Chronic Pain, Chronic Opioid Addiction: a Complex Nexus

Edwin A. Salsitz

doi:10.1007/s13181-015-0521-9

Chronic Pain, Chronic Opioid Addiction: a Complex Nexus

Edwin A. Salsitz

Research output: Contribution to journal › Article › peer-review

65 Scopus citations

Abstract

Over the past two decades, there has been a significant increase in the prescribing of opioids, with associated increases in opioid addiction and overdose deaths. This article reviews the evidence for the effectiveness and risk of developing an opioid use disorder (OUD) in those patients treated with chronic opioid therapy (COT) for chronic non-cancer pain (CNCP). Rates of development of OUD range from 0–50 %, and aberrant drug related behaviors (ADRBs) are reported to be 20 %. Health care providers must properly assess, screen, and carefully monitor patients on COT utilizing evidence-based tools.

Original language	English
Pages (from-to)	54-57
Number of pages	4
Journal	Journal of Medical Toxicology
Volume	12
Issue number	1
DOIs	https://doi.org/10.1007/s13181-015-0521-9
State	Published - 1 Mar 2016
Externally published	Yes

Keywords

Addiction
Alcohol dependence
Chronic pain
Drug dependence
Toxicology

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10.1007/s13181-015-0521-9

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abstract = "Over the past two decades, there has been a significant increase in the prescribing of opioids, with associated increases in opioid addiction and overdose deaths. This article reviews the evidence for the effectiveness and risk of developing an opioid use disorder (OUD) in those patients treated with chronic opioid therapy (COT) for chronic non-cancer pain (CNCP). Rates of development of OUD range from 0–50 %, and aberrant drug related behaviors (ADRBs) are reported to be 20 %. Health care providers must properly assess, screen, and carefully monitor patients on COT utilizing evidence-based tools.",

keywords = "Addiction, Alcohol dependence, Chronic pain, Drug dependence, Toxicology",

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AB - Over the past two decades, there has been a significant increase in the prescribing of opioids, with associated increases in opioid addiction and overdose deaths. This article reviews the evidence for the effectiveness and risk of developing an opioid use disorder (OUD) in those patients treated with chronic opioid therapy (COT) for chronic non-cancer pain (CNCP). Rates of development of OUD range from 0–50 %, and aberrant drug related behaviors (ADRBs) are reported to be 20 %. Health care providers must properly assess, screen, and carefully monitor patients on COT utilizing evidence-based tools.

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KW - Alcohol dependence

KW - Chronic pain

KW - Drug dependence

KW - Toxicology

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Chronic Pain, Chronic Opioid Addiction: a Complex Nexus

Abstract

Keywords

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