scholarly journals Critique of Cheatle et al.’s Study of Risk of Opioid Use Disorder Due to Prescribing Opioids for Chronic Noncancer Pain

Pain Medicine ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1100-1101
Author(s):  
William E McAuliffe
Keyword(s):  
Opioid Use Disorder ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Canadian Guidelines on Opioid Use Disorder Among Older Adults

2020 ◽  
Vol 23 (1) ◽  
pp. 123-134
Author(s):  
Launette M. Rieb ◽  
Zainab Samaan ◽  
Andrea D. Furlan ◽  
Kiran Rabheru ◽  
Sid Feldman ◽  
...  
Keyword(s):  
Older Adults ◽  
English Language ◽  
Oral Morphine ◽  
Opioid Use Disorder ◽  
Opioid Overdose ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Assessment And Treatment ◽  
Noncancer Pain ◽  
Health Canada

BackgroundIn Canada, rates of hospital admission from opioid overdose are higher for older adults (≥ 65) than younger adults, and opioid use disorder (OUD) is a growing concern. In response, Health Canada commissioned the Canadian Coalition of Seniors’ Mental Health to create guidelines for the prevention, screening, assessment, and treatment of OUD in older adults.MethodsA systematic review of English language literature from 2008–2018 regarding OUD in adults was conducted. Previously published guidelines were evaluated using AGREE II, and key guidelines updated using ADAPTE method, by drawing on current literature. Recommendations were created and assessed using the GRADE method.ResultsThirty-two recommendations were created. Prevention recommendations: it is key to prioritize non-pharmacological and non-opioid strategies to treat acute and chronic noncancer pain. Assessment recommendations: a comprehensive assessment is important to help discern contributions of other medical conditions. Treatment recommendations: buprenorphine is first line for both withdrawal management and maintenance therapy, while methadone, slow-release oral morphine, or naltrexone can be used as alternatives under certain circumstances; non-pharmacological treatments should be offered as an integrated part of care.ConclusionThese guidelines provide practical and timely clinical recommendations on the prevention, assessment, and treatment of OUD in older adults within the Canadian context.

Treatment Approaches for Patients With Opioid Use Disorder and Chronic Noncancer Pain

2016 ◽  
Vol 15 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Pamela Eilender ◽  
Bethany Ketchen ◽  
Icro Maremmani ◽  
Michael Saenger ◽  
Ayman Fareed
Keyword(s):  
Opioid Use Disorder ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Treatment Approaches ◽  
Noncancer Pain

Opioid use in chronic noncancer pain: guidelines revisited

2010 ◽  
Vol 23 (5) ◽  
pp. 598-601 ◽  
Author(s):  
Christoph Stein ◽  
Henriette Reinecke ◽  
Hardo Sorgatz
Keyword(s):  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Outcomes Associated with Opioid Use in the Treatment of Chronic Noncancer Pain in Older Adults: A Systematic Review and Meta-Analysis

2010 ◽  
Vol 58 (7) ◽  
pp. 1353-1369 ◽  
Author(s):  
Maria Papaleontiou ◽  
Charles R. Henderson Jr ◽  
Barbara J. Turner ◽  
Alison A. Moore ◽  
Yelena Olkhovskaya ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

Validity and Reliability of the Computer-Administered Routine Opioid Outcome Monitoring (ROOM) Tool

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3645-3654
Author(s):  
Louisa Picco ◽  
Melissa Middleton ◽  
Raimondo Bruno ◽  
Michala Kowalski ◽  
Suzanne Nielsen
Keyword(s):  
Alcohol Use ◽  
Pearson Correlation ◽  
Correlation Coefficients ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Retest Reliability ◽  
Outcome Monitoring ◽  
Test Retest Reliability ◽  
Over Time

Abstract Objective The Routine Opioid Outcome Monitoring (ROOM) tool measures outcomes with opioids using an established framework which includes domains such as pain, mood, opioid use disorder, alcohol use, and constipation. This study aims to validate and establish the test-retest reliability of the computer-administered ROOM tool. Design and Setting Cross-sectional analysis of an online sample. Subjects Participants comprised those with chronic noncancer pain who regularly used prescription opioids. Methods Participants self-completed the online ROOM tool along with other validated measures (validation questionnaire), and those who were agreeable also completed the online test-retest questionnaire approximately two weeks later. Subcomponents of the ROOM tool (i.e., pain, mood, alcohol use, opioid use disorder, and constipation) were validated against longer measures of the same construct using Pearson correlation coefficients. Intraclass correlation coefficients were used to assess the stability of the ROOM tool over time. Results A total of 324 participants completed the validation questionnaire, of whom 260 also completed the test-retest questionnaire. The opioid use disorder domain showed good sensitivity (73.6) and specificity (75.8) against the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, any opioid use disorder. All ROOM components showed moderate correlation (r = 0.55–0.73) with their longer counterparts. Test-retest reliability was fair (0.58–0.75), indicating that responses were relatively stable over time. Reliability did vary, however, based on the components being measured and how certain tools were scored. Conclusion The computer-administered ROOM tool is a valid approach for brief monitoring of outcomes with prescribed opioids in primary care settings and appears to be acceptable to people who are using prescribed opioids for chronic pain.

Chronic Noncancer Pain Rehabilitation With Opioid Withdrawal: Comparison of Treatment Outcomes Based on Opioid Use Status at Admission

2004 ◽  
Vol 79 (6) ◽  
pp. 759-768 ◽  
Author(s):  
Jeffrey D. Rome ◽  
Cynthia O. Townsend ◽  
Barbara K. Bruce ◽  
Christopher D. Sletten ◽  
Connie A. Luedtke ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Opioid Withdrawal ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Élise Roy ◽  
Richard J. Côté ◽  
Denis Hamel ◽  
Pierre-André Dubé ◽  
Éric Langlois ◽  
...  
Keyword(s):  
Online Survey ◽  
Family Physicians ◽  
Training Needs ◽  
Opioid Use ◽  
Prescribing Practices ◽  
Opioid Prescription ◽  
Chronic Noncancer Pain ◽  
Pain Syndromes ◽  
Noncancer Pain ◽  
And Training

Aim. To examine medical practices and training needs of Québec family physicians with respect to pain management and opioid prescription for chronic noncancer pain (CNCP). Methodology. An online survey was carried out in 2016. Results. Of 636 respondents (43.0% men; 54.3% ≥ 50 years old), 15.2% and 70.9% felt very or somewhat confident that they could properly prescribe opioids for CNCP. Concerns related to abuse (72.5% strongly/somewhat agree), dependence (73.2%), and lack of support (75.4%) were the main barriers reported. Only 19.7% always/often screened their patients for risks of abuse and dependence using a screening tool. About two-thirds of participants (65.7%) had recently (last five years) taken part in continuing education programs on opioid use for CNCP and 73.4% on CNCP management. Patient evaluation and differential diagnoses of chronic pain syndromes were rated as a top priority for further training. Conclusions. This study provides insights into Québec family physicians’ concerns, practices, and needs with respect to the management of CNCP. Physicians’ difficulties around the application of strategies to mitigate the problem of opioid abuse and addiction are worrying. The need to better train physicians in the field of pain and addiction cannot be emphasized enough.

scholarly journals Exploring the Lived Experience of Adults using Prescription Opioids to Manage Chronic Noncancer Pain

2015 ◽  
Vol 20 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Erica A Brooks ◽  
Anita Unruh ◽  
Mary E Lynch
Keyword(s):  
Lived Experience ◽  
Quantitative Research ◽  
Qualitative Interviews ◽  
Prescription Opioid ◽  
Prescription Opioids ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Positive Effects ◽  
Noncancer Pain ◽  
Dimensions Of Pain

BACKGROUND: Chronic noncancer pain (CNCP) and prescription opioid use is a highly complex and growing health care issue in Canada. Many quantitative research studies have investigated the effectiveness of opioids for chronic pain; however, gaps remain in the literature regarding the personal experience of using opioids and their impact on those experiencing CNCP.OBJECTIVE: To explore the lived experience of adults using prescription opioids to manage CNCP, focusing on how opioid medication affected their daily lives.METHODS: In-depth qualitative interviews were conducted with nine adults between 40 and 68 years of age who were using prescription opioids daily for CNCP. Interviews were audiorecorded and transcribed, and subsequently analyzed using interpretive phenomenological analysis.RESULTS: Six major themes identified positive and negative aspects of opioid use associated with social, physical, emotional and psychological dimensions of pain management. These themes included the process of decision making, and physical and psychosocial consequences of using opioids including pharmacological side effects, feeling stigmatized, guilt, fears, ambivalence, self-protection and acceptance.CONCLUSION: Although there were many negative aspects to using opioids daily, the positive effects outweighed the negative for most participants and most of the negative aspects were socioculturally induced rather than caused by the drug itself. The present study highlighted the complexities involved in using prescription opioids daily for management of CNCP for individuals living with pain.

scholarly journals Pharmaceutical Opioid Use Patterns and Indicators of Extramedical Use and Harm in Adults With Chronic Noncancer Pain, 2012-2018

2021 ◽  
Vol 4 (4) ◽  
pp. e213059
Author(s):  
Louisa Degenhardt ◽  
Phillip Hungerford ◽  
Suzanne Nielsen ◽  
Raimondo Bruno ◽  
Briony Larance ◽  
...  
Keyword(s):  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Use Patterns ◽  
Noncancer Pain
Sign in / Sign up

Export Citation Format

Share Document