2022
Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder
Jones K, Khodyakov D, Arnold R, Bulls H, Dao E, Kapo J, Meier D, Paice J, Liebschutz J, Ritchie C, Merlin J. Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder. JAMA Oncology 2022, 8: 1107-1114. PMID: 35771550, PMCID: PMC9247858, DOI: 10.1001/jamaoncol.2022.2191.Peer-Reviewed Original ResearchConceptsOpioid use disorderCancer-related painOpioid misuseUse disordersClinical scenariosUntreated opioid use disorderAddiction medicine specialistsCommon clinical scenariosDelphi panelImportant comorbidityAdvanced cancerPalliative careMAIN OUTCOMEMedicine specialistsAddiction specialistsPatientsLack of consensusPainAddiction cliniciansDisordersQualitative studyParticipantsComorbiditiesMisusePrognosisExpert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305)
Jones K, Merlin J, Arnold R, Meier D, Kapo J, Paice J. Expert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305). Journal Of Pain And Symptom Management 2022, 63: 1070. DOI: 10.1016/j.jpainsymman.2022.04.021.Peer-Reviewed Original ResearchOpioid use disorderBuprenorphine/naloxoneCancer-related painUrine drug testsOpioid misuseUncertain appropriatenessOpioid managementLonger prognosisComorbid painShort prognosisTraditional opioidsUse disordersUntreated opioid use disorderFull opioid agonistsPrescription of methadoneCancer pain managementDrug testsExpert panel consensusHigh-risk behaviorsMethadone accessTaper opioidsPrescribed opioidsUncontrolled painOUD treatmentPain management
2021
Consensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process
King C, Arnold R, Dao E, Kapo J, Liebschutz J, Meier D, Paice J, Ritchie C, Czajkowski K, Khodyakov D, Merlin J. Consensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process. BMJ Open 2021, 11: e045402. PMID: 34011593, PMCID: PMC8137210, DOI: 10.1136/bmjopen-2020-045402.Peer-Reviewed Original ResearchConceptsOpioid use disorderOpioid misuseSerious illnessInstitutional review boardUse disordersBenefits of opioidsOpioid-related harmsPalliative care cliniciansInstitutional Research BoardPittsburgh Institutional Review BoardOpioid therapyPain managementCare cliniciansPalliative careClinical guidanceEthical approvalIllnessReview boardCliniciansDelphi processPatient casesImplementation toolkitRound 1OpioidsFinal consensus