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BACKGROUND An increasing trend in opioid consumption has been observed worldwide in last decades. However, data related to opioid utilization in hospital settings is scarce. The aim of this study was to determine the evolution of use of strong opioids and pain intensity in a tertiary hospital during six years. METHODS Consumption of strong opioid analgesics used at the hospital at any time between 2012 and 2017 was collected. Data were expressed on oral morphine equivalents (OMEs) per 100 bed-days. Pain intensity was measured by the Nume