2022
Long-Term Opioid Therapy and Overdose in Patients With and Without Cancer (CO203A)
Merlin J, Black A, Troszak L, Giannitrapani K, Lorenz K. Long-Term Opioid Therapy and Overdose in Patients With and Without Cancer (CO203A). Journal Of Pain And Symptom Management 2022, 63: 1065-1066. DOI: 10.1016/j.jpainsymman.2022.04.013.Peer-Reviewed Original ResearchLong-term opioid therapyOpioid therapyOpioid prescriptionsOpioid overdoseElectronic health record databaseTerm opioid therapyCancer pain managementRetrospective cohort studyCox proportional hazardsOpioid overdose riskHealth record databaseYears of ageRole of cancerOpioid receiptCohort studyMost patientsPain managementOutpatient visitsInpatient admissionsVHA careOpioid risksDose/Inclusion criteriaOverdose riskLatent growth mixture modeling
2018
The Conundrum of Opioid Tapering in Long-Term Opioid Therapy for Chronic Pain: A Commentary
Manhapra A, Arias A, Ballantyne J. The Conundrum of Opioid Tapering in Long-Term Opioid Therapy for Chronic Pain: A Commentary. Substance Abuse 2018, 39: 152-161. PMID: 28929914, PMCID: PMC6129223, DOI: 10.1080/08897077.2017.1381663.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyOpioid taperingChronic painOpioid therapyOpioid dependencePsychiatric symptomsHigher-dose long-term opioid therapyClinical scenariosPoor pain controlTerm opioid therapyUse of opioidsDifficult clinical scenariosUnique clinical challengesOpioid needsPain controlNeuroplasticity effectsAbstinence syndromeFunctional statusOpioid epidemicClinical challengeFunctional declinePainAffective symptomsPsychiatric instabilityAvailable evidence
2016
The Association Between Receipt of Guideline-Concordant Long-Term Opioid Therapy and All-Cause Mortality
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Justice AC, Fiellin DA. The Association Between Receipt of Guideline-Concordant Long-Term Opioid Therapy and All-Cause Mortality. Journal Of General Internal Medicine 2016, 31: 492-501. PMID: 26847447, PMCID: PMC4835362, DOI: 10.1007/s11606-015-3571-4.Peer-Reviewed Original ResearchConceptsSubstance use disordersGuideline-concordant careCause mortalityOpioid therapyLong-term opioid therapyUntreated substance use disordersCurrent substance use disorderTerm opioid therapyTime-updated covariatesPrimary care visitsImportant clinical outcomesMulti-modal treatmentUrine drug testingUninfected patientsUntreated patientsCare visitsChronic painClinical outcomesCox regressionDecreased riskHigh comorbidityMortality burdenRehabilitative therapySUD treatmentHigh risk
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply