2020
Associations between obstructive sleep apnea and prescribed opioids among veterans.
Chen K, Yaggi HK, Fiellin DA, DeRycke EC, Athar W, Haskell S, Bastian LA. Associations between obstructive sleep apnea and prescribed opioids among veterans. Pain 2020, 161: 2035-2040. PMID: 32358418, PMCID: PMC7606219, DOI: 10.1097/j.pain.0000000000001906.Peer-Reviewed Original ResearchConceptsDiagnosis of OSAObstructive sleep apneaOpioid prescriptionsRelative risk ratiosSleep apneaMultimodal pain management strategiesPoor pain controlTwo-fold likelihoodPain management strategiesHigher pain intensityPain controlPrescribed opioidsFormer smokersPain intensityPain managementPrimary outcomeChronic prescriptionPrescription opioidsPsychiatric comorbidityOSA treatmentPrimary exposureNational cohortRisk ratioChronic durationOpioid category
2018
Improved acute pain management in oncology patients using early scheduled contact with a pain coach.
LaSala J, Chiang A, Severino K. Improved acute pain management in oncology patients using early scheduled contact with a pain coach. Journal Of Clinical Oncology 2018, 36: 293-293. DOI: 10.1200/jco.2018.36.30_suppl.293.Peer-Reviewed Original ResearchReassessment of painAcceptable pain controlPain controlPain scoresNarcotic prescriptionsPain diaryOncology practiceBetter pain controlPoor pain controlAcute pain managementMajority of patientsCancer related painPatient reported outcomesTime of reassessmentAmbulatory oncology practicesPain reassessmentUnacceptable painUncontrolled painRelated painPain managementPatient's oncologistPerson appointmentsMedication usageOncology patientsPatient educationThe 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
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