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Diagnosing opioid addiction in people with chronic pain

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Author(s)
Gorfinkel, Lauren 
Voon, Pauline 
Wood, Evan 
Klimas, Jan 
Uri
http://hdl.handle.net/10197/10548
Date Issued
21 September 2018
Date Available
20T13:58:16Z May 2019
Abstract
Over the past two decades, a steep rise in the number of opioids dispensed for pain treatment has been accompanied by a dramatic rise in overdose deaths in the United States. In 2016, up to 32 000 deaths reportedly involved prescription opioids, and the economic burden of prescription opioid overdose has been estimated to exceed $78bn (£59bn; €67bn) annually. Despite all the evidence of harm, however, it remains unclear exactly how to determine if a patient with chronic pain has opioid addiction, or what criteria should serve as a gold standard in making a diagnosis of opioid use disorder (OUD) in this context. This is an important gap in the literature that hinders both evidence-based care and research on the links between prescription opioids and OUD. In this editorial, we discuss the limitations of diagnosing OUD in people with chronic pain, and make several recommendations for further research.
Type of Material
Journal Article
Publisher
BMJ
Journal
The BMJ
Volume
362
Issue
k3949
Copyright (Published Version)
2018 British Medical Journal
Keywords
  • Opioids

  • Pain treatment

  • Overdose

  • Prescription opioids

  • Opioid use disorder (...

  • Chronic pain

DOI
10.1136/bmj.k3949
Web versions
https://www.bmj.com/content/362/bmj.k3949/related
Language
English
Status of Item
Peer reviewed
ISSN
0959-8146
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Medicine Research Collection
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