1. Differences in Inpatient Management of Cancer-Related Pain Among Patients with Opioid Use Disorder.
- Author
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Vipler, Erin, Nowels, Molly A., and Youngwerth, Jean
- Subjects
SUBSTANCE abuse ,PALLIATIVE treatment ,SECONDARY care (Medicine) ,ACADEMIC medical centers ,METHADONE hydrochloride ,HOSPITAL care ,QUESTIONNAIRES ,CANCER patients ,TERTIARY care ,CANCER pain ,PAIN management ,NARCOTICS ,PHYSICIAN practice patterns ,PALLIATIVE medicine ,CASE studies ,DRUG abusers ,PATIENT aftercare ,DRUG utilization ,BUPRENORPHINE - Abstract
The management of cancer-related pain in patients with opioid use disorder (OUD) remains complex and often challenging for clinicians and patients. There is currently a paucity of data to guide best practices, and the evidence that exists is variably applied. In this hospital-based questionnaire, we sought to understand the variation in practice patterns among clinicians in palliative medicine, addiction medicine, and hospital medicine, in caring for this complex patient population. Sixty-two questionnaire responses were analyzed and variation was found in management of pain, as well as initiation or titration of buprenorphine and methadone. There was also a significant difference in postdischarge subspecialty follow-up. Furthermore, the findings suggest that buprenorphine and methadone may be underutilized in this population. Patients and clinicians may benefit from additional support and standardization of practices to best manage coexisting cancer-related pain and OUD. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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