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Master Thesis

Prescriptions d'antalgiques opioïdes et risques addictifs : une étude auprès des internes de médecine générale de Provence-Alpes-Côte d'Azur

Abstract : Background: We are in the middle of an opioid epidemic crisis in North America. The situation in France is not as severe, but worrisome signals are emerging. To deal with this crisis, the training of health professionals needs improvement. The main purpose of our study is to assess the training and awareness of the addictive risk of opioid treatment of the general medicine’s residents. Design and methods: Through e-mails, we delivered a survey made with google forms© to the residents in their third year in general medicine in the academy of Aix-Marseille. This survey was made in agreement with the recommendations of the SFETD. The study started in March 2019, with 2 recalls. Then, we sent it through the social network Facebook. Results: The level of participation is 35.6% (n=80). Less than 25 % of the residents are detecting systematically the risks factor of opioid misuse and 96.3% are not using the ORT. 50 % are prescribing fentanyl in chronic non cancer pain and 35% strong opioids in fibromyalgia. Only 29.3% of the residents are systematically detecting signs of aberrant behaviours or misuse. The residents are less vigilant regarding weak opioids. 48.1% of the residents don’t have any training in prescribing opioids and 78.7% are declaring that they need additional training. Conclusion: There are gaps in the training of the residents in the field of addiction, abuse and misuse of opioids. This can be partly explained through the lack of theoretical training in the training of the general medicine residents.
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https://dumas.ccsd.cnrs.fr/dumas-02512119
Contributor : Faculté de Médecine Amu <>
Submitted on : Thursday, March 19, 2020 - 12:36:18 PM
Last modification on : Wednesday, September 2, 2020 - 4:47:46 PM
Long-term archiving on: : Saturday, June 20, 2020 - 2:44:05 PM

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Katarzyna Zajac. Prescriptions d'antalgiques opioïdes et risques addictifs : une étude auprès des internes de médecine générale de Provence-Alpes-Côte d'Azur. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02512119⟩

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