> Family doctor 1 of 3 with chronic pain

And’ what emerges from the investigation is The behavior prescriptive of doctors of general medicine’, sponsored by the Società italiana di medicina generale (Simg) with the support of the Centre for studies Mundipharma. the

The study involved 500 medical Italian, for a total of 789.284 patients. «The family physician – underlines in a note Claudio Cricelli, president of Simg – is therefore the first point of contact for the care of the pain, one of the factors più important that affect the qualityà of life of the people».

The study then analysed the different choices of the physician for the treatment of pain. According to the survey, 36.9% of the prescriptions relate to the Nsaids (nonsteroidal anti-inflammatory drugs), 9.5%, opioid analgesics, and the 3.9% in the acetaminophen.

«From the results of the study, ” reads a note from the Center studies Mundipharma – emerges, once again, that the percentage of prescriptions of opioids in the treatment of pain is very low in Italy: the fact that it places our Country in a delay compared to other european Countries.
This aspect emerges also from our data according to which in September 2009, Italy is classified last in Europe for per capita expenditure intended for the use of opioids, with a value equal to 0.83 euros, against a european average of 3,87 euro (the maximum value of the Germany: 8,42 euro)».

«Today, ” explains Guido Fanelli, coordinator of the ministerial Committee on pain therapy and palliative care, thanks to a ministerial order of 20 June 2009, has been abolished, the cookbook special for the prescription of opioid drugs that in point of fact simply use.

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This measure is designed to make it more accessible to many people suffering with chronic pain care più appropriate, through the use of therapies based on morphine, oxycodone, fentanyl or buprenorphine, drugs that, until recently, inaccessible. Today the doctor has therefore available to the più the possibilityà of care, that should make the best to ensure the best care to your patient».

«The new rules – adds Cricelli – foster and facilitate the prescription of opioid drugs and now allow to overcome the ancient barriers of bureaucratic and ideological, which prevented the diffusion. the

Yet, in order to take advantage of these new opportunitiesà therapeutic, &is first of all necessary that the general practitioner has the ability to follow an adequate training on the use of these drugs and their potential to performà».

according to the data of the Centre for studies Mundipharma, some signal of ‘reverse gear’ is found if we analyze the percentage variation in consumption between September 2009 and the same period of the previous year: «with +16,4%, in fact, Italy is the Country that registered the highest increase in Europe, doing well hope for an adaptation to european standards».

The use of opioid analgesics is greater in the regions of the Centre (11,10%) and North (10,49%), than in the South of Italy (7,7%): the region più to be virtuous is to be Tuscany (17,2%), while the Lazio region, with 8.6 per cent, recorded the prevalence of use più low.

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Page published on 04 march 2010