title: [Pharmacist perception of the use of analgesics and their practice on mild-moderate pain. DOLOR-OFF survey].
abstract: OBJECTIVE
  To examine the use of analgesics, from the perspective of the pharmacist community, and pharmaceutical practice in mild-moderate pain.
  
  
  METHODS
  A cross-sectional, observational study was performed between April and September 2013.
  
  
  METHODS
  696 community pharmacies in 20 Spanish provinces.
  
  
  METHODS
  Community pharmacists with a minimum professional experience of one year.
  
  
  METHODS
  Characterisation of the demand for analgesics, analgesic users, and pharmaceutical intervention for mild-moderate pain from the perspective of the pharmaceutical community.
  
  
  RESULTS
  The main reason why a patient with mild-moderate pain visits a pharmacy is to receive a drug with prescription (45.5%), and the most common condition is headache (35.2%). Ibuprofen and paracetamol are the most commonly used drugs for mild-moderate pain. More than one-third (38.9%) of pharmacists follow a protocol for counselling. A correlation was found between the pharmacist's professional experience and the application of counselling process (Fisher P<.05). Some 87.8% of pharmacists checked two indicators from the dispensing service, and only 1.3% did not check any. Referral to a physician was made by 14.8% of pharmacists, with the main reason being the detection of alarm indicators.
  
  
  CONCLUSIONS
  Protocols need to be designed and adapted to the characteristics of the 3 profiles identified, in order to increase the efficiency of pharmaceutical services in mild-moderate pain relief. Practical and specific training in pain are required to implement services to ensure the correct and systemic use of analgesics and positive clinical outcomes.
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Colegio Oficial de Farmacéuticos de Málaga, Málaga, España.
authors.forename: Cristobal
authors.initials: C
authors.lastname: Arrebola
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Universidad de Granada, Granada, España. Electronic address: pgarciadelgado@yahoo.es.
authors.forename: Pilar
authors.initials: P
authors.lastname: García-Delgado
authors.affiliation: Departamento Médico Abbott Laboratories S.A., Madrid, España.
authors.forename: Elena
authors.initials: E
authors.lastname: Labrador Barba
authors.affiliation: Departamento Médico Abbott Laboratories S.A., Madrid, España.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Orera Peña
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Universidad de Granada, Granada, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Martínez-Martínez
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004363:Drug Utilization / Q000592:standards / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy*; D059408:Pain Management / Q000706:statistics & numerical data*; D010595:Pharmacists; D010604:Pharmacy; D012720:Severity of Illness Index; D013030:Spain
chemical_list: D000700:Analgesics
keywords: Atención farmacéutica; Community pharmacy; Dolor leve- moderado; Farmacia comunitaria; Mild-moderate pain; Pharmaceutical care; Use of analgesics; Uso de analgésicos