title: [Relevance and Application of Opioids in the Treatment of Chronic Pain in Switzerland–a National Survey].
abstract: National survey on treatment with opioids among 1206 Swiss general internists and rheumatologists, using a questionnaire. TYPES OF PAIN: More self-declared pain specialists than non-specialists treat neuropathic pain (49,3 vs. 35,8%; p=0,002), whereas other types of pain are similarly often treated by specialists and non-specialists. OPIOID PRESCRIPTION: Pain specialists more often than non-specialists use opioids in visceral (12,8 vs. 5,9%, p=0,004) and postoperative pain (29,3 vs. 20,1%, p=0,013). TUMOR PAIN: Non-specialists rather than specialists prescribe opioids (80,4 vs. 72,8%, p=0,039); younger physicians (<50 years) rather than older ones often prescribe opioids (82,5 vs. 76,9%; p=0,026), and rheumatologists use opioids less often than general internists (43,3 vs. 83,0%, p<0,0001). WHO ANALGESIC LADDER: Specialists more often change directly from level 1 to level 3 analgesics (66,4 vs. 53,8%; p=0,001).
authors.affiliation: 1 Innere Medizin und Nephrologie, Klinik Im Park, Zürich.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Hess
authors.forename: Martin
authors.initials: M
authors.lastname: Toniolo
mesh_terms: D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy* / Q000453:epidemiology; D004363:Drug Utilization / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006801:Humans; D008511:Medicine / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D013557:Switzerland
chemical_list: D000701:Analgesics, Opioid
keywords: Allgemeininternisten vs. Rheumatologen; Chronische Schmerzen; Opioide vs. Nicht-Opioide; Schmerzspezialisten vs. Nicht-Spezialisten; Schmerztherapie; chronic pain; douleurs chroniques; general internists vs. rheumatologists; opioids vs. non-opioids; opioïdes versus non-opioïdes; pain specialists vs. non-specialists; pain treatment; spécialistes de la douleur versus non-spécialistes; spécialistes en médecine interne générale versus rhumatologues; traitement de la douleur