Evaluation of an Opioid Decrease Strategy in Chronic (EODSCPP)
Evaluation of an Opioid Decrease Strategy in Chronic Pain Patients at the Pain Assessment and Treatment Center in Montpellier: Prospective Study Over 6 Months.
Increase in the consumption of analgesics observed in many countries with a mediatic crisis resulting in an increasingly frequent wish of patients to wean themselves from opiates. A recent update (B. Rolland 2017) suggests that upon initiation of an opioid analgesic treatment, the patient should be informed of the risk of opioid dependence and misuse. There is no clearly validated decay scheme in the event of dependence in patients with Chronic Non-Cancer Pain.
Hypotheses:
- Possibility of a rapid decrease in opioid analgesic treatments at DCNC sensitized to the risk of DOP and MOP. (Protocol implemented: Multidisciplinary assessment, workshops and information sheet on chronic pain, treatments and risk of DOP, pharmacological and nonpharmacological adaptation)
- Highlight the need for additional information from patients and prescribers on the risk of DOP and MOP in DCNC.
研究概览
详细说明
Main objective: Check if the rapid to semi-rapid regimen (- 25 to -60% dosage in 5 days of HDS) of opioid analgesics, without the use of methadone or buprenorphine agonists, in the case of DCNC at the CETD in Montpellier is efficient in the medium term (6 months).
Secondary objective:
- With our inclusion questionnaire we wanted to check if the patients had been made aware of the risk of opiate dependence and misuse.
- Detect the conditions of prescriptions that can promote the misuse of opiates.
- Evaluating the different components of residual pain at 6 months (type, intensity, anxiety component and depression, function).
研究类型
注册 (实际的)
联系人和位置
学习地点
-
-
-
Montpellier、法国、34295
- Uhmontpellier
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion criteria:
- chronic pain patient
- major
- supported at CETD
Exclusion criteria:
-patient with physical and mental incapacity to participate in the study
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
Patients included from 10/01/19 to 12/31/19.
Patients included from 10/01/19 to 12/31/19.
(the study will be extended to a larger number of patients according to the first results), continued according to the first results.
DCNC patients treated at the Montpellier Pain Assessment and Treatment Center hospitalized during the period from 10/01/19 to 12/31/19, for misuse of opioid treatment.
|
The data retrieved from the patient will be encrypted and there will also be written data or written in binary form.
They will be used to create an Excel table which allows me to list the data on D1 then on M + 3 then on M + 6 in order to evaluate the evolution of these data over a time interval of 6 months and this is which will be used as support in my thesis in pharmacy.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change of the dosage of opioid and co-analgesic treatments
大体时间：3 months and 6 months
|
Change of the dosage of opioid and co-analgesic treatments
|
3 months and 6 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Measuring quality of life
大体时间：Inclusion, 3 and 6 months
|
interview with the patient
|
Inclusion, 3 and 6 months
|
合作者和调查者
调查人员
- 首席研究员：Théa GENDARME, MD, PharmD, MSc、Uh Montpellier
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.