TY - JOUR
KW - Adult
KW - Aged
KW - Analgesics, Opioid/administration & dosage/adverse effects
KW - Behavior Therapy/standards
KW - Chronic Pain/diagnosis/drug therapy
KW - Family Practice/standards
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Opioid-Related Disorders/diagnosis/therapy
KW - Pain Measurement
KW - Patient Compliance/statistics & numerical data
KW - Patient Education as Topic/standards
KW - Physician-Patient Relations
KW - Practice Guidelines as Topic
KW - Practice Patterns, Physicians'
KW - Risk Assessment
KW - Treatment Outcome
KW - United States
AU - M. Cheatle
AU - D. Comer
AU - M. Wunsch
AU - A. Skoufalos
AU - Y. Reddy
A1 - 
AB - Clinicians may face pragmatic, ethical, and legal issues when treating addicted patients. Equal pressures exist for clinicians to always address the health care needs of these patients in addition to their addiction. Although controversial, mainly because of the lack of evidence regarding their long-term efficacy, the use of opioids for the treatment of chronic pain management is widespread. Their use for pain management in the addicted population can present even more challenges, especially when evaluating the likelihood of drug-seeking behavior. As the misuse and abuse of opioids continues to burgeon, clinicians must be particularly vigilant when prescribing chronic opioid therapy. The purpose of this article is to summarize recommendations from a recent meeting of experts convened to recommend how primary care physicians should approach treatment of chronic pain for addicted patients when an addiction specialist is not available for a referral. As there is a significant gap in guidelines and recommendations in this specific area of care, this article serves to create a foundation for expanding chronic pain guidelines in the area of treating the addicted population. This summary is designed to be a practical how-to guide for primary care physicians, discussing risk assessment, patient stratification, and recommended therapeutic approaches.
BT - Population health management
C5 - Opioids & Substance Use; Education & Workforce
CP - 2
CY - United States
DO - 10.1089/pop.2013.0041
IS - 2
JF - Population health management
N2 - Clinicians may face pragmatic, ethical, and legal issues when treating addicted patients. Equal pressures exist for clinicians to always address the health care needs of these patients in addition to their addiction. Although controversial, mainly because of the lack of evidence regarding their long-term efficacy, the use of opioids for the treatment of chronic pain management is widespread. Their use for pain management in the addicted population can present even more challenges, especially when evaluating the likelihood of drug-seeking behavior. As the misuse and abuse of opioids continues to burgeon, clinicians must be particularly vigilant when prescribing chronic opioid therapy. The purpose of this article is to summarize recommendations from a recent meeting of experts convened to recommend how primary care physicians should approach treatment of chronic pain for addicted patients when an addiction specialist is not available for a referral. As there is a significant gap in guidelines and recommendations in this specific area of care, this article serves to create a foundation for expanding chronic pain guidelines in the area of treating the addicted population. This summary is designed to be a practical how-to guide for primary care physicians, discussing risk assessment, patient stratification, and recommended therapeutic approaches.
PP - United States
PY - 2014
SN - 1942-7905; 1942-7891
SP - 79
EP - 89
EP - 
T1 - Treating pain in addicted patients: recommendations from an expert panel
T2 - Population health management
TI - Treating pain in addicted patients: recommendations from an expert panel
U1 - Opioids & Substance Use; Education & Workforce
U2 - 24138341
U3 - 10.1089/pop.2013.0041
VL - 17
VO - 1942-7905; 1942-7891
Y1 - 2014
ER -