title: [S3 guidelines on long-term opioid treatment in non-cancer pain. Recommendations for opioid use in clinical rheumatology].
abstract: The long-term use of opioids for chronic pain can be problematic in many respects. Besides potentially harmful and considerable undesired side effects and possible drug abuse, the indications for prescription, efficacy and safety in the long run have to be considered. The recently updated S3 guidelines on long-term opioid treatment in non-cancer pain (LONTS) provide recommendations with the highest currently available evidence. This article summarizes the most relevant contents for the clinical rheumatologist.
authors.affiliation: Sektion Rheumatologie, Klinik für Gastroenterologie und Rheumatologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland. marco.krasselt@medizin.uni-leipzig.de.
authors.forename: M
authors.initials: M
authors.lastname: Krasselt
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, München, Deutschland.|Innere Medizin I, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Häuser
authors.affiliation: Schmerz-Tagesklinik und -Ambulanz, Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Petzke
authors.affiliation: Sektion Rheumatologie, Klinik für Gastroenterologie und Rheumatologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Baerwald
mesh_terms: D000698:Analgesia / Q000592:standards; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000072716:Cancer Pain / Q000188:drug therapy; D059350:Chronic Pain / Q000188:drug therapy* / Q000209:etiology; D004334:Drug Administration Schedule; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D059408:Pain Management / Q000592:standards*; D017410:Practice Guidelines as Topic; D012216:Rheumatic Diseases / Q000150:complications / Q000188:drug therapy*; D012219:Rheumatology / Q000592:standards*; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid
keywords: Chronic lower back pain; Osteoarthritis; Rheumatoid arthritis; Rheumatology; Treatment recommendations