Revisão de escopo sobre o uso de opioides na América Latina
Data
2021-08-03
Autores
Capelo, Natália Cammarota 
Orientadores
Melo, Daniela Oliveira de
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: O uso de medicamentos opioides vem sendo amplamente discutido, estudado e analisado, sobretudo após o início da denominada “epidemia de opiodes, ou seja, o grave problema de saúde pública nos Estados Unidos, decorrente do grande número de pessoas dependentes do uso de opioides prescritos. Com o aumento global de publicações científicas sobre o assunto, seria esperado também um aumento da quantidade de publicações sobre o uso de medicamentos opioides em países da América Latina. Objetivo: Realizar uma revisão de escopo para mapear e analisar publicações sobre o uso de opioides em países da América Latina. Materiais e Métodos: As publicações foram identificadas por meio de uma busca sistemática nas bases de dados Medline (via Pubmed), Embase e Biblioteca Virtual em Saúde (BVS). Não foi utilizada nenhuma restrição quanto ao ano de publicação e idioma durante a busca. Dois revisores realizaram a elegibilidade das publicações encontradas de forma independente e um terceiro revisor avaliou as discordâncias. Foram incluídas apenas publicações que avaliaram algum aspecto relacionado ao uso, consumo ou acesso de opioides em qualquer país da América Latina ou nessa região, escritas em inglês, português ou espanhol. Estudos em animais e estudos in vitro foram excluídos. Posteriormente, as principais informações de cada uma foram extraídas (título, ano de publicação, país de interesse, assunto principal e tipo de publicação) e utilizadas para classificação e avaliação. Resultados: Após avaliação das 2.365 publicações encontradas e inclusão de 10 publicações, manualmente, 42 foram consideradas nesta revisão de escopo. O principal tipo de publicação encontrado foram aquelas classificadas como “outros tipos de publicações sem análises de dados”, totalizando 22 publicações. Tal classificação inclui editoriais, relatos de experiência, consensos de profissionais de saúde, artigos de opinião, guidelines e revisões narrativas. Com relação ao assunto da publicação, cinco tópicos principais foram identificados: consumo, prescrição, percepção, acesso e eventos adversos. Discussão e conclusão: Apesar da grande quantidade de publicações sobre o uso de opioides identificadas para pesquisas realizadas no âmbito global, poucos estudos foram localizados sobre o assunto quando relacionado à América Latina. Além disso, dentre as publicações relevantes encontradas, mais da metade não envolvem análises de dados, demonstrando que o assunto vem sendo amplamente discutido, mas ainda é pouco estudado.
Introduction: The use of opioid drugs has been widely discussed, studied and analyzed, especially after the beginning of the “opioid epidemic” that is happening in the United States.The use of opioid drugs has been widely discussed, studied and analyzed, especially after the beginning of the “opioid epidemic” that is happening in the United States. With the global increase of scientific publications about this topic it would be expected a lot of articles written with focus on the use of opioid drugs in Latin America. Objective: Develop a scope review to map and analyze publications about the use of opioids on Latin American countries. Methods: A search was carried out in the Databases Medline (through Pubmed), Embase and Biblioteca Virtual de Saúde (BVS) with topics related to the subject. No restrictions related to native language or year of publication were applied during search. Two independent reviewers identified the eligible publications and a third reviewer assessed the disagreements. Only the publications related to use, consumption or access to opioids on any Latin American country written in english, portuguese or spanish were considered. Animal and in vitro studies were excluded, as well as cohort studies, observational studies, regression analysis, prevalence studies and meta-analysis. Posteriorly the main information of each publication were extracted (title, year of publishment, country of interest, main subject and type of publication) and used for classifify and analyse them. Results: After the evaluation of the 2,365 found publications and the inclusion of 10 publications manually, a total of 42 was considered in this review. The main type of publication was “other publications without data analysis”, which included editorials, experience reports, consensus of health professionals, opinion articles, guidelines and narrative reviews. The five main identified subjects were: consumption, prescription, perception, access and Adverse Events. Discussion and conclusion: Despite the huge amount of publication related to the use of opioids globally, only a few studies were identified when related to Latin America. Besides that, more than half (22) of the relevant identified publications didn’t involve data analysis, which shows that the subject is being widely discussed but still little studied.
Introduction: The use of opioid drugs has been widely discussed, studied and analyzed, especially after the beginning of the “opioid epidemic” that is happening in the United States.The use of opioid drugs has been widely discussed, studied and analyzed, especially after the beginning of the “opioid epidemic” that is happening in the United States. With the global increase of scientific publications about this topic it would be expected a lot of articles written with focus on the use of opioid drugs in Latin America. Objective: Develop a scope review to map and analyze publications about the use of opioids on Latin American countries. Methods: A search was carried out in the Databases Medline (through Pubmed), Embase and Biblioteca Virtual de Saúde (BVS) with topics related to the subject. No restrictions related to native language or year of publication were applied during search. Two independent reviewers identified the eligible publications and a third reviewer assessed the disagreements. Only the publications related to use, consumption or access to opioids on any Latin American country written in english, portuguese or spanish were considered. Animal and in vitro studies were excluded, as well as cohort studies, observational studies, regression analysis, prevalence studies and meta-analysis. Posteriorly the main information of each publication were extracted (title, year of publishment, country of interest, main subject and type of publication) and used for classifify and analyse them. Results: After the evaluation of the 2,365 found publications and the inclusion of 10 publications manually, a total of 42 was considered in this review. The main type of publication was “other publications without data analysis”, which included editorials, experience reports, consensus of health professionals, opinion articles, guidelines and narrative reviews. The five main identified subjects were: consumption, prescription, perception, access and Adverse Events. Discussion and conclusion: Despite the huge amount of publication related to the use of opioids globally, only a few studies were identified when related to Latin America. Besides that, more than half (22) of the relevant identified publications didn’t involve data analysis, which shows that the subject is being widely discussed but still little studied.