scholarly journals Association of OPRM1 Polymorphisms With DSM-5–Defined Prescription Opioid Use Disorder Among Chronic Pain Patients on Opioid Therapy for Noncancer Pain

2016 ◽  
Vol 3 (3) ◽  
pp. 212-213
Author(s):  
Joseph A Boscarino ◽  
Stuart N Hoffman ◽  
John J Han ◽  
Xin Chu
Keyword(s):  
Chronic Pain ◽  
Opioid Therapy ◽  
Opioid Use Disorder ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Dsm 5 ◽  
Chronic Pain Patients ◽  
Noncancer Pain ◽  
Prescription Opioid Use ◽  
Pain Patients

Prevalence of Prescription Opioid-Use Disorder Among Chronic Pain Patients: Comparison of the DSM-5 vs. DSM-4 Diagnostic Criteria

2011 ◽  
Vol 30 (3) ◽  
pp. 185-194 ◽  
Author(s):  
Joseph A. Boscarino ◽  
Margaret R. Rukstalis ◽  
Stuart N. Hoffman ◽  
John J. Han ◽  
Porat M. Erlich ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Diagnostic Criteria ◽  
Opioid Use Disorder ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Dsm 5 ◽  
Chronic Pain Patients ◽  
Prescription Opioid Use ◽  
Pain Patients

Patients with Substance Abuse and Chronic Pain

2018 ◽  
Author(s):  
Dmitri Souza ◽  
Denis Snegovskikh ◽  
Julia K. Hunter
Keyword(s):  
Substance Abuse ◽  
Chronic Pain ◽  
Multimodal Analgesia ◽  
Pain Tolerance ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Medication Assisted Treatment ◽  
Chronic Pain Patients ◽  
Prescription Opioid Use ◽  
Pain Patients

Treating chronic pain in patients with a substance abuse history is challenging. Patients abusing opioids may have a high pain tolerance, making pain control difficult. Available treatments for acute pain include regional and multimodal analgesia. Non-opioid and nonpharmacological analgesia (including interventional modalities, physical rehabilitation, chiropractic manipulations, and pain psychology) can be used to treat chronic pain. Patients’ past and present opioid use—illicit drug or nonmedical prescription opioid use, maintenance on medication-assisted treatment, or abstinence—should be taken into consideration when choosing between chronic pain treatments. Consultation with an addictionologist can facilitate this population’s successful treatment.

Opioid induced hyperalgesia: A focus on opioid use in chronic pain

2013 ◽  
Vol 2 (12) ◽  
pp. 395-397
Author(s):  
Julie L. Cunningham
Keyword(s):  
Chronic Pain ◽  
Side Effects ◽  
Treatment Option ◽  
Opioid Therapy ◽  
Opioid Use ◽  
Chronic Pain Patients ◽  
Opioid Induced Hyperalgesia ◽  
Pain Patients ◽  
Established Treatment

Opioids are a well-established treatment option for chronic pain. However, opioid therapy is associated with many side effects, including opioid induced hyperalgesia (OIH). This article reviews studies which have evaluated OIH in chronic pain patients on opioids.

Monitoring outcomes during long-term opioid therapy for noncancer pain: Results with the Pain Assessment and Documentation Tool

2005 ◽  
Vol 1 (5) ◽  
pp. 257 ◽  
Author(s):  
Steven D. Passik, PhD ◽  
Kenneth L. Kirsh, PhD ◽  
Laurie Whitcomb, MA ◽  
Jeffrey R. Schein, PhD, MPH ◽  
Mitchell A. Kaplan, PhD ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Side Effects ◽  
Pain Assessment ◽  
The United States ◽  
Opioid Therapy ◽  
Chronic Pain Patients ◽  
Noncancer Pain ◽  
Documentation Tool ◽  
Pain Patients

The increasingly common practice of long-term opioid therapy for chronic noncancer pain must be guided by ongoing assessment of four types of outcomes: pain relief, function, side effects, and drug-related behaviors. Our objective was to gather initial pilot data on the clinical application of a specialized chart note, the Pain Assessment and Documentation Tool (PADT), which was developed and tested with 27 physicians. This pilot test provided the means to collect cross-sectional outcome data on a large sample of opioid-treated chronic pain patients. Each of the physician volunteers (located in a variety of settings across the United States) completed the PADT for a convenience sample of personally treated chronic pain patients who had received at least three months of opioid therapy. Completion of the PADT required a clinical interview, review of the medical chart, and direct clinical observation. Data from the PADTs were collated and analyzed. The results suggested that the majority of patients with chronic pain achieve relatively positive outcomes in the eyes of their prescribing physicians in all four relevant domains with opioid therapy. Analgesia was modest but meaningful, functionality was generally stabilized or improved, and side effects were tolerable. Potentially aberrant behaviors were common but viewed as an indicator of a problem (i.e., addiction or diversion) in only approximately 10 percent of cases. Using the PADT, physician ratings can be developed in four domains. In this sample, outcomes suggested that opioid therapy provided meaningful analgesia.

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