Clinician Identification of Appropriate Long-term Opioid Therapy Candidacy—Reply

2012 ◽  
Vol 172 (14) ◽  
pp. 1110 ◽  
Author(s):  
Mark Sullivan ◽  
Jane Ballantyne
Keyword(s):  
Opioid Therapy

Prevalence of long-term opioid therapy in spine center outpatients the spinal pain opioid cohort (SPOC)

2021 ◽  
Author(s):  
Claus Manniche ◽  
Lonny Stokholm ◽  
Sophie L. Ravn ◽  
Tonny A. Andersen ◽  
Lars Brandt ◽  
...  
Keyword(s):  
Spinal Pain ◽  
Opioid Therapy

scholarly journals Racial disparities in discontinuation of long-term opioid therapy following illicit drug use among black and white patients

2018 ◽  
Vol 192 ◽  
pp. 371-376 ◽  
Author(s):  
Julie R. Gaither ◽  
Kirsha Gordon ◽  
Stephen Crystal ◽  
E. Jennifer Edelman ◽  
Robert D. Kerns ◽  
...  
Keyword(s):  
Drug Use ◽  
Racial Disparities ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Opioid Therapy ◽  
Black And White ◽  
White Patients

scholarly journals Management of problematic behaviours among individuals on long-term opioid therapy: protocol for a Delphi study

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e011619 ◽  
Author(s):  
Jessica S Merlin ◽  
Sarah R Young ◽  
Soraya Azari ◽  
William C Becker ◽  
Jane M Liebschutz ◽  
...  
Keyword(s):  
Delphi Study ◽  
Opioid Therapy ◽  
Therapy Protocol

142. Impact of preoperative chronic opioid therapy on long-term outcomes, reoperations, complications and resource utilization after lumbar arthrodesis

2019 ◽  
Vol 19 (9) ◽  
pp. S68-S69
Author(s):  
Joshua M. Eisenberg ◽  
Piyush Kalakoti ◽  
Nathan R. Hendrickson ◽  
Comron Saifi ◽  
Andrew J. Pugely
Keyword(s):  
Resource Utilization ◽  
Opioid Therapy ◽  
Chronic Opioid Therapy ◽  
Long Term Outcomes ◽  
Lumbar Arthrodesis

scholarly journals Managing Chronic Pain in Cancer Survivors Prescribed Long-Term Opioid Therapy: A National Survey of Ambulatory Palliative Care Providers

2019 ◽  
Vol 57 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Jessica S. Merlin ◽  
Kanan Patel ◽  
Nicole Thompson ◽  
Jennifer Kapo ◽  
Frank Keefe ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Cancer Survivors ◽  
National Survey ◽  
Opioid Therapy ◽  
Care Providers

scholarly journals Common Adverse Effects and Complications of Long-Term Opioid Therapy

Pain Medicine ◽  
2015 ◽  
Vol 16 (suppl 1) ◽  
pp. S1-S2 ◽  
Author(s):  
Perry Fine ◽  
Martin D. Cheatle
Keyword(s):  
Adverse Effects ◽  
Opioid Therapy

scholarly journals A Systematic Review of Randomized Trials of Long-Term Opioid Management for Chronic Non-Cancer Pain

2011 ◽  
Vol 3;14 (2;3) ◽  
pp. 91-121
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Systematic Review ◽  
Cancer Pain ◽  
Systematic Reviews ◽  
Randomized Trials ◽  
Opioid Therapy ◽  
Functional Improvement ◽  
Controlled Trials ◽  
Chronic Opioid Therapy ◽  
Level Of Evidence

Background: Even though opioids have been used for pain for thousands of years, opioid therapy for chronic non-cancer pain is controversial due to concerns regarding the long-term effectiveness and safety, particularly the risk of tolerance, dependance, or abuse. While the debate continues, the use of chronic opioid therapy for chronic non-cancer pain has increased exponentially. Even though evidence is limited, multiple expert panels have concluded that chronic opioid therapy can be effective therapy for carefully selected and monitored patients with chronic non-cancer pain. Study Design: A systematic review of randomized trials of opioid management for chronic noncancer pain. Objective: The objective of this systematic review is to evaluate the clinical efficacy of opioids in the treatment of chronic non-cancer pain. Methods: A comprehensive evaluation of the literature relating to opioids in chronic non-cancer pain was performed. The literature was evaluated according to Cochrane review criteria for randomized controlled trials (RCTs) and Jadad criteria. A literature search was conducted by using PubMed, EMBASE, Cochrane library, ECRI Institute Library, U.S. Food and Drug Administration (FDA) website, U.S. National Guideline Clearinghouse (NGC), Database of Abstracts of Reviews of Effectiveness (DARE), clinical trials, systematic reviews and cross references from systematic reviews. The level of evidence was classified as good, fair, or poor based on the quality of evidence developed by the United States Preventive Services Task Force (USPSTF) and used by other systematic reviews and guidelines. Outcome Measures: Pain relief was the primary outcome measure. Other outcome measures were functional improvement, withdrawals, and adverse effects. Results: Based on the USPSTF criteria, the indicated level of evidence was fair for Tramadol in managing osteoarthritis. For all the drugs assessed, including Tramadol, for all other conditions, the evidence was poor based on either weak positive evidence, indeterminate evidence, or negative evidence. Limitations: A paucity of literature, specifically with follow-up beyond 12 weeks for all types of opioids with controlled trials for various chronic non-cancer pain conditions. Conclusions: This systematic review illustrated fair evidence for Tramadol in managing osteoarthritis with poor evidence for all other drugs and conditions. Thus, recommendations must be based on non-randomized studies. Key words: Chronic non-cancer pain, opioids, opioid efficacy, opioid effectiveness, significant pain relief, functional improvement, adverse effects, morphine, hydrocodone, hydromorphone, fentanyl, tramadol, buprenorphine, methadone, tapentadol, oxycodone, oxymorphone, systematic reviews, randomized trials

Mood Disturbances Associated with Long-Term Opioid Therapy #418

2021 ◽  
Vol 24 (7) ◽  
pp. 1102-1103
Author(s):  
Amy A. Case ◽  
Mellar P. Davis
Keyword(s):  
Opioid Therapy
Sign in / Sign up

Export Citation Format

Share Document