TY - JOUR
KW - Adult
KW - Aged
KW - Analgesics, Opioid/administration & dosage/adverse effects/therapeutic use
KW - Buprenorphine, Naloxone Drug Combination
KW - Buprenorphine/administration & dosage/therapeutic use
KW - Chronic Pain/complications/drug therapy
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Naloxone/administration & dosage/therapeutic use
KW - Narcotic Antagonists/administration & dosage/therapeutic use
KW - Opioid-Related Disorders/complications/rehabilitation
KW - Pain Measurement
KW - Prescription Drugs/adverse effects
KW - Primary Health Care/organization & administration
KW - Quality Improvement
KW - Retrospective Studies
KW - Treatment Outcome
AU - P. A. Pade
AU - K. E. Cardon
AU - R. M. Hoffman
AU - C. M. Geppert
A1 - 
AB - Abuse of opioids has become a public health crisis. The historic separation between the addiction and pain communities and a lack of training in medical education have made treatment difficult to provide, especially in primary care. The Co-occurring Disorders Clinic (COD) was established to treat patients with co-morbid chronic pain and addiction. This retrospective chart review reports results of a quality improvement project using buprenorphine/naloxone to treat co-occurring chronic non-cancer pain (CNCP) and opioid dependence in a primary care setting. Data were collected for 143 patients who were induced with buprenorphine/naloxone (BUP/NLX) between June 2009 and November 2011. Ninety-three patients (65%) continued to be maintained on the medication and seven completed treatment and were no longer taking any opioid (5%). Pain scores showed a modest, but statistically significant improvement on BUP/NLX, which was contrary to our expectations and may be an important factor in treatment retention for this challenging population.
BT - Journal of substance abuse treatment
C5 - Opioids & Substance Use
CP - 4
CY - United States
DO - 10.1016/j.jsat.2012.08.010
IS - 4
JF - Journal of substance abuse treatment
N2 - Abuse of opioids has become a public health crisis. The historic separation between the addiction and pain communities and a lack of training in medical education have made treatment difficult to provide, especially in primary care. The Co-occurring Disorders Clinic (COD) was established to treat patients with co-morbid chronic pain and addiction. This retrospective chart review reports results of a quality improvement project using buprenorphine/naloxone to treat co-occurring chronic non-cancer pain (CNCP) and opioid dependence in a primary care setting. Data were collected for 143 patients who were induced with buprenorphine/naloxone (BUP/NLX) between June 2009 and November 2011. Ninety-three patients (65%) continued to be maintained on the medication and seven completed treatment and were no longer taking any opioid (5%). Pain scores showed a modest, but statistically significant improvement on BUP/NLX, which was contrary to our expectations and may be an important factor in treatment retention for this challenging population.
PP - United States
PY - 2012
SN - 1873-6483; 0740-5472
SP - 446
EP - 450
EP - 
T1 - Prescription opioid abuse, chronic pain, and primary care: A Co-occurring Disorders Clinic in the chronic disease model
T2 - Journal of substance abuse treatment
TI - Prescription opioid abuse, chronic pain, and primary care: A Co-occurring Disorders Clinic in the chronic disease model
U1 - Opioids & Substance Use
U2 - 22980449
U3 - 10.1016/j.jsat.2012.08.010
VL - 43
VO - 1873-6483; 0740-5472
Y1 - 2012
ER -