2017
Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain
Becker WC, Edmond SN, Cervone DJ, Manhapra A, Sellinger JJ, Moore BA, Edens EL. Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain. Pain Medicine 2017, 19: 1419-1424. PMID: 28371816, DOI: 10.1093/pm/pnx041.Peer-Reviewed Original ResearchConceptsPreliminary efficacyUnsafe useSubstance abuse/dependenceMultidisciplinary care teamSubstance use disorder diagnosisPrimary care physiciansAdvanced practice nursesUrine drug testingLength of treatmentStructured clinical assessmentNurse case managersAbuse/dependenceHealth system levelHigh-complexity patientsElectronic progress notesOpioid prescribedOpioid receiptCare physiciansPractice nursesPrimary careCare coordinationCare teamClinical assessmentCare modelClinic processes
2011
Racial Differences in Primary Care Opioid Risk Reduction Strategies
Becker WC, Starrels JL, Heo M, Li X, Weiner MG, Turner BJ. Racial Differences in Primary Care Opioid Risk Reduction Strategies. The Annals Of Family Medicine 2011, 9: 219-225. PMID: 21555749, PMCID: PMC3090430, DOI: 10.1370/afm.1242.Peer-Reviewed Original ResearchConceptsRegular office visitsUrine drug testingOpioid risk-reduction strategiesWhite patientsBlack patientsOffice visitsRisk reduction strategiesOpioid analgesicsEarly refillsDrug testingGuideline-recommended strategiesOpioids long termChronic noncancer painPrimary care patientsHealth care factorsMixed effects regression modelsRace/ethnicityNoncancer painOpioid refillsMedical comorbiditiesRetrospective cohortCare patientsOpioid misuseCare factorsHigher odds
2010
Systematic review: treatment agreements and urine drug testing to reduce opioid misuse in patients with chronic pain.
Starrels JL, Becker WC, Alford DP, Kapoor A, Williams AR, Turner BJ. Systematic review: treatment agreements and urine drug testing to reduce opioid misuse in patients with chronic pain. Annals Of Internal Medicine 2010, 152: 712-20. PMID: 20513829, DOI: 10.7326/0003-4819-152-11-201006010-00004.Peer-Reviewed Original ResearchConceptsUrine drug testingOpioid treatment agreementsPrimary care settingOpioid misuseTreatment agreementsChronic painDrug testingEligible studiesCare settingsAberrant drug-related behaviorsDrug abuseMental Health Services AdministrationOpioid misuse outcomesChronic noncancer painCochrane Central RegisterProportion of patientsPrimary care studyControlled Clinical TrialsHealth Services AdministrationDrug-related behaviorsCombination of interventionsNoncancer painDiversity of interventionsOpioid medicationsCentral Register