Patients with glenohumeral arthritis are more likely to be prescribed opioids in the emergency department or urgent care setting
CONCLUSION: Despite evidence against routine opioid use for osteoarthritis, one-third of patients with a primary diagnosis of glenohumeral osteoarthritis received an opioid prescription. Of those who received a prescription, over one-third had a risk factor for opioid misuse. An electronic clinic decision support tool influenced the prescription in less than 10 percent of encounters.PMID:38189191 | DOI:10.5055/jom.0834 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Jacob Gorbaty Meghan K Wally Susan Odum Ziqing Yu Nady Hamid Joseph R Hsu Michael Beuhler Michael Bosse Michael Gibbs Christopher Griggs Steven Jarrett Madhav Karunakar Laurence Kempton Daniel Leas Kevin Phelps Tamar Roomian Michael Runyon Animita Saha St Source Type: research
Opioid use disorder and motivational interviewing: Training physician assistants for the epidemic
CONCLUSIONS: An educational intervention using MI for PA students was found to be valuable, and students who completed the intervention had greater knowledge about using MI with OUD patients than those who did not complete the training. The size of the effect was small, and more research on the curriculum is necessary prior to widespread adoption.PMID:38189192 | DOI:10.5055/jom.0835 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Brian B Peacock Catherine N Shull Carol A Hildebrandt Gayle B Bodner Kristin J Lindaman Chris Gillette Source Type: research
Provider attitudes and current practice regarding the prescription of opioid-containing pain medication for vaginal delivery
CONCLUSIONS: Practice patterns for opioid prescription vary by provider type as well as by delivery characteristics. Further study is necessary to delineate the optimal care while minimizing unnecessary opioid prescriptions.PMID:38189193 | DOI:10.5055/jom.0836 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Sarah Atkinson Anna R Whelan Abigail Litwiller Source Type: research
Patterns of opioid use among Texas dental practitioners during the COVID-19 pandemic
CONCLUSIONS: Further research is warranted to assess post-pandemic opioid prescribing patterns, and additional educational strategies regarding limitations of opioid prescriptions should be applied to general, rather than specialty, dental practitioners.PMID:38189194 | DOI:10.5055/jom.0837 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Arthur H Jeske Aimee Anderson Kim-Anh Do Jing Ning Junsheng Ma Eduardo Bruera Source Type: research
Erector spinae plane block for radiofrequency ablation of hepatic focal lesions: Randomized controlled trial
CONCLUSIONS: The ESPB provided adequate analgesia and reduced opioids consumption during the hepatic RFA, with high radiologist's satisfaction.PMID:38189195 | DOI:10.5055/jom.0838 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Mona Raafat Elghamry Mohamed Ahmed Lotfy Kareem Mohammed Ramadan Mohammad Ali Abduallah Source Type: research
Outpatient cross-titration to buprenorphine for chronic pain: A retrospective analysis
DISCUSSION: The University of Washington's buprenorphine cross-titration protocol for chronic pain was successful in about half of included patients undergoing conversion from chronic full µ-opioid agonist therapy and generally well tolerated. Clinical responses were widely variable, and many required slower taper and higher end-titration buprenorphine dose than anticipated. Although protocols provide structure for cross-titration, each course should be monitored closely and individualized.PMID:38189196 | DOI:10.5055/jom.0839 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Satoru Ito Mackenzie Welsh Christina Bockman Rebecca Dale David Pilkington Katherin Peperzak Source Type: research
Surgical prescription opioid trajectories among state Medicaid enrollees
CONCLUSIONS: Findings support the importance of surgeons setting realistic patient expectations for post-surgical opioid use, as well as the importance of coordination of post-surgical care among patients failing to fully taper off opioids within 1-3 months of surgery.PMID:38189189 | DOI:10.5055/jom.0832 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Jenna L McCauley Ralph C Ward David J Taber William T Basco Mulugeta Gebregziabher Charles Reitman William P Moran Robert A Cina Mark A Lockett Sarah J Ball Source Type: research
Opioid prescription patterns in a children's hospital from 2012 to 2016
CONCLUSION: Data show that there is a decrease in overall opioid prescriptions among pediatric patients, which may be secondary to new Food and Drug Administration regulations and increased awareness of morbidity associated with opioid use. Not surprisingly, increased hospital stay and increase in age lead to more analgesic prescriptions. Further investigation is needed to determine the differences within opioid prescription patterns.PMID:38189190 | DOI:10.5055/jom.0833 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Nicole Titze Rishi Bhargava Ara Jamasbi Montalvo Gawon Shin Campbell Belisle Haley Soheil Saadat Bharath Chakravarthy Source Type: research
Patients with glenohumeral arthritis are more likely to be prescribed opioids in the emergency department or urgent care setting
CONCLUSION: Despite evidence against routine opioid use for osteoarthritis, one-third of patients with a primary diagnosis of glenohumeral osteoarthritis received an opioid prescription. Of those who received a prescription, over one-third had a risk factor for opioid misuse. An electronic clinic decision support tool influenced the prescription in less than 10 percent of encounters.PMID:38189191 | DOI:10.5055/jom.0834 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Jacob Gorbaty Meghan K Wally Susan Odum Ziqing Yu Nady Hamid Joseph R Hsu Michael Beuhler Michael Bosse Michael Gibbs Christopher Griggs Steven Jarrett Madhav Karunakar Laurence Kempton Daniel Leas Kevin Phelps Tamar Roomian Michael Runyon Animita Saha St Source Type: research
Opioid use disorder and motivational interviewing: Training physician assistants for the epidemic
CONCLUSIONS: An educational intervention using MI for PA students was found to be valuable, and students who completed the intervention had greater knowledge about using MI with OUD patients than those who did not complete the training. The size of the effect was small, and more research on the curriculum is necessary prior to widespread adoption.PMID:38189192 | DOI:10.5055/jom.0835 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Brian B Peacock Catherine N Shull Carol A Hildebrandt Gayle B Bodner Kristin J Lindaman Chris Gillette Source Type: research
Provider attitudes and current practice regarding the prescription of opioid-containing pain medication for vaginal delivery
CONCLUSIONS: Practice patterns for opioid prescription vary by provider type as well as by delivery characteristics. Further study is necessary to delineate the optimal care while minimizing unnecessary opioid prescriptions.PMID:38189193 | DOI:10.5055/jom.0836 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Sarah Atkinson Anna R Whelan Abigail Litwiller Source Type: research
Patterns of opioid use among Texas dental practitioners during the COVID-19 pandemic
CONCLUSIONS: Further research is warranted to assess post-pandemic opioid prescribing patterns, and additional educational strategies regarding limitations of opioid prescriptions should be applied to general, rather than specialty, dental practitioners.PMID:38189194 | DOI:10.5055/jom.0837 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Arthur H Jeske Aimee Anderson Kim-Anh Do Jing Ning Junsheng Ma Eduardo Bruera Source Type: research
Erector spinae plane block for radiofrequency ablation of hepatic focal lesions: Randomized controlled trial
CONCLUSIONS: The ESPB provided adequate analgesia and reduced opioids consumption during the hepatic RFA, with high radiologist's satisfaction.PMID:38189195 | DOI:10.5055/jom.0838 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Mona Raafat Elghamry Mohamed Ahmed Lotfy Kareem Mohammed Ramadan Mohammad Ali Abduallah Source Type: research
Outpatient cross-titration to buprenorphine for chronic pain: A retrospective analysis
DISCUSSION: The University of Washington's buprenorphine cross-titration protocol for chronic pain was successful in about half of included patients undergoing conversion from chronic full µ-opioid agonist therapy and generally well tolerated. Clinical responses were widely variable, and many required slower taper and higher end-titration buprenorphine dose than anticipated. Although protocols provide structure for cross-titration, each course should be monitored closely and individualized.PMID:38189196 | DOI:10.5055/jom.0839 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Satoru Ito Mackenzie Welsh Christina Bockman Rebecca Dale David Pilkington Katherin Peperzak Source Type: research
Surgical prescription opioid trajectories among state Medicaid enrollees
CONCLUSIONS: Findings support the importance of surgeons setting realistic patient expectations for post-surgical opioid use, as well as the importance of coordination of post-surgical care among patients failing to fully taper off opioids within 1-3 months of surgery.PMID:38189189 | DOI:10.5055/jom.0832 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - January 8, 2024 Category: Addiction Authors: Jenna L McCauley Ralph C Ward David J Taber William T Basco Mulugeta Gebregziabher Charles Reitman William P Moran Robert A Cina Mark A Lockett Sarah J Ball Source Type: research
