2022
Expert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305)
Jones K, Merlin J, Arnold R, Meier D, Kapo J, Paice J. Expert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305). Journal Of Pain And Symptom Management 2022, 63: 1070. DOI: 10.1016/j.jpainsymman.2022.04.021.Peer-Reviewed Original ResearchOpioid use disorderBuprenorphine/naloxoneCancer-related painUrine drug testsOpioid misuseUncertain appropriatenessOpioid managementLonger prognosisComorbid painShort prognosisTraditional opioidsUse disordersUntreated opioid use disorderFull opioid agonistsPrescription of methadoneCancer pain managementDrug testsExpert panel consensusHigh-risk behaviorsMethadone accessTaper opioidsPrescribed opioidsUncontrolled painOUD treatmentPain management
2021
Expert Panel Consensus on Management of Advanced Cancer–Related Pain in Individuals With Opioid Use Disorder
Merlin JS, Khodyakov D, Arnold R, Bulls HW, Dao E, Kapo J, King C, Meier D, Paice J, Ritchie C, Liebschutz JM. Expert Panel Consensus on Management of Advanced Cancer–Related Pain in Individuals With Opioid Use Disorder. JAMA Network Open 2021, 4: e2139968. PMID: 34962565, DOI: 10.1001/jamanetworkopen.2021.39968.Peer-Reviewed Original ResearchConceptsOpioid use disorderFull agonist opioidsAdvanced cancerUncertain appropriatenessCancer painPalliative careUse disordersCancer pain managementAppropriateness of managementExpert panel consensusConsensus-based guidanceImportant comorbidityOpioid medicationsPain managementMethadone clinicsPainPatientsPanel consensusPrognosisCancerMethadoneDelphi processExpert panelMonthsOpioidsConsensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process
King C, Arnold R, Dao E, Kapo J, Liebschutz J, Meier D, Paice J, Ritchie C, Czajkowski K, Khodyakov D, Merlin J. Consensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process. BMJ Open 2021, 11: e045402. PMID: 34011593, PMCID: PMC8137210, DOI: 10.1136/bmjopen-2020-045402.Peer-Reviewed Original ResearchConceptsOpioid use disorderOpioid misuseSerious illnessInstitutional review boardUse disordersBenefits of opioidsOpioid-related harmsPalliative care cliniciansInstitutional Research BoardPittsburgh Institutional Review BoardOpioid therapyPain managementCare cliniciansPalliative careClinical guidanceEthical approvalIllnessReview boardCliniciansDelphi processPatient casesImplementation toolkitRound 1OpioidsFinal consensus
2019
Patterns of pain medication use associated with reported pain interference in older adults with and without cancer
Davidoff AJ, Canavan ME, Feder S, Wang S, Sheinfeld E, Kent EE, Kapo J, Presley CJ. Patterns of pain medication use associated with reported pain interference in older adults with and without cancer. Supportive Care In Cancer 2019, 28: 3061-3072. PMID: 31637515, PMCID: PMC7338979, DOI: 10.1007/s00520-019-05074-8.Peer-Reviewed Original ResearchConceptsSevere pain interferencePrescription pain medicationPain interferencePain medicationOlder adultsMedication receiptMedicare Part D prescription claimsNon-steroidal anti-inflammatory drugsModerate pain interferenceReceipt of opioidsPain medication useManagement of painHalf of adultsAnti-inflammatory drugsPart D low-income subsidyLow-income subsidyOpioid prescribingOpioid prescriptionsSevere painMedication usePain managementSurveillance EpidemiologyPrescription claimsCancer historyChronic conditions
2018
Undertreated pain: Trends over time for older adults with and without cancer.
Presley C, Kapo J, Wang S, Canavan M, Sheinfeld E, Feder S, Kent E, Davidoff A. Undertreated pain: Trends over time for older adults with and without cancer. Journal Of Clinical Oncology 2018, 36: 15-15. DOI: 10.1200/jco.2018.36.30_suppl.15.Peer-Reviewed Original ResearchSevere pain interferencePain interferenceOlder adultsPain managementPain-related activity limitationsModerate pain interferenceSupportive care needsUse of opioidsNon-opioid analgesicsMultivariable logistic regressionPrescription medication usePart D coverageQuality of lifeCalendar year trendsPart D low-income subsidyLow-income subsidyPart D prescriptionsModerate painMedication useSymptom managementCancer historyChronic conditionsActivity limitationsLocal anestheticsCancer status