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24 results on '"Morlion, Bart"'

2. Effectiveness of pain neuroscience education on somatosensory functioning after surgery for breast cancer: A double‐blinded randomized controlled trial

Author

Dams, Lore, primary, Van der Gucht, Elien, additional, Haenen, Vincent, additional, Devoogdt, Nele, additional, Smeets, Ann, additional, Bernar, Koen, additional, Morlion, Bart, additional, Moloney, Niamh, additional, Fieuws, Steffen, additional, De Groef, An, additional, and Meeus, Mira, additional

Published
2023
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6. Is Europe also facing an opioid crisis? ? A survey of European Pain Federation chapters

Author

Buchser, Eric, Finn, David, Dom, Geerd, Fors, Egil, Heiskanen, Tarja, Jarlbaek, Lene, Knaggs, Roger D., Kosek, Eva, Pakkonen, Kaire, Perrot, Serge, Trouvain, Anne?Priscille, and Morlion, Bart

Subjects
Anesthesiology and Pain Medicine
Abstract

BackgroundThere is considerable public interest in whether Europe is facing an opioid crisis comparable to the one in the United States and the contribution of opioid prescriptions for pain to a potential opioid crisis.MethodsA task force of the European Pain Federation (EFIC) conducted a survey with its national chapter representatives on trends of opioid prescriptions and of drug-related emergency departments and substance use disorder treatment admissions and of deaths as proxies of opioid-related harms over the last 20 years.ResultsData from 25 European countries were received. In most European countries opioid prescriptions increased from 2004 to 2016. The levels of opioid consumption and their increase differed between countries. Some Eastern European countries still have a low opioid consumption. Opioids are mainly prescribed for acute pain and chronic noncancer pain in some Western and Northern European countries. There was a parallel increase in opioid prescriptions and some proxies of opioid-related harms in France, Finland and the Netherlands, but not in Germany, Spain and Norway. In United Kingdom, opioid overdose deaths, but not opioid prescriptions increased between 2016 and 2018. There are no robust data available on whether prescribed opioids for pain patients contributed to opioid-related harms.ConclusionsThere are marked differences between European countries in trends of opioid prescribing and of proxies for opioid-related harms. Europe as a whole is not facing an opioid crisis. Discussions on the potential harms of opioids should not obstruct their prescription for cancer pain and palliative care.SignificanceEurope as a whole is not facing an opioid crisis. Some Eastern European countries have limited access to opioid medicines. Discussions on the potential harms of opioid medicines for noncancer pain should not obstruct opioid therapy for cancer therapy and palliative care.

Published
2021

7. Is Europe also facing an opioid crisis?—A survey of European Pain Federation chapters

Author

Häuser, Winfried, primary, Buchser, Eric, additional, Finn, David P., additional, Dom, Geerd, additional, Fors, Egil, additional, Heiskanen, Tarja, additional, Jarlbaek, Lene, additional, Knaggs, Roger D., additional, Kosek, Eva, additional, Krcevski‐Škvarč, Nevenka, additional, Pakkonen, Kaire, additional, Perrot, Serge, additional, Trouvin, Anne‐Priscille, additional, and Morlion, Bart, additional

Published
2021
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8. European clinical practice recommendations on opioids for chronic noncancer pain – Part 2: Special situations*

Author

Krčevski Škvarč, Nevenka, primary, Morlion, Bart, additional, Vowles, Kevin E., additional, Bannister, Kirsty, additional, Buchsner, Eric, additional, Casale, Roberto, additional, Chenot, Jean‐François, additional, Chumbley, Gillian, additional, Drewes, Asbjørn Mohr, additional, Dom, Geert, additional, Jutila, Liisa, additional, O'Brien, Tony, additional, Pogatzki‐Zahn, Esther, additional, Rakusa, Martin, additional, Suarez–Serrano, Carmen, additional, Tölle, Thomas, additional, and Häuser, Winfried, additional

Published
2021
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9. European* clinical practice recommendations on opioids for chronic noncancer pain – Part 1: Role of opioids in the management of chronic noncancer pain

Author

Häuser, Winfried, primary, Morlion, Bart, additional, Vowles, Kevin E., additional, Bannister, Kirsty, additional, Buchser, Eric, additional, Casale, Roberto, additional, Chenot, Jean‐François, additional, Chumbley, Gillian, additional, Drewes, Asbjørn Mohr, additional, Dom, Geert, additional, Jutila, Liisa, additional, O'Brien, Tony, additional, Pogatzki‐Zahn, Esther, additional, Rakusa, Martin, additional, Suarez–Serrano, Carmen, additional, Tölle, Thomas, additional, and Krčevski Škvarč, Nevenka, additional

Published
2021
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12. Standards for the management of cancer‐related pain across Europe—A position paper from the EFIC Task Force on Cancer Pain

Author

Bennett, Michael I., primary, Eisenberg, Elon, additional, Ahmedzai, Sam H., additional, Bhaskar, Arun, additional, O’Brien, Tony, additional, Mercadante, Sebastiano, additional, Krčevski Škvarč, Nevenka, additional, Vissers, Kris, additional, Wirz, Stefan, additional, Wells, Chris, additional, and Morlion, Bart, additional

Published
2019
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19. Current Knowledge of Buprenorphine and Its Unique Pharmacological Profile

Author

Pergolizzi, Joseph, primary, Aloisi, Anna Maria, additional, Dahan, Albert, additional, Filitz, Joerg, additional, Langford, Richard, additional, Likar, Rudolf, additional, Mercadante, Sebastiano, additional, Morlion, Bart, additional, Raffa, Robert B., additional, Sabatowski, Rainer, additional, Sacerdote, Paola, additional, Torres, Luis M., additional, and Weinbroum, Avi A., additional

Published
2010
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23. Physical activity should be the primary intervention for individuals living with chronic pain A position paper from the European Pain Federation (EFIC) 'On the Move' Task Force.

Author

Vaegter HB, Kinnunen M, Verbrugghe J, Cunningham C, Meeus M, Armijo-Olivo S, Bandholm T, Fullen BM, Wittink H, Morlion B, and Reneman MF

Subjects
Humans, Europe, Advisory Committees, Pain Management methods, Chronic Pain therapy, Exercise
Abstract

Background: There is clear evidence demonstrating the benefits of physical activity (PA) on pain and overall health, however, PA is challenging for many individuals living with chronic pain. Even non-exercise specialists can (cost) effectively promote PA, but many health professionals report a number of barriers in providing guidance on PA, suggesting that it is not consistently promoted. This expert position paper summarizes the evidence and provides five recommendations for health professionals to assess, advise and support individuals living with any chronic pain condition with a long life expectancy in adopting and sustaining physically active lifestyles., Methods: This position paper was prepared by the 'On The Move' Task Force of the European Pain Federation EFIC. Final recommendations were endorsed by the European Pain Forum, Pain Alliance Europe and the Executive Board of EFIC., Results: We recommend that all health professionals (1) Take a history of the persons' PA levels, and put PA on the agenda, (2) Advise that PA is important and safe for individuals living with chronic pain, (3) Deliver a brief PA intervention and support individuals living with chronic pain in becoming physically active, (4) Discuss acceptable levels of PA-related soreness and pain and (5) Provide ongoing support in staying physically active., Significance: Physical activity is safe and offers several advantages, including general health benefits, low risk of side effects, low cost and not requiring access to healthcare. Adoption of these recommendations can improve the quality of care and life of individuals living with chronic pain and reduce their overall health risks., (© 2024 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation ‐ EFIC ®.)

Published
2024
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24. Impact of Check of Medication Appropriateness (CMA) in optimizing analgesic prescribing: An interrupted time series analysis.

Author

Quintens C, De Coster J, Van der Linden L, Morlion B, Nijns E, Van den Bosch B, Peetermans WE, and Spriet I

Subjects
Analgesics therapeutic use, Humans, Inappropriate Prescribing prevention & control, Interrupted Time Series Analysis, Pharmacists, Pharmacy Service, Hospital
Abstract

Background: Pain therapy in inpatients is regularly suboptimal and might be improved by clinical pharmacy services. In our hospital, we have implemented a software-supported 'Check of Medication Appropriateness' (CMA), which is a centralized pharmacist-led service consisting of a clinical rule-based screening for potentially inappropriate prescriptions (PIPs), and a subsequent medication review by pharmacists. We aimed to investigate the impact of the CMA on pain-related prescribing., Methods: A quasi-experimental study was performed in a large teaching hospital, using an interrupted time series design. Pre-implementation, patients were exposed to standard of care. Afterwards, a pain-focused CMA comprising 12 specific clinical rules pertaining to analgesic prescribing were implemented in the post-implementation period. A regression model was used to assess the impact of the intervention on the number of pain-related residual PIPs between both periods. The total number of recommendations and acceptance rate was recorded for the post-implementation period., Results: At baseline, a median number of 13.1 (range: 9.5-15.8) residual PIPs per day was observed. After the CMA intervention, the number was reduced to 2.2 (range: 0-9.5) per day. Clinical rules showed an immediate relative reduction of 66% (p < .0001) in pain-related residual PIPs. A significant decreasing time trend was observed during the post-implementation period. Post-implementation, 1683 recommendations were given over 1 year with an acceptance rate of 74.3%., Conclusions: We proved that the CMA approach reduced the number of pain-related residual PIPs. More pharmacist involvement and the use of clinical rules during hospital stay should be further promoted to optimize appropriate prescribing of analgesics., Significance: Prescribing of analgesics should be improved in inpatients to optimize pain control and to reduce iatrogenic harm. The Check of Medication Appropriateness (CMA) approach, comprising a clinical rule-based screening for patients at risk and a targeted medication review by pharmacists, reduced the number of pain-related potentially inappropriate prescriptions in a highly significant and sustained manner. This study presents the opportunities of a centralized clinical pharmacy service to help clinicians to further improve analgesic prescribing., (© 2020 European Pain Federation - EFIC®.)

Published
2021
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