Titre :

Investigation of the medical and social situation of patients managed by opiate replacement regimens for over 10 years by their GP

Auteur(s) :

Messaadi, Nassir [Auteur]
Favre, Jonathan [Auteur]
Rolland, Benjamin [Auteur]
Cottencin, Olivier [Auteur]
Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer - U837 [JPArc]
Calafiore, Matthieu [Auteur]
Stalnikiewicz, Bertrand [Auteur]
Berkhout, Christophe [Auteur]

Titre de la revue :

Thérapie

Nom court de la revue :

Thérapie

Numéro :

71

Pagination :

439-446

Date de publication :

2016-10-01

ISSN :

0040-5957

Mot(s)-clé(s) en anglais :

Methadone
General practice
Buprenorphine
Opiate substitution treatment
Mesh:General Practitioners*
Mesh:France/epidemiology
Mesh:Follow-Up Studies
Mesh:Female
Mesh:Buprenorphine/administration & dosage
Mesh:Analgesics
Mesh:Opioid/administration & dosage
Mesh:Humans
Mesh:Male
Mesh:Unemployment/statistics & numerical data
Mesh:Methadone/administration & dosage
Mesh:Middle Aged
Mesh:Adult
Mesh:Surveys and Questionnaires
Mesh:Substance-Related Disorders/epidemiology
Mesh:Opioid-Related Disorders/rehabilitation*
Mesh:Opiate Substitution Treatment*

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

OBJECTIVE: Management with opiate replacement regimens (ORRs) of patients presenting to primary care settings with opiate addiction has become a long-term follow-up. The aim of this survey study was to describe patients ...
Lire la suite >OBJECTIVE: Management with opiate replacement regimens (ORRs) of patients presenting to primary care settings with opiate addiction has become a long-term follow-up. The aim of this survey study was to describe patients who had been prescribed ORRs for at least 10 years by their general practitioner (GP). METHOD: In 2011, two questionnaires were sent to a sample of 38 GPs prescribing ORRs in Northern France. Doctors' questionnaires collected their typology and opinions on their patients receiving opiate substitution treatments for over 10 years. Patients' questionnaires were completed in the presence of the patient. RESULTS: Twenty-three doctors' and 83 patients' questionnaires were suitable for analysis. The average number of listed ORR patients was 14.2 and 3.6 had been managed for 10 years or more. Misuse persisted: 30.5% of GPs considered that it was carried out by at least by 15% of patients. Average dosages were 60.3 mg for methadone and 7.0 mg for buprenorphine. Employment (46.3% of patients had a salary), dwelling and family live (46.3% of patients were in charge of children) were favored. Nevertheless, precariousness persisted: 32% of patients were indebted and help of social workers was not systematically searched. One third of the patients were alcohol and cannabis misusers, 70% were smoking and 34.5% multiple drug misusers. An important number of patients were taking anxiolytics (37.8%) and hypnotics (30.5%). CONCLUSION: After 10 years of follow-up for an ORR by a GP, the social situation of patients seems to have stabilized, but psychoactive drugs consumption remains important.Lire moins >

Langue :

Anglais
Français

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CNRS
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Équipe(s) de recherche :

Troubles cognitifs dégénératifs et vasculaires

Date de dépôt :

2019-02-13T14:48:10Z
2020-03-09T15:30:59Z
2025-02-04T13:33:10Z