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A prevalência, anos vividos com incapacidade e óbitos devido a utilização de opioides por diferentes faixas etárias e locais do mundo: um estudo Global Burden of Disease
Resumo:
Introduction: Pain is an unpleasant sensation with a significant potential to decrease people's quality of life. Chronic pain has a prevalence of almost 30% of Brazilian elderly and reaches 50% in developed countries. Thus, as the process of chronic pain in the world worsens, there is an increase in the use of opioids and, with that, the progressive loss of the functional capacity of these individuals. The objective of the present study was to recognize the prevalence of mortality and disability. Material and Methods: This study was carried out using the Global Health Data Exchange (GHDx) database, which is a database collected and analyzed by a consortium of more than 3,600 researchers in more than 145 countries. Analyzed data from four countries (developed and emerging) in America comparing the periods of 1990 and 2019. Results and Discussion: Comparing the prevalence of opioid use between 1990 and 2019 in Canada, USA, Brazil and Argentina, it is possible to verify a significant increase in values. Regarding mortality, we can observe that in 1990 the mortality in Canada was 352.48 and in 2019 it was 1,866.68, in the USA the value of 4,352.16 in 1990 advances to 47,336.67 in 2019, in Brazil the rate was 37.49 in 1990 and 132.75 in 2019 and in Argentina the value went from 14.45 to 48.16 in 2019. Considerations: This study demonstrated through numerical data the increase in the use of opioids in important countries of America in its various aspects, from its prevalence of use to the number of deaths caused by the abusive and indiscriminate use of these drugs. The study should encourage managers, physicians and patients to adopt new behaviors and care considering the use of opioids.
Keywords: opioids, chronic pain, functional disability.
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