게시판
| 21KS-047 |
Pain Physician’s Perception about Prescription of opioids and Addiction in South Korea
Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital
Background
Previous reported that prevalence of chronic use of opioids increased steadily from 2002 to 2015 in South Korea. The Korean Pain Society (KPS) has been recognized current status and published a guideline for prescribing opioids in patients with chronic non-cancer pain. Also, KPS also presented a result of questionnaire survey on patient\'s perception of prescribing and taking opioids. This study was performed to survey pain physician’s prescription pattern and perception of opioids.
Methods
A total of 14 questionnaires in five categories were conducted for 142 doctors who completed the high-level pain course of KPS among pain physicians. The categories included (1) prescription patterns of opioids (2) The necessity of changing the current opioids classification and prescription period (3) perception of abusing opioids (4) recognition and use of big data systems for prescribing of opioids (5) Direction of national reporting system development for preventing narcotics abuse.
Result
Of the 142 pain physicians that were surveyed, 46.5% worked in tertiary hospitals. Pain physician’s prescription criteria and duration of opioids were varied. The 69% of pain physician answered they were good at recognising the risk of abuse or addiction of opioids. However, 54.4% answered they were unsure or disagreed with whether they were sufficiently educated on the prescription of opioids. On the other hand, more than 70% of pain physicians have been warn patients of the dangers of misuse or addiction when prescribing opioids. Also, although more than 90% of pain physicians were willing to use network service of “Drugs Medical Shopping Prevention Net”, only 28% were actually aware of it, and 70% agreed that a national reporting system should be established in the event of drug abuse deaths.
Conclusion
This study shows that pain physicians have different criteria and patterns for opioid prescriptions and agree on the need for a national system to prevent opioid abuse. Based on the contents of this questionnaire, the KPS should establish guideline of prescription for preventing opioid abuse suitable for South Korea. It is also necessary to establish a national network to prevent opioids misuse and a system to report opioid-related accidents and deaths.
Previous reported that prevalence of chronic use of opioids increased steadily from 2002 to 2015 in South Korea. The Korean Pain Society (KPS) has been recognized current status and published a guideline for prescribing opioids in patients with chronic non-cancer pain. Also, KPS also presented a result of questionnaire survey on patient\'s perception of prescribing and taking opioids. This study was performed to survey pain physician’s prescription pattern and perception of opioids.
Methods
A total of 14 questionnaires in five categories were conducted for 142 doctors who completed the high-level pain course of KPS among pain physicians. The categories included (1) prescription patterns of opioids (2) The necessity of changing the current opioids classification and prescription period (3) perception of abusing opioids (4) recognition and use of big data systems for prescribing of opioids (5) Direction of national reporting system development for preventing narcotics abuse.
Result
Of the 142 pain physicians that were surveyed, 46.5% worked in tertiary hospitals. Pain physician’s prescription criteria and duration of opioids were varied. The 69% of pain physician answered they were good at recognising the risk of abuse or addiction of opioids. However, 54.4% answered they were unsure or disagreed with whether they were sufficiently educated on the prescription of opioids. On the other hand, more than 70% of pain physicians have been warn patients of the dangers of misuse or addiction when prescribing opioids. Also, although more than 90% of pain physicians were willing to use network service of “Drugs Medical Shopping Prevention Net”, only 28% were actually aware of it, and 70% agreed that a national reporting system should be established in the event of drug abuse deaths.
Conclusion
This study shows that pain physicians have different criteria and patterns for opioid prescriptions and agree on the need for a national system to prevent opioid abuse. Based on the contents of this questionnaire, the KPS should establish guideline of prescription for preventing opioid abuse suitable for South Korea. It is also necessary to establish a national network to prevent opioids misuse and a system to report opioid-related accidents and deaths.