Trends in opioid consumption in the Nordic countries 2002–2006
ABSTRACT Objective: The purpose of the study was to examine the trends in opioid consumption in the five Nordic countries between 2002 and 2006 and to explore possible explanations for changes in the quality and quantity of opioids consumed. Methods: Data on opioid consumption were extracted from th...
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crwiley:10.1016/j.ejpain.2008.11.006 2024-09-15T18:14:17+00:00 Trends in opioid consumption in the Nordic countries 2002–2006 Hamunen, Katri Paakkari, Pirkko Kalso, Eija 2009 http://dx.doi.org/10.1016/j.ejpain.2008.11.006 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1016%2Fj.ejpain.2008.11.006 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.ejpain.2008.11.006 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor European Journal of Pain volume 13, issue 9, page 954-962 ISSN 1090-3801 1532-2149 journal-article 2009 crwiley https://doi.org/10.1016/j.ejpain.2008.11.006 2024-09-05T05:09:11Z ABSTRACT Objective: The purpose of the study was to examine the trends in opioid consumption in the five Nordic countries between 2002 and 2006 and to explore possible explanations for changes in the quality and quantity of opioids consumed. Methods: Data on opioid consumption were extracted from the databases of the respective national authorities. Six strong and four weak opioids were included in the analysis. Data were presented as DDDs/1000 inhabitants/day. In addition, information on the reimbursement system and opioid prescription regulations in respective countries was obtained. Also, the cost of analgesic medication in the Nordic countries was compared as equipotent doses of CR morphine, CR oxycodone and transdermal fentanyl. Results: During the five year period examined the total use of opioids showed some increase in all countries except Sweden. In Finland and Norway the increase in the total consumption was mainly due to an increase in the consumption of strong opioids while in Denmark the rise was due to increased consumption of weak opioids. The consumption of morphine was stabile or decreased slightly in all countries while the use of transdermal fentanyl increased in Denmark, Finland and Sweden and oxycodone in all countries except Iceland. The consumption of dextropropoxyphene decreased in all countries. Reimbursement policies or prescription regulations do not seem to explain the kind/type of opioids consumed or changes in their consumption. Conclusions: Consumption of opioid analgesics in the Nordic countries showed changes over the five year period that cannot be explained by pharmacology, price, reimbursement or prescription regulations. Marketing has most likely significantly influenced the type and amount of opioids consumed. Article in Journal/Newspaper Iceland Wiley Online Library European Journal of Pain 13 9 954 962 |
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ABSTRACT Objective: The purpose of the study was to examine the trends in opioid consumption in the five Nordic countries between 2002 and 2006 and to explore possible explanations for changes in the quality and quantity of opioids consumed. Methods: Data on opioid consumption were extracted from the databases of the respective national authorities. Six strong and four weak opioids were included in the analysis. Data were presented as DDDs/1000 inhabitants/day. In addition, information on the reimbursement system and opioid prescription regulations in respective countries was obtained. Also, the cost of analgesic medication in the Nordic countries was compared as equipotent doses of CR morphine, CR oxycodone and transdermal fentanyl. Results: During the five year period examined the total use of opioids showed some increase in all countries except Sweden. In Finland and Norway the increase in the total consumption was mainly due to an increase in the consumption of strong opioids while in Denmark the rise was due to increased consumption of weak opioids. The consumption of morphine was stabile or decreased slightly in all countries while the use of transdermal fentanyl increased in Denmark, Finland and Sweden and oxycodone in all countries except Iceland. The consumption of dextropropoxyphene decreased in all countries. Reimbursement policies or prescription regulations do not seem to explain the kind/type of opioids consumed or changes in their consumption. Conclusions: Consumption of opioid analgesics in the Nordic countries showed changes over the five year period that cannot be explained by pharmacology, price, reimbursement or prescription regulations. Marketing has most likely significantly influenced the type and amount of opioids consumed. |
format |
Article in Journal/Newspaper |
author |
Hamunen, Katri Paakkari, Pirkko Kalso, Eija |
spellingShingle |
Hamunen, Katri Paakkari, Pirkko Kalso, Eija Trends in opioid consumption in the Nordic countries 2002–2006 |
author_facet |
Hamunen, Katri Paakkari, Pirkko Kalso, Eija |
author_sort |
Hamunen, Katri |
title |
Trends in opioid consumption in the Nordic countries 2002–2006 |
title_short |
Trends in opioid consumption in the Nordic countries 2002–2006 |
title_full |
Trends in opioid consumption in the Nordic countries 2002–2006 |
title_fullStr |
Trends in opioid consumption in the Nordic countries 2002–2006 |
title_full_unstemmed |
Trends in opioid consumption in the Nordic countries 2002–2006 |
title_sort |
trends in opioid consumption in the nordic countries 2002–2006 |
publisher |
Wiley |
publishDate |
2009 |
url |
http://dx.doi.org/10.1016/j.ejpain.2008.11.006 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1016%2Fj.ejpain.2008.11.006 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.ejpain.2008.11.006 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
European Journal of Pain volume 13, issue 9, page 954-962 ISSN 1090-3801 1532-2149 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1016/j.ejpain.2008.11.006 |
container_title |
European Journal of Pain |
container_volume |
13 |
container_issue |
9 |
container_start_page |
954 |
op_container_end_page |
962 |
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1810452061460889600 |