Diagnosing opioid addiction in people with chronic pain
|Title:||Diagnosing opioid addiction in people with chronic pain||Authors:||Gorfinkel, Lauren; Voon, Pauline; Wood, Evan; Klimas, Jan||Permanent link:||http://hdl.handle.net/10197/10548||Date:||21-Sep-2018||Online since:||2019-05-20T13:58:16Z||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 (OUD); Chronic pain||DOI:||10.1136/bmj.k3949||Other versions:||https://www.bmj.com/content/362/bmj.k3949/related||Language:||en||Status of Item:||Peer reviewed|
|Appears in Collections:||Medicine Research Collection|
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