2024
Implementation of Opioid Safety Efforts: Influence of Academic Detailing on Adverse Outcomes Among Patients in the Veterans Health Administration.
Williams E, Frost M, Bounthavong M, Edmonds A, Lau M, Edelman E, Harvey M, Christopher M. Implementation of Opioid Safety Efforts: Influence of Academic Detailing on Adverse Outcomes Among Patients in the Veterans Health Administration. Substance Use & Addiction Journal 2024, 29767342241243309. PMID: 38634339, DOI: 10.1177/29767342241243309.Peer-Reviewed Original ResearchVeterans Health AdministrationAcademic detailingAll-cause mortalityInpatient admissionsED visitsHealth AdministrationVA electronic health recordOpioid poisoningEmergency departmentOdds of all-cause mortalityElectronic health recordsRates of inpatient admissionsAssociated with decreased all-cause mortalityPatients prescribed long-term opioidsInterrupted time series analysisIncreased inpatient hospitalizationsOpioid-related outcomesOverdose prevention initiativesLong-term opioidsIncreasing incidence ratesLong-term opioid prescriptionsPatient-level dataObservational cohort of patientsHealth recordsAD implementation
2019
Disagreement and Uncertainty Among Experts About how to Respond to Marijuana Use in Patients on Long-term Opioids for Chronic Pain: Results of a Delphi Study
Starrels JL, Young SR, Azari SS, Becker WC, Edelman E, Liebschutz JM, Pomeranz J, Roy P, Saini S, Merlin JS. Disagreement and Uncertainty Among Experts About how to Respond to Marijuana Use in Patients on Long-term Opioids for Chronic Pain: Results of a Delphi Study. Pain Medicine 2019, 21: 247-254. PMID: 31393585, PMCID: PMC8204879, DOI: 10.1093/pm/pnz153.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyCannabis use disorderChronic painMarijuana useLong-term opioidsInternal medicine physiciansOpioid therapyLack of evidenceOpioid managementClinical suspicionPatient factorsIndividual patientsMedicine physiciansClinician responsesOnline Delphi studyUse disordersPatientsProviders' beliefsExpert consensusClinician expertsDelphi studyFree-text responsesOpioidsNonmedical usePain