Substance abuse in cancer pain Journal Article
| Authors: | Starr, T. D. ; Rogak, L. J.; Passik, S. D. |
| Article Title: | Substance abuse in cancer pain |
| Abstract: | In the oncology community, opioids recently have become the cornerstone of cancer pain management. This has led to a rapid increase in opioid prescribing in an effort to address the growing public health problem of chronic pain. A new paradigm in noncancer pain management has emerged, that of risk assessment and stratification in opioid therapy. Techniques foreign to cancer pain management have now become commonplace in the noncancer pain setting, such as the use of monitoring compliance via urine drug screens. Amidst these strides in opioid use for pain management, cancer has been changing. The survival rate has increased, and a group of these patients with chronic pain were treated with opioid therapy. With opioid exposure being longer and against the backdrop of prescription drug abuse, the question is how much of the adaptation of the risk management paradigm in chronic pain management is to be imported to cancer pain management? © Springer Science+Business Media, LLC 2010. |
| Keywords: | cancer survival; survival rate; unclassified drug; review; dose response; treatment duration; treatment planning; neoplasms; animals; pain; risk factors; cancer pain; patient assessment; patient monitoring; drug screening; risk assessment; prescription; narcotic analgesic agent; clinical competence; scoring system; patient compliance; clinical decision making; daily life activity; drug monitoring; chronic pain; physician attitude; opioids; morphine; analgesics, opioid; opioid-related disorders; pain measurement; substance-related disorders; urinalysis; drug dose increase; pain assessment; membrane transport; drug delivery system; pain threshold; drug exposure; pain management; aberrant drug-related behavior; opioid risk tool; screener and opioid assessment for patients with pain; drug formulation; opiate addiction; substance abuse; lipid solubility; drug solubility; addiction; breakthrough pain; named inventories, questionnaires and rating scales; abuse; risk screening; fentanyl citrate; onsolis; analgesic agent abuse; high risk behavior; pain assessment and documentation tool |
| Journal Title: | Current Pain and Headache Reports |
| Volume: | 14 |
| Issue: | 4 |
| ISSN: | 1531-3433 |
| Publisher: | Springer |
| Date Published: | 2010-08-01 |
| Start Page: | 268 |
| End Page: | 275 |
| Language: | English |
| DOI: | 10.1007/s11916-010-0118-6 |
| PUBMED: | 20499215 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 3" - "Export Date: 20 April 2011" - "CODEN: CPHRG" - "Source: Scopus" |
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