Journal article
Prescription opioid abuse, chronic pain, and primary care: A Co-Occurring Disorders Clinic in the chronic disease model
Journal of substance abuse treatment, Vol.43(4), pp.446-450
12/2012
DOI: 10.1016/j.jsat.2012.08.010
PMID: 22980449
Abstract
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.
Details
- Title: Subtitle
- Prescription opioid abuse, chronic pain, and primary care: A Co-Occurring Disorders Clinic in the chronic disease model
- Creators
- Patricia A Pade - Raymond G. Murphy New Mexico Veterans’ Affairs Health Care System, 1501 San Pedro Drive Southeast, Albuquerque, NM 87108, USAKaren E Cardon - Raymond G. Murphy New Mexico Veterans’ Affairs Health Care System, 1501 San Pedro Drive Southeast, Albuquerque, NM 87108, USARichard M Hoffman - Raymond G. Murphy New Mexico Veterans’ Affairs Health Care System, 1501 San Pedro Drive Southeast, Albuquerque, NM 87108, USACynthia M.A Geppert - Raymond G. Murphy New Mexico Veterans’ Affairs Health Care System, 1501 San Pedro Drive Southeast, Albuquerque, NM 87108, USA
- Resource Type
- Journal article
- Publication Details
- Journal of substance abuse treatment, Vol.43(4), pp.446-450
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jsat.2012.08.010
- PMID
- 22980449
- ISSN
- 0740-5472
- eISSN
- 1873-6483
- Language
- English
- Date published
- 12/2012
- Academic Unit
- Epidemiology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094341502771
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