Recommendations for Substance Abuse and Pain Control in Patients with Chronic Pain. 2018

Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
Yale University, TMP3 333, Cedar Street, New Haven, CT, 06520, USA. nalini.vadivelu@yale.edu.

OBJECTIVE In the present investigation, current literature on the relationship between substance abuse and pain is evaluated in order to improve clinical management and its implications on the increasingly challenging chronic pain and substance abuse epidemic. The relationship between substance abuse and chronic pain are evaluated, and this review provides recommendations on the management of this special patient population. RESULTS Currently, there are limited guidelines for prescribing opioids and other analgesics in the chronic pain population. As this field of practice continues to evolve, it is essential for clinicians to serve as the gatekeepers to monitor for misuse and safety. Multiple studies have indicated that illicit drug use and opioid abuse affect over 9% of patients. Although there are numerous reasons for seeking illicit drugs and abusing them, it is essential that clinicians identify factors which place certain patients at high risk and accordingly, to screen these patients in order to optimize their management. The high prevalence of patients with chronic pain who also screen positive for drug use emphasizes the importance and increasingly pressing need to evaluate and to manage chronic pain in this population.

UI MeSH Term Description Entries
D009293 Opioid-Related Disorders Disorders related to or resulting from abuse or misuse of OPIOIDS. Opiate Addiction,Opiate Dependence,Opioid Misuse,Opioid Use Disorder,Prescription Opioid Abuse,Prescription Opioid Misuse,Addiction, Opioid,Dependence, Opioid,Opiate Abuse,Opioid Abuse,Opioid Addiction,Opioid Dependence,Abuse, Opiate,Abuse, Opioid,Abuse, Prescription Opioid,Addiction, Opiate,Dependence, Opiate,Disorder, Opioid Use,Misuse, Opioid,Misuse, Prescription Opioid,Opiate Abuses,Opioid Abuse, Prescription,Opioid Abuses,Opioid Addictions,Opioid Dependences,Opioid Misuses,Opioid Related Disorders,Opioid Use Disorders,Opioid-Related Disorder,Prescription Opioid Abuses,Prescription Opioid Misuses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000701 Analgesics, Opioid Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS. Opioid,Opioid Analgesic,Opioid Analgesics,Opioids,Full Opioid Agonists,Opioid Full Agonists,Opioid Mixed Agonist-Antagonists,Opioid Partial Agonists,Partial Opioid Agonists,Agonist-Antagonists, Opioid Mixed,Agonists, Full Opioid,Agonists, Opioid Full,Agonists, Opioid Partial,Agonists, Partial Opioid,Analgesic, Opioid,Full Agonists, Opioid,Mixed Agonist-Antagonists, Opioid,Opioid Agonists, Full,Opioid Agonists, Partial,Opioid Mixed Agonist Antagonists,Partial Agonists, Opioid
D015995 Prevalence The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time. Period Prevalence,Point Prevalence,Period Prevalences,Point Prevalences,Prevalence, Period,Prevalence, Point,Prevalences
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D059350 Chronic Pain Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain. Chronic Primary Pain,Chronic Secondary Pain,Pain, Chronic,Widespread Chronic Pain,Chronic Pain, Widespread,Pain, Chronic Primary,Pain, Chronic Secondary,Pain, Widespread Chronic,Primary Pain, Chronic,Secondary Pain, Chronic
D059408 Pain Management A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain. Management, Pain,Managements, Pain,Pain Managements

Related Publications

Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
January 1982, Current psychiatric therapies,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
August 1996, The Journal of family practice,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
September 2003, The Nursing clinics of North America,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
January 1997, The Journal of family practice,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
March 2015, Journal of pain & palliative care pharmacotherapy,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
January 2006, Pain physician,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
January 2007, The American journal on addictions,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
April 2017, Clinical journal of oncology nursing,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
October 2009, Pain,
Nalini Vadivelu, and Alice M Kai, and Gopal Kodumudi, and Dan Haddad, and Vijay Kodumudi, and Niketh Kuruvilla, and Alan David Kaye, and Richard D Urman
October 1989, Hospital & community psychiatry,
Copied contents to your clipboard!