Norwegian version of this page

POINT - Preventing an opioid epidemic in Norway: Focusing on treatment of chronic pain

We research chronic pain treatment to minimize the risks associated with opioids.

Image may contain: Footwear, Trousers, Smile, Team, Event.

POINT kickoff meeting, October 2021

About the project

We know that patients suffering from chronic pain need good treatment. The use of opioids for chronic, non-cancer related pain may seem appropriate in the short term, but can often have negative consequences for both the individual and society in the long term.

In addition, we lack a robust knowledge base showing that long-term treatment of chronic pain with opioids has a good effect. Negative consequences associated with long-term use lead to serious side effects, such as the risk of overdose and the development of addiction.

The ongoing opioid epidemic in the USA – caused by inappropriate prescribing of opioids to pain patients – has led to serious health and societal consequences.

Several factors—the escalating use of opioids to chronic pain patients, the increasing use of strong opioids in particular, and the increasing number of overdoses caused by prescription opioids—point to the start of an opioid epidemic in Norway. 

Objectives

The overall goal of the POINT project is to provide knowledge to optimize treatment of patients with chronic pain in order to avoid unnecessary escalation of opioid treatment, improve their quality of life and reduce the burden of disease.

In the long run our objective is to prevent the unwanted consequences of opioid treatment and improve patients' quality of life.

Ultimately, through this project we hope to prevent an opioid epidemic in Norway.

To achieve our main goal, we will focus on pain patients and their doctors, as increasing opioid use may occur through the patient-doctor interaction.

Methods

Data from national registers will be used to identify risk factors for long-term use of opioids and consequences of long-term use.

Using qualitative methods we will systematize, describe and explain the patients' and treating physicians' perspectives on opioid treatment to improve communication between patient and physician.

The project will evaluate the effect of a knowledge-based training intervention aimed at general practitioners.

In addition, the project will develop and test two non-drug interventions that consist of an interdisciplinary group treatment and an e-health program with a focus on communication between patient and doctor as well as between other caregivers.

Financing

  • The Research Council of Norway

Cooperation

  • St. Olavs Hospital 

  • Stavanger Hospital Trust

  • City of Stavanger  

  • National Institute of Public Health (FHI)

  • Alcohol and Drug Research Western Norway (KoRFor) 

  • Foreningen for kroniske smertepasienter (FKS)
  • Norwegian Forum of Disabled Peoples’ Organizations (SAFO)

Cooperation with other projects

Publications

  • Daltveit, Dagrun Slettebø; Klungsøyr, Kari; Engeland, Anders; Ekbom, Anders; Gissler, Mika & Glimelius, Ingrid [Show all 12 contributors for this article] (2022). Sex differences in childhood cancer risk among children with major birth defects: a Nordic population-based nested case-control study. International Journal of Epidemiology. ISSN 0300-5771. p. 1–16. doi: 10.1093/ije/dyac192. Full text in Research Archive
  • Stangeland, Helle; Handal, Marte; Skurtveit, Svetlana Ondrasova; Aakvaag, Helene Flood; Dyb, Grete Anita & Wentzel-Larsen, Tore [Show all 10 contributors for this article] (2022). Killing pain?: a population-based registry study of the use of prescription analgesics, anxiolytics, and hypnotics among all children, adolescents and young adults in Norway from 2004 to 2019. European Child and Adolescent Psychiatry. ISSN 1018-8827. doi: 10.1007/s00787-022-02066-8.
  • Hamina, Aleksi; Hjellvik, Vidar; Handal, Marte; Odsbu, Ingvild; Clausen, Thomas & Skurtveit, Svetlana Ondrasova (2022). Describing long-term opioid use utilizing Nordic Prescription Registers - A Norwegian example. Basic & Clinical Pharmacology & Toxicology. ISSN 1742-7835. 130(4), p. 481–491. doi: 10.1111/bcpt.13706. Full text in Research Archive
  • Hamina, Aleksi; Muller, Ashley Elizabeth; Clausen, Thomas; Skurtveit, Svetlana Ondrasova; Hesse, Morten & Tjagvad, Christian [Show all 11 contributors for this article] (2022). Prescription opioids among older adults: ten years of data across five countries. BMC Geriatrics. ISSN 1471-2318. 22(429). doi: 10.1186/s12877-022-03125-0. Full text in Research Archive
  • Skurtveit, Svetlana Ondrasova; Odsbu, Ingvild; Gjersing, Linn; Handal, Marte; Lid, Torgeir Gilje & Clausen, Thomas [Show all 7 contributors for this article] (2022). Individuals Dying of Overdoses Related to Pharmaceutical Opioids Differ from Individuals Dying of Overdoses Related to Other Substances: A Population-Based Register Study. European Addiction Research. ISSN 1022-6877. p. 1–6. doi: 10.1159/000526145. Full text in Research Archive
  • Odsbu, Ingvild; Handal, Marte; Hjellvik, Vidar; Borchgrevink, Petter Chr.; Clausen, Thomas & Nesvåg, Ragnar [Show all 7 contributors for this article] (2022). Vedvarende bruk av opioider og samtidig bruk av andre vanedannende legemidler. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 142(3), p. 1–8. doi: 10.4045/tidsskr.21.0659. Full text in Research Archive
  • Odsbu, Ingvild; Handal, Marte; Borchgrevink, Petter Chr.; Clausen, Thomas & Skurtveit, Svetlana Ondrasova (2022). Endringer i opioidbruken i Norge må tas på dypeste alvor. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.21.0909. Full text in Research Archive
  • Odsbu, Ingvild; Handal, Marte; Hjellvik, Vidar; Borchgrevink, Petter Chr.; Clausen, Thomas & Hamina, Aleksi [Show all 9 contributors for this article] (2021). Use of other addictive drugs among opioid users with chronic pain. Norsk Epidemiologi. ISSN 0803-2491. 29(1-2), p. 45–53. doi: 10.5324/nje.v29i1-2.4045. Full text in Research Archive
  • Hamina, Aleksi; Handal, Marte; Fredheim, Olav; Clausen, Thomas; Chen, Li-Chia & Skurtveit, Svetlana Ondrasova (2021). Filled prescriptions for opioids among children and adolescents – A nationwide study from 2010 to 2018. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 65(10), p. 1475–1483. doi: 10.1111/aas.13968. Full text in Research Archive
  • Bramness, Jørgen G.; Hjellvik, Vidar; Stubhaug, Audun & Skurtveit, Svetlana (2021). Possible opioid-saving effect of cannabis-based medicine using individual-based data from the Norwegian Prescription Database. Basic & Clinical Pharmacology & Toxicology. ISSN 1742-7835. p. 1–9. doi: 10.1111/bcpt.13660. Full text in Research Archive
  • Torp, Henrik Andreas; Skurtveit, Svetlana Ondrasova; Skaga, Nils Oddvar; Gustavsen, Ingebjørg G.; Gran, Jon Michael & Rosseland, Leiv Arne (2021). Pre-injury dispensing of psychoactive prescription drugs in a ten years trauma population: a retrospective registry analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. ISSN 1757-7241. 29. doi: 10.1186/s13049-021-00939-6. Full text in Research Archive

View all works in Cristin

  • Uleberg, Oddvar; Stenehjem, Jo S.; Nordseth, Trond; Clausen, Thomas; Natvig, Bård & Skurtveit, Svetlana Ondrasova [Show all 12 contributors for this article] (2022). The injury prevention and outcomes following trauma (IPOT) project: is a nationwide registry-based study in Norway feasible?
  • Clausen, Thomas (2022). Dagsrevyen Avhengig av medisiner . [TV]. NRK Dagsrevyen.
  • Odsbu, Ingvild (2022). Kommentar: I. Odsbu og medarbeidere svarer. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 142(3). doi: 10.4045/tidsskr.21.0659.
  • Høibø, Trond (2022). Exploring GPs Prescribing of Opioids to Patients with Severe Chronic Non-Cancer Pain.
  • Skurtveit, Svetlana Ondrasova (2022). Forskrevne opioider og overdoser.
  • Odsbu, Ingvild (2022). Trends in use of prescribed opioids in Norway – should we be concerned?
  • Skurtveit, Svetlana Ondrasova (2022). Bruk av forskrevne opioider. To dagers Nasjonalt overdosenettverk-nettverksamling.
  • Odsbu, Ingvild (2022). Stadig fleire bruker sterke smertestillande over lang tid – FHI er uroleg. [Newspaper]. Fjordabladet.
  • Odsbu, Ingvild (2022). Stadig flere bruker sterke smertestillende over lang tid – FHI er uroleg. [Newspaper]. Folkebladet.
  • Odsbu, Ingvild (2022). FHI om opioid-tall: - Vi er bekymret. [Newspaper]. Sol.no.
  • Odsbu, Ingvild (2022). Vedvarende opioidbruk og samtidig bruk av andre vanedannende legemidler.
  • Skurtveit, Svetlana Ondrasova (2022). Hvordan unngå en opioid epidemi i Norge: Fokus på behandling av kroniske smerter .
  • Odsbu, Ingvild (2022). Vi er bekymret. [Internet]. Sol.no.
  • Skurtveit, Svetlana Ondrasova (2022). Avslører detaljer om dødelig legepraksis . [Internet]. TV2.
  • Borchgrevink, Petter Chr. (2022). Bad, Bad Medicine. [Internet]. NRK.
  • Clausen, Thomas (2022). OxyContin: – Det er jeg som hører at hun gråter om natten . [Internet]. NRK Nyheter.
  • Skurtveit, Svetlana Ondrasova (2022). Bruk av forskrevne opioider og dødelige overdoser .
  • Skurtveit, Svetlana Ondrasova (2022). Bruk av forskrevne opioider og dødelige overdoser: Velkommen til Norsk Sykepleierforbund of NSFs faggruppe for sykepleiere innen psykisk helse og rus sin markering av Overdosedagen 2022.
  • Skurtveit, Svetlana Ondrasova (2022). KoRus. [Internet]. https://korusoslo.no/2022/08/29/hvordan-unnga-en-opioide-epi.
  • Skurtveit, Svetlana Ondrasova & Odsbu, Ingvild (2022). Resultater fra oppdrag i tildelingsbrevet for 2020 – fokus på blåreseptordningen.
  • Skurtveit, Svetlana Ondrasova (2022). Medikamentbruk og overdoser.
  • Skurtveit, Svetlana Ondrasova & Odsbu, Ingvild (2022). Resultater fra tildelingsbrev og utvalgte resultater fra pågående forskningsprosjekt (POINT).
  • Skurtveit, Svetlana Ondrasova (2022). Opioide dødsfall og forskrivning av opioider.
  • Skurtveit, Svetlana Ondrasova (2022). Medikamentbruk og overdoser.
  • Skurtveit, Svetlana Ondrasova (2022). Ny norsk pasientgruppe rammes av opioid-overdoser. [Internet]. NRK.
  • Hamina, Aleksi; Odsbu, Ingvild; Hjellvik, Vidar; Gjersing, Linn; Lid, Torgeir Gilje & Clausen, Thomas [Show all 7 contributors for this article] (2022). Fatal overdoses in a cohort of chronic pain patients.
  • Skurtveit, Svetlana Ondrasova (2022). Flere eldre kvinner dør av overdose. [Internet]. vi.no.
  • Skurtveit, Svetlana Ondrasova (2022). Opioid-overdoser rammer ny norsk pasientgruppe. [Internet]. Psykologisk.no.
  • Skurtveit, Svetlana Ondrasova (2022). LAR pasienter med smerte og smertebehandling i LAR.
  • Odsbu, Ingvild (2022). Smertestillende piller og overdosedød.
  • Skurtveit, Svetlana Ondrasova (2022). Overdoser og forskrevne opioider.
  • Hamina, Aleksi (2022). Fatal overdoses in a cohort of chronic pain patients.
  • Skurtveit, Svetlana Ondrasova (2022). OxyContin: Ser vi amerikanske trender i Norge?
  • Skurtveit, Svetlana Ondrasova & Clausen, Thomas (2022). Flere kvinner dør av smertestillende piller. Aftenposten.
  • Borchgrevink, Petter Chr. (2022). Bruk av oksykodon i Norge.
  • Skurtveit, Svetlana Ondrasova (2022). Individuals dying of overdoses related to pharmaceutical opioids differ from individuals dying of overdoses related to other substances.
  • Hamina, Aleksi (2022). Fatal overdoses in a cohort of chronic pain patients.
  • Gabrhelík, Roman (2022). Mortality and Morbidity in Patients in Opioid Maintenance Treatment.
  • Skurtveit, Svetlana Ondrasova (2021). Hvordan unngå en opioidepidemi i Norge: Fokus på behandlin av langvarige smerter. Glimt. ISSN 1890-8489.
  • Odsbu, Ingvild; Handal, Marte; Hjellvik, Vidar & Skurtveit, Svetlana Ondrasova (2021). Trends in long-term use of prescribed opioids in Norway 2010-2019. Pharmacoepidemiology and Drug Safety. ISSN 1053-8569. 30, p. 53–53. doi: 10.1002/pds.5305.
  • Odsbu, Ingvild; Handal, Marte; Hjellvik, Vidar & Skurtveit, Svetlana Ondrasova (2021). Trends in long-term use of prescribed opioids in Norway 2010-2019. .

View all works in Cristin

Published Apr. 15, 2021 2:17 PM - Last modified Oct. 19, 2022 11:36 AM

Contact

Principal Investigator

Participants

Detailed list of participants