the use of opioid analgesic drugs has become widespread as an option for pain management. However, their use can lead to nonmedical use and/or opioid use disorder (OUD). This work aimed to assess the perceived risk of OUD secondary to opioid analgesic drugs use by the general population. Methods:We conducted a cross-sectional observational study using the GrippeNet web-based cohort, comprising about 10,000 French volunteers from the general population, using a self-administered questionnaire. The main outcome was the perceived risk of OUD secondary to opioid analgesic drugs use, assessed by a 4-item scale and modelled using logistic regression (backward procedure).Results: Among 5046 French respondents, after adjustment, 65% believed that the use of analgesic drugs could likely or very likely lead to OUD. Factors associated with the perception of a higher risk were being over 50 and having heard about opioids in the media. Previous opioid use and a high level of education decreased the perception of the risk. Among those having used opioids in the past 2 years (N = 1770), 71.1% reported being not at all concerned by this risk. The majority of the sample perceived the risk of OUD but those having already used opioid analgesics drugs expressed no concern about this risk for themselves. Conclusions:This finding highlight the need to reinforce warning on the package insert documents, therapeutic education and collaborative care between the prescribing general practitioners and pharmacists to increase awareness of opioid medications users on the risk of OUD.Significance: This study found that the risk of OUD secondary to opioid analgesics use is well perceived in the general population, but that those having already

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Section: Introductionmentioning

confidence: 99%

Perceived risk of opioid use disorder secondary to opioid analgesic medication use by the general population in France

Lavergne

Debin

Blanchon

et al. 2022

European Journal of Pain

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“…Alenezi et al ( 2021 ) asserted that opioid misuse and death rates are on the rise in the United Kingdom, with Scotland having the highest misuse rates. Häuser et al ( 2021 ) also noted that prescriptions of opioids in European countries have risen between 2004 and 2016.…”

Section: Introductionmentioning

confidence: 99%

Figured Worlds of Addiction: A Content Analysis of 10 YAL Texts

2022

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While the opioid epidemic rages on in the US, adolescent drug use and abuse is often left unaddressed in university and public-school classrooms. In an effort to support educator’s conversations with youth about drug and alcohol addiction, this study draws on the theory of figured worlds to conduct a critical content analysis of 10 YAL novels to understand how adolescents with addiction are constructed within the selected texts. Our findings detail three themes that work together to construct figured worlds in which: the majority of protagonists in the texts are middle class, white, teenage girls; the protagonists’ experiences around addiction are preceded by one or a series of traumatic events; and, due to their privilege, the protagonists have ready access to rehabilitation facilities and other mental health supports. We offer both implications for our findings and directions for future research.

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“…Overall, Europe is not experiencing an opioid overdose crisis, with Scotland (and, to a lesser extent, England, Wales and Northern Ireland) as the exception. In Scotland, the rate of 206 ORDs/million is even higher than in the United States [4][5][6]. This high rate of ORDs in Scotland was driven by a high number of problematic opioid users, a high frequency of polydrug use, particularly opioids with illicit benzodiazepines and the relatively low coverage and limited efficacy of the addiction treatment system [7].…”

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confidence: 99%

What lessons from Europe’s experience could be applied in the United States in response to the opioid addiction and overdose crisis?

2022

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Major differences exist between the United States and Europe regarding opioid-related morbidity and mortality. Regulatory restrictions, drug policy measures and largescale implementation of proven-effective opioid dependence treatments and harm reduction strategies are advocated to effectively tackle the opioid crisis in the United States, using successful examples practised in Europe.The United States faces an opioid epidemic, with 91.8 million (37.8%) adults using prescription opioids (POs), 11.5 million (4.7%) adults misusing POs, 1.9 million (0.8%) people suffering from a PO use disorder in 2015 and 49 860 opioid-related deaths (ORDs) in 2019 [1,2]. Initially, the increase in ORD was mainly due to POs, but since 2010 ORDs are mainly due to illicit heroin, and since 2014 to illicitly

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Is Europe also facing an opioid crisis?—A survey of European Pain Federation chapters

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 65 publications

References 30 publications

Perceived risk of opioid use disorder secondary to opioid analgesic medication use by the general population in France

Perceived risk of opioid use disorder secondary to opioid analgesic medication use by the general population in France

Figured Worlds of Addiction: A Content Analysis of 10 YAL Texts

What lessons from Europe’s experience could be applied in the United States in response to the opioid addiction and overdose crisis?

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