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- W2027788635 abstract "The medical use of morphine dates back to 1806 when Sertiirner synthesized this drug in Einbeck, Germany. Methadone also came from a German laboratory. Unfortunately, this tradition d.id not continue into the actual care of patients in pain and many things have been forgotten and neglected since that time. The figures of the World Health Organization (WHO) clearly indicate that Germany is one of the countries in Europe with the least amount of morphine prescribed. In Denmark, I4 times the amount is prescribed and, in the United Kingdom, seven times the amount is prescribed. Only in France, Spain, Italy, and Greece was less morphine prescribed for medical purposes during 1986-1990.’ Calculating from these figures, about 14,000 defined daily dosages of 30 mg morphine (DDD) were prescribed in Germany per year. Given the estimate that every year 250,000 patients suffer from severe cancer pain in Germany, each patient with cancer pain receives an average of 0.06 dai!y dosages in 1 yr. Not even in 1 day during a whole year does a German cancer patient receive sufftcient pain relief. Other figures also indicate severe undertreatment of cancer pain in Germany. The amount of sustained-release morphine prescribed in 1990 increased by 87% in relation to the previous year.2 In 1990,1.6 million DDD of sustained-release morphine were prescribed. When relating this figure to the estimated 250,000 cancer patients, every patient gets 6.4 DDD in 1 yr. On average, this means that a cancer patient with pain does not get any strong opioid on 298 days each year. In 1984, a director of the German cancer" @default.
- W2027788635 created "2016-06-24" @default.
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- W2027788635 date "1993-08-01" @default.
- W2027788635 modified "2023-10-16" @default.
- W2027788635 title "Germany: Status of cancer pain and palliative care" @default.
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- W2027788635 doi "https://doi.org/10.1016/0885-3924(93)90067-6" @default.
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