David Fiellin, MD
Research & Publications
Biography
News
Locations
Research Summary
Dr. Fiellin has focused his scholarly work on the interface between primary care and substance abuse. He conducts research on the transfer of treatment strategies, including opioid agonist treatment with buprenorphine and alcohol pharmacotherapies, from specialized settings to office-based, primary care, emergency department and HIV specialty settings.
Specialized Terms: Substance abuse treatment in primary care; Emergency department and HIV specialty settings opioid agonist treatment with buprenorphine; Pharmacologic treatment of alcohol
Coauthors
Research Interests
Alcoholism; Buprenorphine; Health Policy; HIV; Internal Medicine; Opioid-Related Disorders; Public Health; Substance Withdrawal Syndrome; Tobacco Use Disorder; Substance Abuse Detection; Substance Abuse Treatment Centers; Clinical Trial; Multicenter Study; Meta-Analysis; Health Care Quality, Access, and Evaluation; Cocaine-Related Disorders; Alcohol-Related Disorders; Drug Overdose; Observational Study; Addiction Medicine; Marijuana Use; Implementation Science; Systematic Review
Selected Publications
- SOAPs and SUDs: Patients With Substance Use Disorders and What Clinicians Should Know About the Cures ActChan CA, Tetrault JM, Fiellin DA, Weimer MB. SOAPs and SUDs: Patients With Substance Use Disorders and What Clinicians Should Know About the Cures Act Journal Of Addiction Medicine 2021, 16: 141-142. PMID: 34049315, DOI: 10.1097/adm.0000000000000879.
- Global opioid agonist treatment: a review of clinical practices by countryJin H, Marshall B, Degenhardt L, Strang J, Hickman M, Fiellin D, Ali R, Bruneau J, Larney S. Global opioid agonist treatment: a review of clinical practices by country Addiction 2020, 115: 2243-2254. PMID: 32289189, PMCID: PMC7554123, DOI: 10.1111/add.15087.
- Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated BuprenorphineHawk KF, D’Onofrio G, Chawarski MC, O’Connor P, Cowan E, Lyons MS, Richardson L, Rothman RE, Whiteside LK, Owens PH, Martel SH, Coupet E, Pantalon M, Curry L, Fiellin DA, Edelman EJ. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine JAMA Network Open 2020, 3: e204561. PMID: 32391893, PMCID: PMC7215257, DOI: 10.1001/jamanetworkopen.2020.4561.
- When Epidemics Collide: Coronavirus Disease 2019 (COVID-19) and the Opioid CrisisBecker WC, Fiellin DA. When Epidemics Collide: Coronavirus Disease 2019 (COVID-19) and the Opioid Crisis Annals Of Internal Medicine 2020, 173: m20-1210. PMID: 32240291, PMCID: PMC7138333, DOI: 10.7326/m20-1210.
- Vaping—Seeking Clarity in a Time of UncertaintyBaldassarri SR, Fiellin DA, Friedman AS. Vaping—Seeking Clarity in a Time of Uncertainty JAMA 2019, 322: 1951-1952. PMID: 31697311, PMCID: PMC8284981, DOI: 10.1001/jama.2019.16493.
- Patients With Opioid Use Disorder Deserve Trained Providers.Weimer MB, Tetrault JM, Fiellin DA. Patients With Opioid Use Disorder Deserve Trained Providers. Annals Of Internal Medicine 2019, 171: 931-932. PMID: 31766053, DOI: 10.7326/m19-2303.
- Integrated stepped alcohol treatment for patients with HIV and alcohol use disorder: a randomised controlled trialEdelman EJ, Maisto SA, Hansen NB, Cutter CJ, Dziura J, Deng Y, Fiellin LE, O'Connor PG, Bedimo R, Gibert CL, Marconi VC, Rimland D, Rodriguez-Barradas MC, Simberkoff MS, Tate JP, Justice AC, Bryant KJ, Fiellin DA. Integrated stepped alcohol treatment for patients with HIV and alcohol use disorder: a randomised controlled trial The Lancet HIV 2019, 6: e509-e517. PMID: 31109915, PMCID: PMC7161741, DOI: 10.1016/s2352-3018(19)30076-1.
- Association of Prescribed Opioids With Increased Risk of Community-Acquired Pneumonia Among Patients With and Without HIVEdelman EJ, Gordon KS, Crothers K, Akgün K, Bryant KJ, Becker WC, Gaither JR, Gibert CL, Gordon AJ, Marshall BDL, Rodriguez-Barradas MC, Samet JH, Justice AC, Tate JP, Fiellin DA. Association of Prescribed Opioids With Increased Risk of Community-Acquired Pneumonia Among Patients With and Without HIV JAMA Internal Medicine 2019, 179: 297-304. PMID: 30615036, PMCID: PMC6439696, DOI: 10.1001/jamainternmed.2018.6101.
- Women and opioids: something different is happening hereMazure CM, Fiellin DA. Women and opioids: something different is happening here The Lancet 2018, 392: 9-11. PMID: 30047402, DOI: 10.1016/s0140-6736(18)31203-0.
- Toward Better Stewardship: Gaining Control Over Controlled Substances.Fiellin LE, Fiellin DA. Toward Better Stewardship: Gaining Control Over Controlled Substances. Annals Of Internal Medicine 2018, 168: 883-884. PMID: 29799985, DOI: 10.7326/m18-1146.
- More Beds or More Chairs? Using a Science-Based Approach to Address the Opioid Epidemic.Tetrault JM, Fiellin DA. More Beds or More Chairs? Using a Science-Based Approach to Address the Opioid Epidemic. Annals Of Internal Medicine 2017, 168: 73-74. PMID: 29159399, DOI: 10.7326/m17-2854.
- Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled TrialFiellin LE, Hieftje KD, Pendergrass TM, Kyriakides TC, Duncan LR, Dziura JD, Sawyer BG, Mayes L, Crusto CA, Forsyth BW, Fiellin DA. Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial Journal Of Medical Internet Research 2017, 19: e314. PMID: 28923788, PMCID: PMC5625130, DOI: 10.2196/jmir.8148.
- Limited evidence, faulty reasoning, and potential for a global opioid crisisBecker WC, Fiellin DA. Limited evidence, faulty reasoning, and potential for a global opioid crisis The BMJ 2017, 358: j3115. PMID: 28679499, DOI: 10.1136/bmj.j3115.
- Abuse-Deterrent Opioid Formulations — Putting the Potential Benefits into PerspectiveBecker WC, Fiellin DA. Abuse-Deterrent Opioid Formulations — Putting the Potential Benefits into Perspective New England Journal Of Medicine 2017, 376: 2103-2105. PMID: 28564568, DOI: 10.1056/nejmp1701553.
- Can Primary Care Practices Help Address the Health Crisis Fueled by Prescription Opioids?Edelman EJ, Fiellin DA. Can Primary Care Practices Help Address the Health Crisis Fueled by Prescription Opioids? Annals Of Internal Medicine 2016, 166: 307-308. PMID: 27919106, DOI: 10.7326/m16-2666.
- In the Clinic. Alcohol Use.Edelman EJ, Fiellin DA. In the Clinic. Alcohol Use. Annals Of Internal Medicine 2016, 164: itc1-16. PMID: 26747315, DOI: 10.7326/aitc201601050.
- Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical TrialD’Onofrio G, O’Connor P, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial JAMA 2015, 313: 1636-1644. PMID: 25919527, PMCID: PMC4527523, DOI: 10.1001/jama.2015.3474.
- Primary Care–Based Buprenorphine Taper vs Maintenance Therapy for Prescription Opioid Dependence: A Randomized Clinical TrialFiellin DA, Schottenfeld RS, Cutter CJ, Moore BA, Barry DT, O’Connor P. Primary Care–Based Buprenorphine Taper vs Maintenance Therapy for Prescription Opioid Dependence: A Randomized Clinical Trial JAMA Internal Medicine 2014, 174: 1947-1954. PMID: 25330017, PMCID: PMC6167926, DOI: 10.1001/jamainternmed.2014.5302.
- Federal plan for prescriber education on opioids misses opportunities.Becker WC, Fiellin DA. Federal plan for prescriber education on opioids misses opportunities. Annals Of Internal Medicine 2012, 157: 205-6. PMID: 22868838, DOI: 10.7326/0003-4819-157-3-201208070-00448.
- Nonmedical Use of Opioid Analgesics Obtained Directly From Physicians: Prevalence and CorrelatesBecker WC, Tobin DG, Fiellin DA. Nonmedical Use of Opioid Analgesics Obtained Directly From Physicians: Prevalence and Correlates JAMA Internal Medicine 2011, 171: 1034-1036. PMID: 21670373, DOI: 10.1001/archinternmed.2011.217.
- Drug Treatment Outcomes Among HIV-Infected Opioid-Dependent Patients Receiving Buprenorphine/NaloxoneFiellin DA, Weiss L, Botsko M, Egan JE, Altice FL, Bazerman LB, Chaudhry A, Cunningham CO, Gourevitch MN, Lum PJ, Sullivan LE, Schottenfeld RS, O'Connor PG. Drug Treatment Outcomes Among HIV-Infected Opioid-Dependent Patients Receiving Buprenorphine/Naloxone JAIDS Journal Of Acquired Immune Deficiency Syndromes 2011, 56: s33-s38. PMID: 21317592, PMCID: PMC3863630, DOI: 10.1097/qai.0b013e3182097537.
- Narrative review: buprenorphine for opioid-dependent patients in office practice.Sullivan LE, Fiellin DA. Narrative review: buprenorphine for opioid-dependent patients in office practice. Annals Of Internal Medicine 2008, 148: 662-70. PMID: 18458279, PMCID: PMC3694223, DOI: 10.7326/0003-4819-148-9-200805060-00006.
- Effects of Marijuana Smoking on Pulmonary Function and Respiratory Complications: A Systematic ReviewTetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA. Effects of Marijuana Smoking on Pulmonary Function and Respiratory Complications: A Systematic Review JAMA Internal Medicine 2007, 167: 221-228. PMID: 17296876, PMCID: PMC2720277, DOI: 10.1001/archinte.167.3.221.
- Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction.Martell BA, O'Connor PG, Kerns RD, Becker WC, Morales KH, Kosten TR, Fiellin DA. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Annals Of Internal Medicine 2007, 146: 116-27. PMID: 17227935, DOI: 10.7326/0003-4819-146-2-200701160-00006.
- Counseling plus Buprenorphine–Naloxone Maintenance Therapy for Opioid DependenceFiellin DA, Pantalon MV, Chawarski MC, Moore BA, Sullivan LE, O'Connor PG, Schottenfeld RS. Counseling plus Buprenorphine–Naloxone Maintenance Therapy for Opioid Dependence New England Journal Of Medicine 2006, 355: 365-374. PMID: 16870915, DOI: 10.1056/nejmoa055255.
- New federal initiatives to enhance the medical treatment of opioid dependence.Fiellin DA, O'Connor PG. New federal initiatives to enhance the medical treatment of opioid dependence. Annals Of Internal Medicine 2002, 137: 688-92. PMID: 12379070, DOI: 10.7326/0003-4819-137-8-200210150-00014.
- Office-Based Treatment of Opioid-Dependent PatientsFiellin DA, O'Connor PG. Office-Based Treatment of Opioid-Dependent Patients New England Journal Of Medicine 2002, 347: 817-823. PMID: 12226153, DOI: 10.1056/nejmcp013579.
- Methadone Maintenance in Primary Care: A Randomized Controlled TrialFiellin DA, O'Connor PG, Chawarski M, Pakes JP, Pantalon MV, Schottenfeld RS. Methadone Maintenance in Primary Care: A Randomized Controlled Trial JAMA 2001, 286: 1724-1731. PMID: 11594897, DOI: 10.1001/jama.286.14.1724.
- Screening for Alcohol Problems in Primary Care: A Systematic ReviewFiellin DA, Reid MC, O'Connor PG. Screening for Alcohol Problems in Primary Care: A Systematic Review JAMA Internal Medicine 2000, 160: 1977-1989. PMID: 10888972, DOI: 10.1001/archinte.160.13.1977.
Clinical Trials
Conditions | Study Title |
---|---|
Addictive Behaviors | Clinical Determinants of Unintended Prolonged Opioid Use |
Addictive Behaviors; Mental Health & Behavioral Research | Support Models for Addiction Related Treatment (SMART) Trial of Opioid Use Disorder in Pregnant Women |
Addictive Behaviors; Alcohol Addiction; Mental Health & Behavioral Research | Prazosin for Alcohol Use Disorder |
HIV/AIDS; Infectious Diseases; Tobacco Addiction | A Smart Approach to Treating Tobacco Use Disorder in Persons Living With HIV (SMARTTT) |